77853D - Failla

LAMA/ ❑DREDGE & FILL N° 77853 A B
3ENERAL- PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 5 .�
rized by the State of North Carolina,Department of Environmental Quality --')t
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC Qi-k. 1 2.Od
�-- El Rules attached.
t Name \<.2".� % ,,U �-�,`` es., Project Location: County 3 r v r F \ -
7-ct -bv-e-St L.- y . Street Address/State RRoad/Lot#(s) q
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.ed Agent City 06.12€/v` t S\.e. Ge_e.<.s ZIP 2 FM1,
e CW ❑EW 'j PTA ❑ES ❑PTS Phone# ( ) River Basin a' n L
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
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ng permit may bey re u d by: �i.tv ` SSG Q)ee-r See note on back regarding River Basin r
Local Planning lurisdiction)

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12020 AOL Mail-Message View
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Address of Property - N`r'. I` ` >, _
(Lot or Street#.Street or Road,City&County)
Agent's Name#:fir , - .�-t- Mailing Address .
Agent's phone#.
I hereby certify that I own property adjacent to the above referenced property The
individual applying for this permit has descnbed to me as shown on the attached drawing
the development they are proposing A description or drawing,with dimensions.must be
provided wi i letter
have no objections to this proposal. I hanc obicctions to this
proposal.
If you have objections to what is being proposed, you must notify the Division of Costal
Management(DCM)in writing within 30 days of receipt of this notice. COnespondence should be
mailed to 127 Cardinal Drive Ext„ tArlmington,NC, 28405-3845. 0CM representatives can also be
contacted et(910)796-7215.No response is considered the same es no abjection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that a pier.dock,moonng pilings, breakwater. boathouse,lift,or groin 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)
TM I do wish to waive the 15'setback requirement
I do not wish to waive the 15'setback requirement
(Property Owner Information) (Adjacent Property Party Owner

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Mailing Address Mailing Address
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City/State/Zip 2 g(tGq City/State/Zip
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Telephone Number Telephone Number
Oar —— (Date
Revised 6262017

CERTIFlEn uerL RET tR)i R rctpT
Rr=nrrGZT�r,
DIVISION EMN ADJACENT RIPARJANI PROPERTOFCY OAOWNERSTAL !iMANAGOTIF1CATipET
.l yyAIVER FORM
Name of Property Owner
Address of Property 1 c1 O µW'SiC b • OC fir I S ie. klC-,,hi G 1.0"(Ip'ri
riot or*meta.Street o.Road Cay d County) -3Yt r ISw 4-1L
AgentsNemoK:- ,.r,, 1 Mailing Address
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Agent's phone it j 2.3CS
I hereby certify that I own property adjacent to the
indsedual applying for tries permit has described to meashown on the tached drawing
INe devel_Pd'tMtt*hey an prdpotirtg./1 demotion or drawing with dimensions,must be g
MIXidigAbitiikalit m
V I have no objections to des proponJ. I have ubjcrtioos to this co
ProDav• o
x
eft Oese ■ to what a booing propoa.d, you mutt notify Wa 11Adol e c t Coma W Off!l
MrawrMrr fn w..wv w•r!.tn tM clay*of r.c.rpt Of(h s nett. Con eopond oso MMWcl 1st m
wised as f P7rwelermr
D .r rf tMMrWpaon.NG.. 25405-3845 OCV nionoo red ass.oleo be a
aofrod ar 1r5wa 7aa.Tltb No reepon w s..5 canaJd.r eto eamo se so a4Madae If poor 5.sa bows ali
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neOhiO ay AIM
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WAIVER SECTION
I underhand Mat a pier,dour.moorvrg p..!vg s,breakwater,boathouse,'eft,or grOn must cO
be set beck a minimum distance of 15'from my wets or riparian access unless waived by o
me (I1 to waive the setback,you must initial the apopriate blank below.) o
ij 11- (do wish to w* a Cie 16 setback requirement
I do not watt to waive the 15'setback requirement
(Property r)•.v nee information) (Adjacent Property Owner
tflformatio i) r
3k4CdiC /

0 Mail-Brock,Brendan 0-Outlook
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n(Name) Name of Permit Holder Vendor Cheek Number amount Permit Number/Commanb Racolpf or RNumllRNl ocatod
•
nn3 Column., ColumnS Column/ Column? Column8 Cokrmn9
Bulkheads LLC Dale Ardizzone :Wells Fargo 23505 $ 200.00 GP#77858D IKE rct.10790
Kelly and Tano Faille Charlotte Metro 1719,$ 200 00 GP#77853D BB rct.11543
ne Construction LLC Linda Weber BB&T 5930 $ 200.00 GP#76597D BB rct.11533
JC LLC Richard Reuhland BB&T 1117 $ 200.00 GP#76484D i BB rct.11544
ist./Daniel Shirley Jordan Messick SunTrust 5365 $ 600.00 GP#76543D :PA rct.10267
st./Daniel Shirley Melissa Hardin SunTrust 5366 $ 200.00 GP#76577D PA rd.10266
LLC Rebecca Taylor Wells Fargo � 1025 $ 200.00 GP#77835D PA rd.10269
action,LLC Kevin Driscoll Navy Federal CU 1167 $ 200.00 GP#76587D PA rd.10264
pany Roger Hudson First Bank � 1446 $ 200.00 GP#76544D PA rct.10268
ne Construction LLC Alison Marshal BB&T 5964 $ 200.00 GP#76487D BB rct.11549•
same The Fidelity Bank 6413 $ 200.00 GP#764830 BB rd.11547
actors Inc. Webster Trask PNC Bank 8787 $ 200.00 GP#76477D KE rci.10792
arvices,LLC Perry and Darlene Mansfield First Citizens Bank 3433 $ 200.00 GP#76432D Ben rct.10299
evices,LLC George and Karen Brake FCB 3432 $ 200.00 GP#77622D Ben rct.10300
I Gary Godwin BB&T 2002 $ 200.00 GP#76448D Ben rct.10298
tors LLC Chris and Nancy Sweeney FCB 9243 $ 200.00 GP#76436D Ben rct.10297 _
odors Inc. Pipers Neck 29,LLC PNC Bank 8788 $ 200.00 GP#76478D KE rct.10791
ine Construction LLC Beverly and Patrick Wright Rev.Ti BB&T 5951 $ 400 00 GP#76485D BB rct.11548