50269D - Tyson

❑CAMA/ ❑DREDGE & FILL N. 5
GENERAL PERMIT Previous permit#
New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued -----
orized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC 7 �2 O ac
Rules attached.
nt Name C 57'i` 12 7t c ote - ✓ Project Location: County C�ula •
s ' 910 wG T G 61 Street Address/State Road/Lot#(s)
N(L- Vt'l State NC ZIP 7ry/ Z // h 'i`ve(1 Gh ,o, .
#( yki 3 '" r•7?_ F ( ) Subdivision
ized Agent's -, o-1,v City t)/ L!I^ ZIP 7r Y
❑CW ,k1 EW g PTA ❑ES ❑PTS Phone# ( )1/Y3 r g/72 River Basin CF
d G
❑OEA ❑HHF IIIIH ❑UBA ❑N/A Adj.Wtr. Body L^ / 4-- (nat
❑ PWS: ❑FC:
yes Kho. PNA / no Crit.Hab. yes /(fa.> Closest Maj.Wtr. Body �"--
)f Project/Activity A-, G 1-2- 1- a , k'{4 4- z, r )( L 1<.—i 1 0 v w- kptVl.A,C
(Scale: ‘"
ock)length
I i
m(s) I
pier(s) 1
length et— i .# Tisk > '7,_ & �� . '
umber •
ad/Riprap length i
vg distance offshore ME
'I
lax distance offshore i
• i•
channel ii
+ '' i
ubic yards .dips — : ' �._..
T o �. . -
imp IZ Ali' �.,� - . - �Q�
)us Boatlik — .d - 1 0 i '
I
Bulldozing j _ j
1
I
_ ir -
I
1
ne Length /V 0 (Ivy h"Ac - 11
not sure yes�tct,
igs: not sure yes 1
�rium: n/a Y� t i 1 ' jr1 .
1 •- i 1 i
yes ..<! --): . r
i j� -- i
•Attached: yes no �h�'rr,
ling permit may be required by: N 1 d�-- f See note on back regarding River Basin
•_ - - — -- - --I_ _ 4 1 I i i / i-, ., __

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DR.&MRS.C.J.TYSONIV �. ti WG
8940 SHIPWATCH DR. _
,':,,;,.:.,'.'':.."",*1.:-.;d.; tg,,
WILfiAINGTON,NC 28412 ',-, _ Date
Pay to the Ca-01'\..C ._ I $ ,MOrder of ,�`. �n. ..V��/1• •
1�1,� �d v _Dollars PitIncluded.'
il.
WACHOVIA BANK,N.A. e
W!LMINGTON,NC 28402-1170 ..n+: 014 ^1,�.`.
,rod;P4* sOa&9 --
1:r, 53000 2 L9i: L086 L9303 1 25 ;11' 3845
©IMAG!'4ECKS,1997 TROPICAL MOODS 1.800-562-8768 www.imagecheC

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: i Ti`(
I
Address of Property: or
(Lot or Street#, Street oi"Road)
61-)ditk‘ V
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi,
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this iettei
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bE
bck a minimum distance of 13' from my area of riparian access - unless waived by me. (If
wish to waive the setback, you must initial the appropriate blank below.)
1,(`/3 I do wish to waive the 15' setback requirement.
-1 I do not wish to waive the 15' setback requirement.
170A-0-;4_06ut-L2vi- 5/Wec?
Sinn Nam
Date
konel L �
Print NamP AWCFA

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: _ -' S •
Address of Property: !� ' �� S1N • ( -
11L)s1 \-ti\ .2Lt 1
(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) (12*p_airZPriii 0 r Inf mation)
-LC-fI`t) S\ v --VL c\-(
Mailing Address Signature
r n e)..4
City/State/Zip Print or Type Name

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: Ole. LY • ' 1 Sin _1172
Address of Property: 'S y® S ,0 w A_An 0 r•
(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.
1541"
I do not wish to waive the 15' setback requirement.
(Applicant Information) ' arian Property Ow r Information)
CLn LD S^; p\,,, ,k.IN
0 r . J
Mailing Address i ature
al
City/State/Zip Print or Type Name

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IIIPTA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
:heel F.Easley, Governor James H.Gregson, Director William G.Ross Jr., S
Authorized Agent Consent Agreement
L is hereby authorized to act on my be'r
( rimed Name of Agent)
*der to obtain any CAMA permit(s) required for the property listed below. The authorization is limited tl
:ific activities described in the attached sketch.
;ATION OF PROJECT:
DPERTY OW ER MAILING ADDRESS:
IZOrk,
U3,`, .1\(\) 00 )4c
PHONE NO. qioij-
IHORIZED AGENT MAILING ADDRESS:
ie1c1c a -
PHONE NO. -1(1.?- ` 70
nature of Property Owner: I