48286D - Brockington

AMA/ ❑DREDGE & FILL.
GENERAL. PERMIT. Previous permit#
flew CIModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
.horized by the State of North Carolina,Department of Environment and Natural Resources
le Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 2/7• "/2 4 G
alRCias attached.
ttNam`e' QO/7J'-Da4CkI.', a� - Project Location: County,�2N�S�✓,ci
...r,YL ' /'p f fl OOCSI9- 7)a. , •. Street Address/State Road/Lot#(s) y PE-ND E
/irk; /.s . State$ ziP2 9aG/.
e#(o ) 93- 256r Fax#( :'-) Subdivision
;red Agent 7 tJ9 c: inn rn -PA City QCI t'. fc if oeotc c.4 ZIP 2 77
ted ❑CW W ❑ 43'ES- ❑PTS Phone # ( ) River Basin 1--u.+
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
s): Adj.Wtr. Body C,4, //- C d"t"�y^A/6v Ai (nat
❑PWS: ❑FC: /h/!'✓
/ no Closest Maj.Wtr. Body
yes PNA yes A •o Crit.Hab. yes
e of Project/Activity R ,` P Lj9 C f rX 'S -71--___, Pa , v 9/f f/r<n //�c ../e
(Scale:/
•(dock)length /I/ />4 y r /0 /6 X -- — - - -
form(s) i 1 01
I -
__
ger pier(s) • ' I i vc
la
)in length i --
number .
khead/Riprap length j I
avg distance offshore --- -
max distance offshore ------
----- ------- -- -
;in,channel
cubic yards =---- ----�--- --.
at ramp —-- —— --
1
athouse/Boatlift /
-2 0.
ach Bulldozing -- Li / ------
7 _.,.... , .
j ..,
, 1� - - -
.1- 1 , . -----t ----
oreline Length 5-0 _ _
kV: not sure yes Cgil l ' s- t-~ -
ndbags: not sure yes 1 O ./D' i ---
oratorium: n/ayes i ; -s.. .
iotos: - yes .,/
ti' � — — —
faiver Attached: yes �D i S/ ,
building permit may be required
��/by:()COP_-, ,1 S L- 6 PA C 4 / . ❑/ ,See note on back regarding River Ba
�__/l---__1.-_-J..._�� ' L / I ei n !Y I / /,N I L 4' / �. J ZU �S II �// �� �" // D 7//i 4

CAMA/ ❑DREDGE & FILL
iENERAL PERMIT Previous permit#
New ❑Modification Complete Reissue Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources LLll
oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC .2 • /2 a G'
[Rules attached.
:Name.21Ad Ea 0Cle,"-5/ Gw/ Project Location: County5/Lu 'i -h'c X -
y/ f0e/A4 OOSd- 7)a , Street Address/State Road/Lot#(s) V ,rA/,/)E,
et, S State$C ZIP 906/
(Pi)7V3- 2)bf Ma
#( ) Subdivision
BdAgent 7 ' (-/ /1/ a .m-PA. City(!')C'P,,- XciP8..of>c4 ZIP ,2751
❑CW DEW ❑.PTA DES ❑PTS Phone# ( )_ River Basin L.-" 6+
❑OEA ❑HHF ❑IH ❑UBA ❑N/A f" 1',a,w�
Adj.Wtr. Body /h/f L d (nat g
❑ PWS: ❑FC:
yes / no PNA yes' :i , Crit.Hab. yes / no Closest Maj.Wtr. Body 19y�Ai
Project/Activity R t ?Lf4 C f r . !`''a , via/f f -L /D c /t
(Scale:
:k)length_ ',M �6
,,,
(s)
er(s)
Igth —
nber
I/Riprap length
P P gt
distance offshore i j
x distance offshore l
I
annel I .-- ' C A� `q{ L ``—
iic yards
iP 1 ,
se/Boatlift ,
_[�
illdozing I _______-_4l nA 1 7 '
1
s Length S 0 .._
not sure yes no N. - 4 c _
not sure yes no �,'
'um: n/a yes no
yes no t
4I ft/JD(A- i , '�
attached: yes no /
ig permit may be required by:aPi... ,�St-P aP,9 c�f H See note on back regarding River Basin ri

