49175D - Rogers

i CAMA/ ❑DREDGE & FILL f.
3ENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC T N. I ZQO
� Rules attached.
it Name ' l� D a'R-5 Project Location: County F �f)51.....z.I....A—)
1 \Le L.Y to(f-T. 3 CA. Street Address/State Road/Lot#(s)
Q.E.605) t%.,, State) (, zip ? ' y 3 s�it.,v/L C.or
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:ed Agent i\m c-',Eg-Y.e p.1 City N -1-; PCi4... Ac-\.1., ZIP2.. (o
`S )g4 CW EW ` PTA ❑ES ❑PTS Phone# ( ) River Basin\ We v'i.
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yes no PNA �+/ no Crit.Hab. yes / no Closest Maj.Wtr. Body 37111 M P ,5 `^{-Jl'
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ing permit may be required by: , `_ See note on back regarding River Basin 1

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i'EC-04-2006 12:01 From:
T o:91032-238
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: b LI 4-10- P . eoJ
Address of Property: _f 3 �r9� � tietW
(Lot or Street#, Street or Road)
Nor- c T 054: 3 c- Ij /\.‘--.
(City and County)
I hereby certify chat 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 developrnen
are proposing. A description or drawing, with dimensions, should be provided with this let
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cc
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796.
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,boat house or boat lift must
bck a minimum distance of 15' from my area of riparian access- unless waived by me.
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement
1 do not wish to waive the 15' setback requirement.
,'/ / i/0 )
ign Name ate
", /4vy ;ci p
Print Name v '

Aitir;:r.A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
ichael F. Easley, Governor Charles S.Jones, Director William G. Ross Jr.,
Authorized Agent Consent Agreement
/ r l u`e_ '(,t 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 t
cific activities described in the attached sketch.
;ATION OF PROJECT:
5 6/11 2- ,4,1/-
•
)PERTY OWNER MAILING ADDRESS:
3oy L, ,-)A44. P,31•e rS
r ►-v 5 j C vt) G^
't'e1U S106Kb C y t d PHONE NO. 33 63 '_,0G O
.HORIZED AGENT MAILING ADDRESS:
r Y►'t ov-e_ f1�'
- A ?tic
2._y ` bO PHONE NO.
iaura of Prnnarty nwnnr '% 017G7•A �-�

av,26 07 12:56p Linda B. Rogers s.Sn-Zue-Luny
Tn�
DEC-04-2006 12:01 From: 9103 —c3=''
DIVISION OF COASTL MANAUMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTFJCATION/W AIVER I
Nameof Individual Applying For Permit: ` 4 .4- I., .]'14 POS'�
� �
Address of Property: 3 5v' ') v'. C c Li9 r�
(Lot or Street#, Street or Road)
'VD(+1 - ThD4 , ( c-v r )L
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. T
applying for this permit has described to me as shown on the attached drawing the dcv,
are proposing. A description or drawing, with dimensions, should be provided with
V I have no objections to this proposal.
If' you have objections to what is being proposed, please write the Divisio
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call
within 10 days of receipt of this notice. No response Is considered the same as (1
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat
bck a minimum distance of 15' from my area of riparian access - unless waived
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 l 3' setback requirement.
#.
St^n Na,the Date
��Yl .1/ t - ,I' '�v 615
Print Name �r