51356D - Sheppard

CAMA I I DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification El 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 / /"' . I l��
Rules attached.
It Name E-:IC -- �ii& P P Al Project Location: County ND7)t- 1—
; S S p,N;J") L-'y.J 6 Street Address/State Road/Lot#(s)
tn(LF C1'T1 State X- ZIP-2 u ' 3,.. �Nti'I,i L.-v.1,) -"
I`( ) Fax#( ) Subdivision
zed Agent L.TG H�•-, ; ': City c\- - �Z"( ZIP Z-I'
i ❑CW ;: W ❑ p PTA , FS ❑PTS Phone# ( ) t River BasinCIM -
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Bodyl;P5 A1.L Sem wit) (nctj
❑ PWS: ❑FC: � ,0?•..-1L. C' V..J�
yes / no- l�
PNA "' no Crit.Hab. yes / no Closest Maj.Wtr. Body \\
If Project/Activity aJ-5--rc LL \c71 ' VJj/V /L 1;`^k--`�-�iC A \> I(.T ��
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ack)length
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ength f
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ad/Riprap length ,a I ! 1
ig distance offshore
rd , I {
iax distance offshore
:hannel 1
ibic yards
mp \ I
use/Boatlift
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le Length i
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not sure yes
gs: not sure yes (Ei
rium: n/a yes •.• 1 1
yes 6> ,
Attached: yes no I i I
ling permit may be required by: LA 0— 6- / . Li See note on back regarding River Basin i
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Gr21'ecicl- 15 l'Dy'e

DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NO'1'IFICATION/WAIVER FORM
Name of Individual Applying For Pernnit: 1Gk Ske ae
Addressof-Property:.of I i operty: 30 3 , cr
£r4,n c
(Lot or Street#, Street'or Road)
vrf ,OC
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individu
tpplying for this permit has described to me as shown on the attached drawing the development the
ire proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
f you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28445 or call 910-71 q
within 10 days of receipt of this notice. No response is considered the same as no objection
ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse or boat lift must b
bck a minimum distance.of 15' from my area of riparian access-unless waived by me. (]
Du wish to waive the setback,you must initial the appropriate blank below.)
✓ G' I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement,
gn Naune Date
/9//y -7- A4,A

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIP_gRLL N PROPERTY OWNER NOTIFICATION/WAIVER FORIvf
Name of Individual Applying For Permit: C irJ Q�SQ-
Address of Property: 30 t
(Lot or Street#1-, Street or Road)
C, ZbY
(City and County)
I hereby certify that I own property adjacent to the above-referenced property.
applying for this permit has described to me as showno n the attached drawing the development i
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 YIanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910 of Goan
within 10 clays of receipt of this notice. No response is considered the same as no objection
,ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse
or boat
Alt bck a minimum distance of 15' from my area of riparian access- unless waived b wet I
appropriate ou wish to waive the setback, you must initial the a riate blank below.) y
•
do wish to waive the.15' setback requirement.
I do not wish to waive the 15' setback requirement.
;n Name
Date
IC,L I &ie./4

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141 per. ft.
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LIGHTHOUSE MARINE CONSTRUCTION `
P.O. BOX 2532
SURF C1 Y, NC 28445-0028 DATE /c9 �/ L-. J 5
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6170' TWO D .:
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y0033450 1:053000L96i: 00065L3LL3670 _
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