50396D - Milliken

CAMA / DREDGE & FILL
3 E N E RAL PERMIT Previous permit#
mew ❑Modification ❑Complete Reissue ❑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 15A NCAC ,A' /.246
[ Rules attached.
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Attached: •
Yesy� 111=1111MSWIMENS
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ing permit may be required by: YR H r S 1,c k Co .411/ 1 I See note on back regarding River Basin r

JOHN R. WEST FIRST BANK
1595 CROWN CREEK CIRCLE SW OCEAN ISLE BEACH,NORTH CAROLINA 28469
OCEAN ISLE BEACH,NC 28469 66-456-531
[phone] LI,
PAY TO THE NC 1Q� T
ORDER OF
-.6111A1 6\1/4 a Ld cio
MEMO 1 4-6
II'00006 L ? 5II■ 1.053 L04SUP: ?930005 ? 5II'

10i 01 i 2008 0S:33 7045252249 SOUTHEAGITIN TECHNOL PAGE 03/1
Dl'VISION OF COASTAI,MANAGEMENT
ikDJACENT R}PARIAN tROPERTY O N TffICAf(_N LAAIVERFO
Name of Individual Applying For permit: `Se to./ •
Address of Property: /?/‘' d /2 41 j 2 6 % t95.e A vl ei• .(Lot or Street#, Street or goad)
I hereby certify that I own propcxty adjacent to the above-referenced property. The inch idual
applying for this permit has de$cribed to me as shown on the attached drawing the developtne they
are proposing. A description or drawing,with dimensions,should be provided with this it er,
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of oastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-7 -7215
within 10 days of receipt of this notice, No response is considered the same as no objeption if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat hawse or boat lift m t be set
beka minimum distance of 15'from my area of riparian access-unites 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 ¢o not wish to waive the 1]' setback requirement,
•
./Vile _ •
, "Date
Sign Name ate ,
6Ap__eAl 6, ALc-G •r
Print Name „�,.,ff

DIVISION QCOASTAL MANAGEMENT
AD.TACE1 il,�ItIPA..RiAN PROPERTY OWNER ZVD`I FI;CATION/WAIVFR.FORM
Name of Individual Applying For Permit: )ef4 e), ,////c
Address of Pro pert 0
(Lot or Street 11, Street or Road)
(Cit:y and County)
ty)
hereby certify that I own property adjacent to the above-referencecLproperty. The indlvi
applying for this permit has described to me as shown on the attached drawing the development
ire proposing. A description or drawing, with dimensions, should be provided with this Iette
I have no objections to this proposal.
•
.f you have objections to what is being proposed, please write the Division of Con
►'1anagernent,. 127 Cardinal Drive Extension, Wilzniugtou, NC 28405 or call 910•.395.•3
vithin 10 days of receipt of this notice. No response is considered the same as no objectk
'on have been notified by Certified Mail.
,AI ERS +C ION
•
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift ITEM
bck a minimum distance of 15' from my area of riparian access •-• unless waived by me.
ou wish to waive the setback, you must initial the appropriate blank below.)
• I do wish to waive the 15' setback requirement.
• x do not wish to waive the 15' setback requirement.
gn Name Date

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. SAW-2008-02690-010 County: Brunswick USGS Quad:
GENERAL PERMIT (REGIONAL AND NATIONWIDE)VERIFICATION
Property Owner: Jeffrey A.Milliken Agent: John West
PO Box 6609 West Docks&Fabricators
Shallotte,NC 28459 1595 Crown Creek Road
Ocean Isle Beach,NC 28469
Telephone No.: not provided Telephone: [phone]
Size and location of project(water body,road name/number,town, etc.): Site is located along the
Shallotte River at Lot 2A,Village Point Rd,Shallotte,NC. Latitude: 33°55' 01.0315"; Longitude:
-78°22' 23.54808".
Description of activity: Private docking facility on on the Shallotte River,Lot 2A,Village Point Road,
Shallotte,NC as described in the PCN received by this office on 9-17-08.
Applicable Law: _Section 404(Clean Water Act, 33 USC 1344)
X Section 10(Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number: GP 197800056
Nationwide Permit Number:
Your work is authorized by the above referenced permit provided it is accomplished in strict
accordance with the attached conditions and your submitted plans. If your activity is subject to Section
404 of the Clean Water Act(as indicated above),before beginning work you must receive a Section 401
Water Quality Certification from the N.C. Division of Water Quality(telephone[phone]). For
activities occurring within the twenty coastal counties subject to regulation under the Coastal Area
Management Act(CAMA),prior to beginning work you must contact the N.C.Division of Coastal
Management in Wilmington,NC, at(910)796-7215.
Please read and comply with the attached conditions. Any violation of these conditions may subject
the permittee to a stop work order, a restoration order and/or appropriate legal action.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain
any other required Federal, State or local approvals/penmits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps
of Engineers regulatory program,please contact Mr.David Timpy at(910)251-4634.
Corps Regulatory Official Date: 09/22/2008

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