53102D - Howell

CAMA / DREDGE & FILL I.,f,
3EN ERAL PERMIT Previous permit#
INew Modification Complete Reissue Ei Partial Reissue Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural Resources:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 744. 2 0o0
���s attached.
t Name
( 2 i 2 i--1")1/Ul-�A►)512, Project Location: County
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ng permit may be required by: ���.Mt/tii�� ` ' '' `` Ic See�note on back regarding River Basin i
Special Conditions A L LO�NO t-n . br 7k\ • 2 cv, L. °vL.,`- ' t I t�2L RC

CLEMENTS MARINE CONSTRUCTION INC 1402
112 CIRCLE DRIVE 910-270-9110
HAMPSTEAD,NC 28443 Dat/D17`? v v 66-30/531
365
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Letter of agent
I Raj jjT dte,,v `� have retained Mark Clements DBA, Clements
Marine Construction Inc, to make application for any and all permits needed to start
construction on the work requested for our property or properties.
By allowing Mr. Clements to make such applications I do understand that this will in no
way relieve me of any obligations to perform all work according to the building codes of
North Carolina, CAMA, DWQ or any other state and or county ordinances.
fee 6,147 105- I
Pnpml��o`-G"
/raJ
Signature
�. 76r it 2. 7j / date Gf-Z j p .
Contact information

DIVISION OF COASTAL MANA(itsNlbN i
ADJACENT RIPARIAN PROPERTY OWNER NO 11HCATION/WAIVER FOR?
Name
ofApplying Individual A plying For Permit:PPCkieri R R. noweili Sr'
Address of Property: �ia tArk Alle,In) 1 1' -
(Lot or Street#, Street or Road) RECEIVE]
ParipcTieofej, %icier-Cowl - OCT 242008
(CU)/and County) - —
I hereby certify that I own property adjacent to the-above—eferenced_property. The int
applying for this pemiithas described to me as shown on the attached drawing the developm
are proposing. A i ' '. ;on or drawing,with dimensions, should be provided with this 1
I.have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-3!
within 10 days of receipt of this notice. No response is considered the same as no obji
you have been notified by Certified Mail.
WAIVER SECTION
- I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift
set bck a minimum distance of 15' from my area of riparian access-unless waived b3
you wish waive the setback,you must initial the.appropriate blank below.)
,e___'4.____ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sign Name / • Date
• M - rr1r . Lm✓,j t . le A__--2: ` ,CCg
r ''—
Print Name . is Alaw ow\ ■

DIVISION OF COASTAL MANAUbMv1CN I
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORT\
NameIndividual Applying For Permit- .7 JV `JS�
of P
ThiAddress of Property: g7,2s.)wrivie_Av
(Lot or Street#, Street or Road)
ILICifil
n-klacl (-4-YttereZ1,11.14/
Cit/ and County)
I hereby certify that I own property adjacent to the-above-referenced_proPerty. The in
applying for this permit has described to me as shown on the attached drawing the develop'
are proposing. A description or drawing, with dimensions, should be provided with this
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-3
within 10 days of receipt of this notice. No response is considered the same as no obj
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift
set bck a minimum distance of 15' from my area of riparian access-unless waived b;
you wish to waive the setback,you must initial the_appropriateblank below.)
f,'„cr I do wish to waive the 15' setback requirement_
I do not wish to waive the 15' setback requirement
)i4 . 4_77t1 �i ' ID- -2oe�'
�
Sign Name Date
11a.'R(44-1,-, W11- A,,,. i
TA
Print Name .'i is Ammim.n.► ■