48321D - Hopkins

kCAMA / n DREDGE & FILL
3ENERAL PERMIT Previous permit#
New Modification I Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources 7 ^�
L 2oastal Resources Commission in an area of environmental concern pursuant to I5A NCAC --/ H• i 9
]Rules attached.
it Name RO6E 21 H oP K�N) Project Location: County Pt Or,t(L.
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❑PWS: LIFO: /'
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yes t no PNA ie / no Crit.Hab. yes / no � ► l.1- ���
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ng permit may be required by: D LA P-( Gzsy 7 See note on back regarding River Basin ri

or drfails.tl °"-" ..
�' S r c u r i l y enhanced document. See back f _ —— — --
7096 �
DELTA DOCK & BOAT LIFT41
402 AQUARIUS DR. 910-686-9700
WILMINGTON, NC 28405 66-30/531
/(J1 G 7 365 q
DATE I J
PAY j4) C Oef-ki � A $ ��� E
TO THE
ORDER OF tee[`
/ �� �-k00L.�S'�'� ��aU-� OLLARS o . .1
11,
FIRST CITIZENS,. II1'
vi BANK ri Citizens Bank 8 Trust Compa6,O 3 ?-f
Hampstead,N C.26443
www.firstcitize ��
com I_,
FOR& ia..-ar---,- hi'
ill 007 961I' 1:053 LOO 3001:00 3 5 3 L99 L50411'

A74
NCDENR
North Carolina Department of Ervlronment and Natural Resources
Division of Coastal Management
ael F Easley,Governor Charles S,Jones,Director Wiliam 3 Ross Jr.,SeorE
Abithor`ij*o Ar,' 4115 fr nersril awP1-4IIil-+iit
G7REG d r/ART/N DELTA Lax 4 �'r G/c is hereby authorized to act on my behalf
rimed Name of Agent)
ier to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to tr
fic activities described in the attached sketch.
ATION OF PROJECT:
22 p�P/FT 0)6( ) G 4) •
12F c/ 7-6_,, ,). G
1PERTY OWNER MAILING ADDRESS:
98 2!• y7 4P/wJou 5
D 9 (Su EE i.s S Fag g.., •2o
.A-Fz i iNi C , 27 6 ! / PHONE NO. % - 47-OO6/
'HORIZED AGENT MAILING ADDRESS:
2RE.G /214RT/av
412 nePu R/U6 17,e .
d!G/I?/NG TDy J . 281/
g- 2iCf Ni-cal(`1- Ll PHONE NO. 'We- 686 - ! 7OO
nature of Property Owner. , -L-----------

Dom'IsLQN nF csaA T d T mAN A r- `f-.
T
Name Of Individual Applying For Permit_ -
Address Of Property: l22 PR/c/G060.0 Z,90,/4-
. J2F Cli C • or 6' SA.1ys
(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 tome as shown on the attached drawing they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
a
a ^ P
•
if von have t.�on note by rPnifiP� 2i1 P
WAIVER SFCTTQN
T understand that a pier, dock, mooring pilings, breakwater, boat house, Lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (I1 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.
•
A . A

•
Name Of Individual Applying For Permit O��/ZT .- -- _
Address Of Property: /22 I /f-'�G(1 ,,o 64
j"U"F 4)/ C .T/1je L9�v ,
(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 tome as shown on the attached drawing
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
V I have no objectio
ns ons to this proposal.
a
if von have teen nnr--- ietl by erti ;
WATVF.R SECTION
Iunde=s=d that a pier, dock, mooring
g pilings, breakwater, boat house, Lift 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 miser initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
//� /—2Z

%r PROJECT h'OP%l 5 17OG/4 PROJ. NO. PAGE //
nS SUBJECT / 22 DR/Fi uh 2 L►0, DATE S/ 2//
1 or '# /O DESIGNER R14,oI 4'
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