49261D - McCallum

i CAMA/ ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
]New —Modification Complete Reissue III Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7/Y, /2 0 a
•
,.y� C(', /I IIRules attached.
t Name - /ik !% iCi,? /�Project Location: County � yr./S +%i c"
1 ..6 y ed T1 LA.✓d /9 v<_, Street Address/State Road/Lot#(s)4c ?CND
/ Cki..d54,,e., _State 1C ZIP 273
(`!/�))73g•ZS 5/k. Fax# ( ) Subdivision . ----
ed Agent /Z/9(/c/ fI ( in tit City'le-P/9,✓ySLe0•0apc`1 ZIP 2 Fyd
❑CW ❑EW (LPTK ❑ES ❑PTS Phone# ( ) River Basin
❑OEA H HHF ❑IN ❑UBA ❑N/A Adj.Wtr. Body Cr), ,9 L. c)/T W/hI L./ (nat /
❑ PWS: ❑FC:
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ing permit may be required by: OC ea,.'..�s I Q !O Q Ac % 7 See note on back regarding River Basin r

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•
NMENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
'.i ee-'.F.Easley Governor Chafes S.Jones,Direct
or Jviitl$iF;G.Ross Jr.,Se
Authorized Agent Consent Agreement
A i(-1 N.2 of is hereby, authorized to act on my teen.
der to obtain any CAMA lierm4t(s)required-for the property listed below. The authorization is limited to
:hie activities described in the attached sketch.
:A i 1ON O. PROJECT:
(0417z 1 C-
17,41/0 It 4..)?CAL ,
PERTY OWNER MAILING ADDRESS:
7 ©q SCO* -nzQ
fit)4-t- j 3 71 PHONE NO.
iORIZED AGENT MAILiNG ADDRESS:
/17,2 F ' /
S -A /9c- ' -
PHONE NO. 9/ô —96 3-�
tore of Pro 0

. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: iL . PAC 12 If,
Address of Property: (2 Reit u C� C�r
(Lot or Street #, Street or Road)
CD,_173 724,04,s6u‘ct
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The indiv
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 lette
0 a(Ai/ I have no objections to this proposal.
Ar
If you have objections to what is being proposed, please write the Division of Co:
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-:
within 10 days of receipt of this notice. No response is considered the same as no objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat Iift mu!
set bck a minimum distance of 15' from my area of riparian access - unless waived by me
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.
...„..pete
s...
7
_J7
Sign Name Date
AA) -C , '‘)c oit) AA

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ,l g4--CCILvt.
Address of Property: L '
(Lot or Street r, Street or Road)
D(2 tr-LLQ eAc/-/ /�.r� C- rEct 4,s
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The indivi
applyina 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 letter
I have no objections to this proposal.
[f you have objections to what is being proposed, please write the Division of Coa
'Ianagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
vithin 10 days of receipt of this notice. No response is considered the same as no objectic
7ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
et bck a minimum distance of 15' from my area of riparian access - unless waived by me.
'on 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.
kiA4(-1 7/
r/ v v7
ian Name ate
�� n n I /b , , .1 J -WA