51320D - Riley

(CAMA/ tADREDGE & FILL
POENERAL PERMIT Previous permit#
N.New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
Irized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ) H. \ 10 t I vv
LiRules attached.
tt Name 1I 11 l~8 f2-T-g y Project Location: County P S 1 L.,--)
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-I 53 9 -,4 s— ,/ Street Address/State Road/Lot#(s)
MRF C t i y StateX 6- ZIP 2Y4/ Cl O.5-6 `cO S Z c-11" • -
( ) Fax#(lig ) 323 30410 Subdivision
led Agent ?I�)1\)lt Le -..— ul City;,Ltc CL `f ZIP ZsL
❑CW ,p9EW ''PTA E S ❑PTS Phone# ( ) River Basin C_APCI
❑OEA ❑HHF ❑IH ❑UBA LI N/A Adj.Wtr. Body 1U M P Oh h ( 5-4Pna
❑ PWS: ❑FC:
yes / no,) PNA yes �> Crit.Hab. yes / no Closest Maj.Wtr. Body 5' e,f SO N r' ( a-
f Project/Activity 1:1"35 1'-\"I 7 le-- PL e �-r 2.-Ar-.9 Yeti T os-T ALL
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imber
td/Riprap length
g distance offshore I c4J A L
ax distance offshore
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mp /ZX 90
use/Boatlift
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ie Length 53 s j I d g
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not sure yes no 0r2- - Q (�
gs: not sure yes i
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rium: n/a yes
yes 67— i � _ 1
Attached: yes
ing permit may be required by: 5 yit c 6/2-1X . I I See note on back regarding River Basin r

r`.. t
B D BROWN 6097
NCDL 2971306 Ph.910-328-3040 66-182/531
9047 W 9th St 4/7/5 8iANcH5000t
Surf City,NC 28445
,i? Date
Pay to the / / / J / . p._. I $ q-
Orderc ��((�� G ��attJJJ C SucurIly
Dollars 8Suc' o^
Illij
WACHOVIA�to
Wachovia Bank,N.A. 51,320
wachovfa.com
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JM :SEASHELL CONSTRUCT I Ct•! FAX NO. :910 328 3040 Jul. 28 2e08 02:43PM F 1
* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/JOATHOUSE)
I hereby certify that I own property adjacent to M1(t<e' R I C-'6-Y 's
(Name of Property Owner)
to
property located at �0 � W ` 6 I
(Lot,Block,Road,etc.)
on �C C.,.-. ,in if)ft1'SGOLc, -U,Q� GL[ Y, N.C.
(Waterbody) (Town and/ ' County)
He has described to me, as shown below,the development he is proposing at that location,and. I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must he set back a minimum distance of fifteen feet(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 not wish to waive
L I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOL'SE)
I hereby certify that I own property adjacent to /X,& /-1 L&Y .s
(Name of Property Owner)
property located at e) S& 14-1? 1
(Lot, Block,Road,etc.)
on
f -ia L- , in botISGQ7,c� �v�' Gc N.C.
(Waterbody) (Town and/ County)
He has described to me, as shown below, the development he is proposing at that location,and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
OAT RA O-
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]M-;SEASHELL CONSTRUCTION FAX NO. :910 328 3040 Aug. 11 2008 09:01AM P1
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]M :SEASHELL CONSTRUCTION FAX NO. :910 328 3040 Aug. 11 2008 09:01AM P2
P &c-
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hcrcby certify that I own property adjacent to(1-4A 8 P66.1114 4 'I.k) 's
(Name of Property Owner)
property located at ?d 6
P ny
(Lot,Block,Road,etc.)
on 6 6-e_ , in SVA..E G( 1 7 8A) S L.00J ,N.C. -
(Waterbody) (Town and/or County)
He has described to me,as shown below,the development he is proposing at that location,and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(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 not wish to waive
VI Imo wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
12--A 6-r-,1 6 I / IS ei ar A-1 p
R6P -1rc s 5 w, ei cam.
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