51322D - Grant

CAMA/ ❑DREDGE & FILL
ENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
iorized by the State of North Carolina, Department of Environment and Natural Resources ,Z ©
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC-1
jt Rules attached.
int Name Z1-?,s_2-T 61�'A N \ Project Location: County C)NS L-,. �.✓
is 1.2-5. ©a k J rs.)-, a.. Street Address/State Road/Lot#(s)
5N .-1- 1V"S E. (i-\I State IV Zr- ZIP Z-sq i `� �1,k �o Ir./ 1 �J tk\
# 1S ) 32�'Z910"1 Fax# ( ) Subdivision
rized Agent CitySN'-''`b S c 6..2 4- 1 ZIP 2-Ski
d ❑CW ❑EWIJI PTA E ES ❑PTS Phone# ( ) River Basin I 1
❑OEA ❑HHF ❑IH'; ❑UBA ❑N/A Adj.Wtr. Bo �1�- .Lt.. /—L`��L
❑PWS: ❑FC: r [ c, nat
yes PNA yes / ri Crit.Hab. yes / no Closest Maj.Wtr. Body 51 1 r "'''--
of Project/Activity TT v Sii,r1 L L. /X z ( ' tE L w r N (Z y X Er ' F
.ER, -Y- 8< 1 (It_wTFo co._, (Scale: I i 1
dock)length 3-ih - (O X - ~ -�
rm(s) i0 i I ----_ —
r pier(s X I S.
length j� . �/�
number ' �'L O L
ead/Riprap length j '��.�
avg distance offshore �
max distance offshore
I
channel
cubic yards
amp .
/y' 6 •
ouse/Boatlift , .
- 31 , . -
Bulldozing
line Length��`7"1" _ ! S le '
.
yes no i y..........7.
ags: not sure yes ® i
orium: n/a yes ,gri
s:
yes nC=0
r Attached: yes
ding permit may be required by:©N-S 1•-'L St,`N \ 1 See note on back regarding River Basin

GILBERT S.GRANT 88-7704/2531> 2821
NCDL 3984368
125 OAK POINT RD. PH.910-327-2904
SNEADS FERRY,NC 28460 DATE
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/� $ �-G O ,
PAY TO
T1IE ORDER-Wes
OF q
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DOLLARS
State Employees'Credit UnionA4111.
Jacksonville,North Carolina
42
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I: 253L770491:0862795299210 282E

0 6806 C.C.C.C.Biology 09:56:39 a.m. 07-01-2008 4/4
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8 6206 C.C.C.C.Biology 09:56:02 a.m. 07-01-2008 1 14
NDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
Complete items 1,2,and 3.Also complete A. Sign ure --
Item 4 If Restricted Delivery is desired. 0 Agent
Print your name and address on the reverse X I �� ❑Addressee
so that we can return the card to you. Received rated Name) C. Date of Delivery
Attach this card to the back of the mal�iece, lit��i fii�6. J-"_Z-(�
or on the front if space permits.
D. Is delivery address different from kern 14 0 Yes i
Article Addressed to: �ey ,t If YES,enter delivery address below. O No
�� ^e 3. Service Type
„/, (I
� /C•, 0 Certified Mall ❑Express Mal
a?"to/ 0 Reg'stered 0 Return Receipt for Merchandise
0 Insured Mall ❑C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
Article Number 7007 1490 0004 7142 0442
(Transfer from service label)
S Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
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U.S. Postal Service,,: 41---i-N r'
ti CERTIFIED MAIL., RECEIPT i
(Domestic Mail Only;No Insurance Coverage Provided)
p For delivery information visit Our website al werw.usps.com,r
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Postage S `
Certified Fee
DReturn Receipt Fee Postmark
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Restricted Delivery Fee
a (Endorsement Required)
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Total Postage 8 Fees $
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0 Street,Apt.No.; , D S A 1�SL V""Q Ol�ev.e r$ /73 s oc
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PS Gorrr 3800 August 2006 See Reverse for Instructions
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3$606 C.C.C.C.Biology 09:56:14a.m. 07-01-2008 2!i
AP';�. � � � G
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: LT 11,. s/_) c r ( V 4 .ti
Address of Property: 1 c 7 0c, K r t i i ''lv 'q j c
l Orr 7 L;.,; -^a.; C. e..,,,7
(Lot or Street#, Street or Road, City&County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing,with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management,400 Commerce Avenue, Morehead City,NC, 28557 or call(252)808-2808 within
10 days of receipt of this notice.No response is considered the same as no objection if you
have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock,
_ ,+eattif#-er saffelbags
must be set back a minimum distance of 15'from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
-
(Applicanta Information) r (Riparian Property Owner Information)
2. `S e k / , ,Cc z d 7 11Vlit-t OL. ogatt
Mailing Address Signature
s V-< t c +" IQLy--`f-t. � -5
City/State/Zip I Print or Type Name
.,Z JC

?6806 C.C.C.C.Biology 09:56:27 a.m. 07-01-2008 3
Q f# -J ' 4-0r✓ G; (t
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to CI ,T (-q c e r C r 's
(Name of Property Owner)
property located at ) C 7 (AI( /'c
(Lot, Block,Road,etc.)
on ill ;1( Cr'< k- ,in Sn; s Flo P ,-,, tin.,/,,, c. N.C.
(Waterbody) (Town and/or County)
He has described to me.as shown below,the development he is proposing at that location,
and,I have no objections to his proposal. I understand that a pier/ i . ktise---.
must be set back a minimum distance of fifteen feet(15) from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled In by individual proposing development)
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(Applicant Information) (Riparian_ Property Owner Information)
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