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Home My WebLink About52401D - Medlin !ti: .]CAMA/ ❑DREDGE & FILL i 3ENERAL PERMIT Previous permit# INew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued >rized by the State of North Carolina,Department of Environment and Natural Resources �� ? �, Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �.L.� C4ules attached. it Name , ' , ,2L -) Project Location: County . 7 iQ_ It JC- j`f, i , Street Address/State Road/Lot#(s) L C-T-� A.- . ',i.' \r1 AD State tw(.- ZIP zEciti3 1"r'\C TLi-r i kJ—) , (1 to) (,70-1 V J Fax# ( ) Subdivision L ?k.. ''A 1 C 61 Le I*-0 ilit pike zed Agent rOtAii 4_ C L_LIA/1 i-S, City i1 t �'1 7tO ZIP Zk-{1 i IDCW DEW ❑-PTA ❑ES ❑PTS Phone# ( ) River Basin ( 11191 ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body A \\Ai eat ❑ PWS: ❑FC: 1 no PNA yes / no) Crit.Hab. yes / no Closest Maj.Wtr. Body i� es f Project/Activity r L i-i 06 L TN, N ,i. E<N j UV L.1 LXi',T1i•-C E T C K.S (Scale: a_ >ck)length 2.Gu 1 T4{-'(fie 00A ( f 4 4 .S)i, I `D (too ITl JIB GrtA) n(s) -•'!" !w W I V EA;L te1 01 ( pier(s) I I i S ' [pa') tuber I ay 7 im 6R'a ad/Riprap length } rg distance offshore lax distance offshore :hannel I I ibis yards PIZOrPap k l lhj4,,i,;, e ' 1 3 --re use/Boatlift ��Jr 3ulldozing A ( � 1/ i F, - 2 xs I Nb -' I 1 ILa-- rie Length )-i<.'C:O (l A ' L c't �A R 1 LOT itA not sure yes to LOT ( /� 1 gs: not sure yes G6 I I r� Al,rium: n/a yes Oeahrillif \' es ,1� Attached: y ._ .-.. .-. tlr.. Y�E ' ---- yes 1�-`Fi — ling permit may be required by: f 0r.— - . I See note on back regarding River Basin I ,- . . - .... 11 . i I,n. in ,-- -- fli `7ii /,-,(1,1 i t: AI (.c&-n;- , v:1'147.VL i _ , , 7111111011UP ,, =. rot'; vitgMl CLEMATS MARINE CONSTRUCTION INC 112 CIRC:_2 DRIVE 910-270-9110 1370 HAMPST.:AD,NC 28443 IDaie Cy,_/'0 66-30/531 A� 365 Pay to the ��cy�Order I $ Z--44 /moo7/,..1-e? Dollars 8 s.N First Citizens "�"" y fir itizens.com / For �� B ey t �� I:0 5 3 100 300400 3 5 3 2013 ill 580 01370 COASTAL VIEWS'' l " 1 e IC 1 Lees I Scale i 2c il ii Tf8Y ; 3XICo rc0P ( is )/ i % f I k �►NI _<__ r -J f-\(, c� _ pecK Lb i(IA 1 Lo 7/3A 4- /Z 4 7/f . 4. - s( -3D-k.vQ,j- to a T �.- j )'°3 tVi,11-OQ0, _ •13 -26- Jet 0 'c >t - _ otDaN a1G° W s03 0(3 I xeI I -7'�69iAb ho1x$ �oz ' MilI4ill AJd lid aI d 01 9,d [4 iv ;Y by c.y iv iv 6 diF6' b' ibr 6 8 A' rh, h 6 'i _., /1� �� I fi o ak 42 0� / /41 - t Jo, Lee3 j Scoo& I..'24 G r-e-e-1C j 18x /G Prd ZXf r'04 i 1 t-. _`' ,lam NI N l 5Fpri.; t. ( tee' (� — < 1 r o'_ zoo 3gcto , —..____- 1 A pCcY o lA Lo_t 2- "', A-17, Lo l 3A LJim Cur -IS t-.oT CATIQWYWYEIVIASIA Note of Individttsi Appbth$For Permit.A'3 C a 4 L 1+ e ca l A sL•3o 1=a.e+ory t�ca.. Lots A-o2�A-1 -' Address of Pr tY: 0e Most 0,keit or Rt _ fig. s o d Al u decQQAl r , (City sod ) 1 booby certib dent I von property sliaoset to thaahowealwaseeLpeopidi. The individual applyingibrthispoluithsdsersiedbmesSoapaoOBesteir■deste thede rdepm�e■K$rrY ate Propos. A ilesodytiotar d ndei with disssiiioas.*odd be prweid d with this lei. I.hevs so objectless to this proposal. if To vaildlellw I. wive b Ube prrl + please write NM Derbies at Owed 121 Cardinal Drive Zstessisa.W>Lir$teM DC 2*015 or aei 010-3P5.3900 *dub 10 slap o[reeeiprt Odds Mete. Pie respells,b awei red the sasa as se objection it you hors bees WSW by Gr116eiimmaiwonotirswasossovaris . I eade stand tbss a pier,deck,owirlog boultwater,beat louse or bent lift,seat be set bake aIedrre*ir dietiocee[I.T liwaisty owe et riparian teeter-unless waived by as Of yes via to waive theorist's,you met IOW they sp,reptiele bleak beir.) I do wish to waive the I S'setback gomi wish to waive the l 3'setback requirement. • 12—&1° alAbA' ammaa. Sip Name • Der • IVO Name r• ,f Telephoto ' Area Code 1-2PVF 08:39R tMJM=t%Lx,WWin Dui upcm - -- /[7JCU00 440:00 710[I044400 v maxi ur {.VA.111AL.Mwita mix.Vj. Name of Individual Applying For Permit n r o 4 L t 1. Address of Property. 4 3 O F me,4 o r f ?o c„,d}• (Lot or Street Serest or Road) gaLevt7Pslea.d Alc an ' 7cand a►) I btreby that I own properly adyec>eat b the . The i applying d r lin panting g 4eaaibad tome as shown as the atbeclied drierbeglbo development ,ate propi7 A7tionar droutiog.wim etmatainor„alltiaiojd be provided id&Ws lees I bare oo objection to Iris proposal. If yea have objections to obit le brim proposed, phew writ* tis Divider of Cos Managetaast, Cardinal Drive It tsaaloa, R l to tosy NC 20 415 or call 9104954 within 10 days of rsealpt adds Notice No response,is cousMsrsd the game as so ob jee& you hove bees notified by Certified Mill. viATOZR ores I anderet and that a plan,desk,asoortag gyp,breakwater, boat berm or boat Ifftsdlsr sat bek a dermas dlstaaca.I 1S treat my arse of riparian ae m-Wawa waived by ate you wkh to waive the aslbark,yea worst bridal!ia•spprepriata Moak below.) I do wish to waive the 1 S astback requirement. I&,n wish to waive the 1 S setback requirement L \Jrn. 9 / Da SiSo ti Aoclw'ir.) • A'440716. etNsztc J piaw v) 62t2- R I .O cell iresaisaramarwassiftekera.eir Letter of agent I „ " /7,1.‘ 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. 00PeSki -/) //)/ 5a/// Pri y same/1 ' 'LA Sep) ?2 date /•:=Q7/0,81 Contact information