52406D - Harris

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L I CAMA / ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
L„New —Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
iorized by the State of North Carolina, Department of Environment and Natural Resources �7
:Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC //1 /2UD
421cules attached.
int Nameia.( --lie /j/2/2 a ,1 Project Location: County2z ta.✓S t); c
s 1 id 6 t al 0 wo v c! /' ,t, Street Address/State Road/Lot#(s)3 2 2_3— 5d,
eiq I,r47/6N Statefi C ZIPS" 7i2/)— 1. e' ;�.-' ,jl of
# /( )2) 1/ '//G'9/ Fax#( ) Subdivision
•ized Agent Chpit 1€3 Ar iz-0' City 5N/la�-° ZIP 2 P 5',
d ❑CW E EW Q C3F El S PTS Phone# ( ) River Basin <-i n1
I• El E HHF El ❑UBA ❑N/A Adj.Wtr. Body5l,11J) 7I-o 4 vl'it na
❑PWS: ❑FC:
yes r7,noi PNA yes Co Crit.Hab. yes / no
Closest Maj.Wtr. Body P
of Project/Activity y,,.-d Ex /S7/S rat,✓q-ie ��t// -ezcc/a7/-c r,e -S�,.s f/ „Jf t
cd d /V e,-✓ tn� (Scale/
lock)length C,,C /Sri, t[ ,r_Q 16'-(
•pier(s) I x f 1
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length ' { I
lumber I 1 1 �' 6....._cottiii0Aead/Riprap length { 12 -1/1 ! I
ivg distance offshore {...-....,- Il —
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nax distance offshore k
if eJ . 4tt-./RAn _ I i I
channel { JAL��t`% dl I l e4 €.14kfr4/4
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:ubic yards AilI
amp M ,
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ou Boatlift .tZ /X tZ : ��
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Bulldozing I 4/
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line Length L' C Kj[ f 11 +
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not sure yes no ( r I uG Cr V
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ags: not sure yes no `�—
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:orium: n/a yes no h 7 I' ! ,,
h.-,
s: es no
y , �,NI�`h �-(-_ ..-.... . ._. ? 2121r5�i f yid ' —
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:rAttached: yes no
•ding permit may be required by: 2 5 Cv,-,.- f f 1 I See note on back regarding River Basin

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DIVISION OF COASTAL MANAGEMENT
LDJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORT
Df Individual Applying For Permit: / /2_4 S
;s of Property: 3 C 5 L L 7?3 .A-i,
(Lot or Street #, Street or Road)
Sif LGC / . 1 . 2 C' 4 - C
(City and County)
by certify that I own property adjacent to the above-referenced property. The in.
nv for this permit has described tome as shown on the attached drawing the developer
Dposin2_ A description or drawing, with dimensions, should be provided with this 1
I have no objections to this proposal.
u have objections to what is being proposed, please write the Division of
i`ement, 127 -Cardinal Drive Extension, Wilmington,. NC 28405 or call 910-7
n 10 days of receipt of this notice_ No response is considered the same as no obj
Lave been notified by Certified Mail.
WAIVER SECTION
ter stand that a pier, dock, mooring pilings, breakwater, boat house or boat lift m
minimum distance of 15' from my area of riparian access - unless waived by ml
to \vaive 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.
` _.
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DIVISION OF CQASTAL MANAGEMENT
ADJACE RAP IA1`I - 215--RTYOARNOTIPICATIONIWAIVERFORM
p ! ' g For Permit: FAA,Jg 4-1
S
Name of Individual Applying p —
Address of Property.. 3 2— S Si 4- PO P---0A-0
(Lot or Street#,Street or Road)
5/14 G t o r s-C • 2 fl 4 -7 C? •
(City and County)
•
I hereby certify that I own property adjacent to the above-referenced pro try.. The ind vit u
applying for this permit has described tome as shown on the attached
he
are proposing. A description or drawing;with dimensions, should be provided with this letter.
1 1(- " . I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coas
}
Management, 121 'Cardinal Drive Extension,
Wilmington, NC 23305 or call 910-796-72
within 10 days-of receipt of this notice. No response is considered the same as no objectiol
you have been notified by Certified Mail.
•
WAIVER SECTION.
I understand that a pier, dock, mooring pilings,breakwater,boat house or boat lift must bi
bck a minimum distance of 15' from my area of riparian acc
ss blank bell waived by me. (If
wish to waive the.setback, you must initial the appropriate
r p I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Date
Sign Name

AtIM
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley,Governor James H.Gregson,Director William G. Ross Jr., Sec
Authorized Agent Consent Agreement
c. S C is hereby authorized to act on my beha
(Printed Name of Agent)
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to I
)ecific activities described in the attached sketch.
DCATION OF PROJECT:
j 2co 4^4--
Aic 2- 6470
ROPERTY OWNER MAILING ADDRESS:
/ l U << G— 6 r t-vcrz)19 AcJ
Eck ft I- A). e/ 2-
PHONE NO. c 0" -7 s 4 I 0 4
UTHORIZED AGENT MAILING ADDRESS:
9D S 5/efzr (4
91 d - 9 -
gnature of Property Owner:

J.FRANK HARRIS 66-1213/531 4370
1106 EDGEWOOD AVE. PH.336-222-0894 0801273541
BURLINGTON,NC 27215
DATE /0 —/—8
�o� /1/C 96- �/7 ,� 1 $ Zc�o. cn_)
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CAPITAL BANK SMART
CHECKING
Burlington,North Carolina
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I:0 5 3 L 12 L361:080 L 27354 L1i/4370
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