48374D - Johnson

A.
]CAMA/ ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
iNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Resources / / '/ 49
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7
// �. El Rules a hed.
t Name/ 8610 S Q%n pr7 Project Location: County /(j� 1.1#fir,t/ f
C�?.s/ ,f 4/Npw,v/ Street Address/State Road/Lot#(s)
/1 114^/ fPh State Ail•ZIP a 8104 Set-.4.7*
(1/p) N2. CV i3 Fax#( ) ' Subdivision
ed Agent City .5.4,4-ri-" ZIP Se -..,
&tW &MY riP'r' ❑ES ❑PTS Phone# ( ) 5C1-i- River BasinsJ (ley
❑OEA ❑HHF ❑IH El El N/A LL II,
4MOS
Adj.Wtr. Body 9 h/ry U/1' (nat e
❑PWS: ❑FC:
9e-0 no PNAC3i;/ no Crit.Hab. yes / no Closest Maj.Wtr. Body
Proj Activity 0&i 7)*e 74, 0 " de i/ 2 /l 4/'
‘44,07b3•77� O /
G,C (Scale: it- •
I
:k)length 1 X'7 + )
'(s) kG ' 7 4 J. t l c
er(s) /4/W W � \f pr� rP44 1/1/;
igth r y/ Y if
nber �t � J - f fAf/^)��� °
V Riprap length b r„
distance offshore •
x distance offshore 7 7.14
iic yards
:p I - - i
se/Boatlift ___.�'
t�
U. ' ty— -__-•' 1 y g
dldozing IV `-- 0b k 9.4 4 _ .
i.i.‘
Length )/PQ / i ' 4\I ( #/ / l/
not sure yes `� Sal i/ -*lir/
not sure yes j .11
i �__ // /
urn: n/a yes :will j _.___. — /_qg/ l / i-voio
yes � Uk1 UU .k, tv "�
,/�attached: yes � t� - ---- ---------- -_ _ --- JDl4s�� ��'�!//�
ig permit may be required by: C.?,. See note on back regarding River Basin rt.

/Smalley S. Yakima", 66-30/531
earolyn Q fohnson 358 10868
6451 Shbmwood Rd.
!Vilnaligtent,,A1C 28409 DATE 7-q --07
•
PAY TO THE
ORDEROF C/ F--
! Od•:"
-," —
DOLLARS el I.:7:47
Ill: FIRST CITIZENS BANK
(..wyrpgpor ( ,
FOR
1:053 LOO 3001:0000000 L LO 2 ?Hi LO8 8
,./
,
a

r CICk-elt0,\ Y i
-2
4 V V1
= 1 ,�
y V
�( -� V
v? \fr + \t/ NI/ V( 3
. 1 C af\n.\ (floc--fwvtlOck) 1 ,,.A r.
) ,..
vG
I
_ Y ,
` iiunn1mn►nr ... - ,I ;T( - /
- 53%14 . ;I.F.
...-_, 4
boat h,�1� \i, - 3y J'
� P ��o \ock- _, V
_ w ,z61 .
4
4dHtit1hIui uhllituuiait 11di
all
"1 l a.
,-. hp: 1,t I7' '�7 a: 1 ,Y I\ kcr
0 ' utv\d
III
:\1:4I
U _.
V fi
P\i' 1V
V
erope ,4ja r' er or rro (
5 h; A n C re c 1( F-ovneow Hers °

LI)..(v1..)
v
\I v .
..s. Y \i/ i
Y/
\ik 1"
1.< ( Weer De D ' 1 CA
@mw -
CY-
1°)RTEI41, I 1 -.61 5 3 19L
lo"-ONIV ler5 Flog4/13 oc ? W
\)/ 4 , 4 ` u `I/ 311'
' ) k3 Y\
U -------- Y.
1
Y ,i, ."c) _____
cr, ---- v
`__c— p i e, - 0c' '3 r�ale
' cJ
\ i S► oA\n Soy „___L---____4. 4 i '--------) 4
xi ,
.... n (45) 4t4AwDod ( 1* \;(
\V ---
g rr��vtd � _—

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ___F , )ej 5, 1lin0 nn
Address of Property: 7 5l 6J.) 1 ill n Jn n J
(Lot or Street #, Street or Road)
(City and Co ty)
i
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development tht
are proposing. A descri ' 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 Coast,
Management, 127 Cardinal Drive Extension, Wilmington, NC 23405 or call 910-39 £
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail. ?/4.911
WAIVER SECTION
I understand that a pier,dock, mooring pilings,breakwater, boat house or boat lift must be s,
bck a minimu distance of 15' from my area of riparian access - unless waived by me. (If ye
wish to •' e 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.
. 11-,- z.// )/(P___€_17
at
Sian Name / I7
���l

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 6 A le 6. y) Sn r
y
Address of Property:6' 5 )) � w only RA_
(Lot or Street #, Street or Road)
(City and u nty) Haiovr
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development thi
are proposing. A description or drawing, with dimensions, should be provided with this letter.
PrtalK, I have no objections to this proposal.
Sh;hh creek es4k4es 1ToA
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395=53f.
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail. igG.1I.
WAIVER SECTION
I understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must be s
bck a minimum distance of 15' from my area of riparian access -unless waived by me. (Ifyc
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
/'Agae' k I do not wish to waive the 15' setback requirement.
sh�Nh cretk T;S 4-3 IAA
Sign Name Date
__t. Cr.L.L, ii A