STEVEN T. FARMER
TRA COM SERVICES 3396
PH.910-754-2725 66-112/531
897 MIDDLEDAM RD SW BRANCH 62401
SHALLOTTE,NC 28470-5657
Date
y Pay to '� C2
the or o{ 1//!U/ •
•
LuL, Oer.9(0 (51 - ••2fir,
BRANCH BANKING AND TRUST COMPANY Is46 2-547 13 � • 7
1-800-BANK BBT BBT.cam
For L--/
I:053 10 / 1 2 1:0005 2 110 1103396

=COM SERVICES , j x �U �
P.O. Box 1365 G} t7 Po lP- , q ,X t Lt� I iv- 1,0
LIlotte, NC 28459 •D.p N o rZ A a.: -6 1,1 rve 4
c,20
,5/a- 1�{
o 410i
z.l'

ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
lichael F. Easley,Governor Charles S.Jones,Director William G. Ross Jr.,
Authorized Agent Consent Agreement
f4.9e7 J1/,1211 is hereby authorized to act on my bel
(Printed Name of Agent)
)rder to obtain any CAMA permit(s) required for the property listed below. The authorization is limited tl
cific activities described in the attached sketch.
CATION OF PROJECT:
Pviq' d)12e S l
O TPAe„hi
.C- -- ?-4.tAtilS(A)Ncl. Ca
DPERTY OWNER MAILING ADDRESS:
ic> 1
Pop6.1
44 SC- 9 C / I PHONE NO. r-F f/3 -)-57v
`HORIZED AGENT MAILING ADDRESS:
1W,A-Z-41
/> iZfl'7222
V
9/ - '3 - PHONE NO. 9/6- 7-SS -33 S /
iature of Property Owner: 'i L ° --'

���j����C�j� C'C1`L C'TL T �T '�.•T C=�;Ar -R-7
PR R)+A.3.Y Cl f�•. rE_{� -w i T ,«.-�
�_(?fir-`r`R «JR N
Name Of In ideal jd1fr .A-pp31n�C'. PL^r � L: T )-8(
Address Of Property:
J./ra4M /VC- — aet/k3
( (Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-
nc_d prop_ ty. The individual applying for this
p.-rmi t has
described to me as shown on the attached drawing the development
theyare
proposing. A description or drawing,ne
g, with dimensions,
I
should be provided with this letter.
)004LL
I have no objections to t r; s proposal _
•
Tf von
Ons4 TCi «r�.har is TJ"npD.SalL,
1-±i ui si on of Coastal 'moni- -
N1T't�� � 127 {'r1T_u�upl i7Y."T ='Tlsj C7T1,
WiIming--nit, North Car'nl -ina 21R4O:; or rpll QJ wit1z;,-, , v
d,h•vC of ;^ar -c rat- of this n t a
�" �r WcI. rasnons ronsi dam•,-izNi_tho �mn
nn nbjct-jor_ i ; you +b va notifi4=r9 by rp--;-i -jai Mail
_IT T. .5-gr7-rsw
I 1Inde st cldL that a "Dicer, dock, mooring ni inQs, breakwater, boat
house or boat lift must be. set r. a fii„�
back ns•r•tr,+ distance of .:5 '
my area of riparian access - rmless waived by ma. (I- you wish to
waive the setbacS, you Trtrt rim i tie j t e appro-priate blank below. )
do w_3.i'T
to waive ��Y �ti � s=''';ar.{� real,)( i
- -
1 do i 7 t wish to waive the 15 ' sethack requireuen,
Si Parr_ �_

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