51315D - McLean

❑CAMA/ ❑DREDGE & FILL
GENERAL 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 -
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 2/4) /2 60
CaRtiles attached.
y�
int Name/�,i/'-e 5 L e "I Project Location: County ie/Z H.vs wr(k
s /)eV 571e,r,4 t1 6A' ,Dar , Street Address/State Road/Lot#(s) /2.2, -7 94
te,5/i State/V C- ZIP 2 7462 J e+ .
#(?/9) ' 7 7 -5 S 7 Fax#( ) Subdivision ized Agent ��e L ki 1.4 S S City //`"I 0/Pr' a"9C A ZIP Z 4?y
d ❑Cw 0 EW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin L Nri,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body ` �r 6) L c "/„'" (nat
❑PWS: ❑FC:
yes / no PNA yesCno Crit.Hab. yes / no Closest Maj.Wtr. Body LPL Ai
of Project/Activity / ,-1 (I '%G/9 L , I-1 /G C/' S 7,,� U 12 , v/�l e /-f T
(Scale:
Jock)length C('$7). ,-cf
rm(s) S I r) � .
•pier(s)
1 I
length C4 L
'umber .
4� 0 1
zad/Riprap length w� i �i {
vg distance offshore `+ q
i1
nax distance offshore �1' l
channel I f A �..-"1 S*
i ; •
:ubic yards 1� i l
amp j '� _.—_
� 1/C)2
ous Boaft
tli
Bulldozingt'
,...1 i-, \iv! [ 110 it, ji k
' t line Length ' l l I s 4) '
not sure yes 6e j
ags: not sure yes �fS9' ; �.0
orium: n/a yes �� 60 4 V � �� � / �Z t� 1 � � �
s: 1 yes �"o` j.� pK , ; d;
r Attached `�� no ! ' _ i
/
ding permit may be required by: A"G G aI G ep C �1 U See note on back regarding River Basin
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WESTERN! !MONEY INTEGRATED PAYMENT SYSTEMS,INC.•ISSUER
UNIONI IORDEIT Englewood, Colorado
08- 913784186
82-40/1021
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PAY EXACTLY
PAY TO THE n �Cj�,�
ORDER OF �- ����� rP MEN�`FOpeAkCT.i
l $ Oticel:..lY� /icJ HHASer: A�C= Sus'/.6„0E, �{) - e - //C.-- RyV�-3
v7y( / fcn eY aarw�l13 YOU A0111111.0 o^ono Ye w n2 REVERS.NOE.
Western Union Money Order and Design is a service mark of Western Union Holdings.Inc Payable aattE Wells_Fargo nk nd Junction-Downtown,N.A.,Grand Junction.Colorado
I: LO a L001,001: 1-10089 3 78l. L86 7ii•

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8-07-0908:44 B J Construction 910-846-3360,,866 932 2567 P2f2
Avra
fvw ih Carolina Department of Environment and Natuwa! r:e9)urces
Dhrision of Coastal Management
Jima = cab>'ty.GGvernor Jam**H.G son.Dirsctor r
� yitNi8111 RdX6:r Swat;
Authorized Agent Consent Agreement
1 irt`'� ) Cril„it � J/c��l ;s hereby authorized to act on my behalf
rr is hll. a 91Agytr,
order to obtain any LAMA perrnit(e) required for the property I'.ited below The authot;zation is limited to the
sc'ecific activities described in the attached sketch
LOCATION OF PROJECT:
. tor fir.:t _17r• - . .
r: I ei 1. .. :2e ct P 1_l._, (-LC_'
PROPERTY OWNER MAILING ADDRESS!
I I hit `► (1-KA I.ie;e .))r-,
,..,_.�... �.._ PHONE NO(No( $�1 �_
l r . ... _.
AUTHORIZED AGENT MAILING ADORESS:
y o tc-qe,
.YeaPHONE NO(.: `V/(% -- "C`%L• Cr/?(5 - __. ...
5;gnature of Property Owne• ' * .._ _ / eg
iignature of Authorized Agent 4142....&4‘t4.1‘2--

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION"WAIVER FORM
Name of Individual Applying For Permit: Al L >L ,/ cj_01;t4 L
Address of Property: j e .4 'cu Co'L.. EL ,
(Lot or Street Street or Road)
-24 4t6LA, 7?„1_6Akk _ ,ZZ.4 LA.-60'Ll"
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
C:+ P I have no objections to this proposal. 411111657a
If you have objections to what is being proposed, please write the Division of Col
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-;
•• 'thin 10 days of receipt of this notice. No response is considered the same as no objectt
io, have been notified by Certified Mail.
o► 1
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must b
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (II
wish to waive the setback, you must initial the appropriate blank below.)
'-a 4°kr I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
2!,*4ac cam — •,900Sin.Name Date S A

• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying, For Permit: 't1f/` e M Yea /
Address of Property: r
(Lot or Street #, 3'treet or Road)
T 4.) /�-�1/ /c��cc/� /L'C ii‘/e/1=7-sZv,
(City and County) f
I hereby certify that I own property adjacent to the above-referenced property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this left(
��_TP I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co;
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-
within 10 days of receipt of this notice. No response is considered the same as no objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must I
bck a minimum distance of 15'from my area of riparian access-unless waived by me. (I:
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
/.../z)p I do not wish to waive the 15' setback requirement.
2) • tk,
Si cm 'Kamp CL nate -IA