51928D - Naramore

J CAMA/ EQ DREDGE & FILL 5
3ENERAL PERMIT Previous permit#
New El Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
wized 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 / . I I 00
l 'Rules attached.
tt Name 3OH-N N . r-; - Project Location: County !V2 t.1 NS(&-) I CAC.
`LI LH K Ir\Xo 17US1 O,e' , Street Address/State Road/Lot#(s)
t `&') y--i/ -1 NIA State Nt, ZIP 2-7 S2(2 I n(-' N. Y/lt I-t'S r 1'Z. .
( j ) I C}-%iar Fax#( ) Subdivision Z
zed Agent 5T 5�- '1 I�"Ua--C.- NA/vat t,. . City CO-it I S I.14r1J ZIP t( (c
i ElCW ❑EW ❑PTA 'ES ❑PTS Phone# ( ) River Basin L►-')1(k!
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body A 1 V. ) nat /
❑PWS: ❑FC:
yes /�_o; PNA yes /� Crit.Hab. yes / no Closest Maj.Wtr. Body NA/IN-/
,f Project/Activity K 1A.,(..„IL.004Q C r ,' '�l` ti �'1 IJP(L)
(Scale: I"=,
)ck)length
A I k ,
n(s) //
pier(s) HIIIHIHIIUIII 1 I
ngth ■■■■■■■■■■■■ #7}M1-011
amber M111■■■■■■■■11111:7■ - . r =
id/Riprap length 7 r�I . M■ ■■■E� ■ �2 ISM
,g distance offshore ■
lax distance offshore IIIIIHIIi
;.:hannel
■■■■■■■■■ i. r it I i }
■■■■■■■ ■■
mp 111111MINIIIMIll - _ -1--- ------
ibic yards ■
..■■■■■■■.■■■■ 41
use/Boatlift HIIIHIII
3ulldozing ■■■■■■■■■■■ /. 3 i 1 f
■■■■E■■■E57E�'::Ili .�.� �_ ,
!!! ' I t ! I
ie Length 'V 11111
1
not sure yes no i c
y
gs: not sure yes ,na A -1 'op
rium: n/a yes oV
' �' ill '
yes
Attached: yes o, r _ 4' ail, �V ! l A(.' ■y
ling permit may be required by: L A(L I St,01,-0 ri See note on back regarding River Basin r
- - - - --

TINE CONSTRUCTION 5041 1
66-112/531
BRANCH 03003
DATE
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2 LI:I 340009 i 5008 7100 SO4 L
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ArcIA
NCDENR
North Carolina Department of Envirdllrent and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor James H.Gregson, Director William G.Ross Jr.,Secretary
Date c:12- /3-n2
Applicant Name Jc)kn 1Vcvcj90(C
Mailing Address I9 // King Pos7t iOc
L�,uy,/ - l/ar,hq Ale cQ 5 a(p
I certify that I have authorized (agent) 3 Ac'P l0e �ct;,'�T to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) CI `npc
at(location) N C S' c ti 4- , ©cy l-S,),-„ c!
This certification is valid thru (date) eiC137//� /1�11� �/Tr l� ) es? �©
Signature

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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
Address of Property: 1 CSC c. . ;JcriiJ— Dr,
(Dr?" .ems-1 cJ i tic a 6,5
(Lot or Street#, Street or Road, City &County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management,400 Commerce Avenue,Morehead City,NC,28557 or call(252)808-2808 within
10 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
u✓
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Applicant Information) (Ripar"an Property Owner Information)
qctql Ki;T1 P651 O r. cro
Mailing Address S ature
dO /,1 G n.Js. a 7524 .% cowl e u
City/Sfate/ZiO Print or Type Name
��ri 9 76 9'— 39s2 2 2-k ?—? 7'/

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
Address of Property: l Ob c3 �. 'c c ti or
0 vt -T / 1 ) /Uc -4 V 5
(Lot or Street#, Street or Road, City&County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management,400 Commerce Avenue,Morehead City,NC, 28557 or call(252)808-2808 within
10 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags
must be set back a minimum distance of 15'from my area of riparian access unless 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 do not wish to waive the 15' setback requirement.
(Applicant Information) (Riparian Property Owner Information)
Mailing Address ,, Signature a,,,6i w i t t-s D
Cvc/va Verrr'vtc, 74 0k1, 4ene ku1qus of 64LT/ I Ni
CO/Sta ip Print or Type N ie
4.) S7‹-g_49(1/— gin - 2751-.S'v/I Pm4 2 .1z