49235D - Tise

JCAMA / -' DREDGE & FILL
3ENERAL PERMIT Previous permit#
3New Modification Complete Reissue -_-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 ,1/4 ./Z&G
15'Rules attached.
it Name g,o 4ecc/51 7,S e Project Location: County 5jr y..lJ i/ c/C
y S o / ri.,L'e7' 57 Street Address/State Road/ Lot#(s) ?Qo J Al.
. /jf sri�p071 h --_State)/ ZIP 0,3j'O/ L—,2'/Y7*1'E- L4 C
(2__2) 2_57-ty%i y Fax# ( ) Subdivision
:ed Agent G'rz i C C Cd/1,1714.f0G7 i` --' City 51'X''' ZIP 2-V7
❑cw B'EW [PTA- C ES E PTS Phone# ( ) River Basin Lu.,y ,
❑OEA ❑HHF ❑IH E UBA ❑N/A (p,/�
Adj.Wtr. Body L0C41cc-✓ale/tfu /e (COI
❑PWS: ❑FC: '1 / kit-)yes /no PNA ,�'/ no Crit.Hab. yes / no Closest Maj.Wtr. Body
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f Project/Activity F i2 i u!I/f �/�1 UG/ �
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not sure yes no
s: not sure yes no -
•cum: n/a yes nomaM
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Attached: yes — — iLI��Ii�nl7/J
ng permit may be required by: 4drS4,,ic,1". (Gt/Ai ly __J See note on back regarding River Basin r

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GRICE CONSTRUCTION OF •
3996I I
BRUNSWICK COUNTY INC
PH.910-579-9095 66-i 12/531 MI
6618 BEACH DRIVE SW BRANCH62201 !L1
OCEAN ISLE BEACH,NC 28469 .. 4 .
DATE L-1 1
PAY
TO THEs 7 , --- \ 1 " I2 �1 �'���
ORDER OF i•, c-.i t L 1k I $ •1
\'\l f;'r rP.1 ' \t y"__ r- pp
BRANCH BANG AND COMPANY ..✓
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1-800-BANK BBT B •
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11.0000399610 1:053101 L 2 Li:000 5 1999 26 5 290
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North Carolina Department of unvir n ent and Natural
Division of Coastal a Resources
tvlithael F.Easley,Governor ManagQment
Charles S.Jones,Director
William G.Ross Jr ;ev;t
Authorized Agent Consent Agreement
(Printed Mime or Agent) is hereby authorized to act on my bviaif
in order to obtain any CAMA permits)required for the proper/listed below. The authorization is limitea t
specific activities described in the attached sketch.
LOCATION OF PROJECT:
© ELb4 cSe_ Lot-A- -
S2_ 1-1--co 2
PROPERTY OWNER MAILING ADDRESS:
`e a(.'�rr J` ,NJ i4- O $O( PHONE NO, �O — Z S -- T
UTHORIZED AGENT MAILING ADDRESS:
L- 101 lao ec
2(%\-tt,Ci PH NE NO. Tl Ir t '519 ` R695
� �q -y Oct b
igna;ure of Property Owner.
Igna`ure of Authorized Agent: U,-.....)CteYNAck ha..P..r
Date: _ * \ "C51
127 Cardinal Drive Ext,Wilmington,Norti Caroline 28405-3845

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT OTd%"'AIV1
,:ar":,, a:Individual Applying For Permit: U)ec(cLi
bbfs\c-\N.;dc Property:e s of Prope : W , �' ---L-N
(Lot or Street fi, Street or Road) - - - -
alp4ON c 2462__
• (City an ouitY) ----- ---------- - - -
I hereby certify that I own property adjacent to the above-reference:1 ?rope:i . i
!:cp' , i ! ror this permit has described to me as shown on the attached dr:.,., ir:_ :!,_
are ;;roposina. A description or drawing; with dimensions, should be piovide
AI have no objections to this proposal.
II you have objections to what is being proposed, please Ivrire rlie Di\ is w
l::ria Jernent, 127 Cardinal Drive Extension, Wilmington, NC 2S105 or ;:n. -
Wirhin 10 days of receipt of this notice. No response is considered :he same
you h::ye been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or Hai
is ck a minimum distance of 15' from my area of riparian access - unless w.:i , : i j
w:sh to '.% aive the setback, you must initial the appropriate blank bcia\\ 2)
_X______ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback regt:i:
0
ce-t,� g
/O7
l2n 'a! e
Date
0. pock.,, - \ el-e_ ram;

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFF_ICATICN/WAIv
Nam of Individual Applying For Permit: i le cCG I 1 j
A:ddess of Property: -SW I � bbT1a L—N1
(Lot or Street g, Street or Road)
C
(City am ou ty)
I :-erebti certify that I own property adjacent to the above-reference ;opc:: 1 : _
Fbr this permit has described to me as shown on the attached dry.\\ in.: t;l_
re ;rcpasinp. A description or drawing; with dimensions, should be piovided \\ is
.)( I have no objections to this proposal.
If you have objections to what is being proposed, please write :lie I)i� is
1unauentent, 127 Cardinal Drive Extension, Wilmington, NC 28-105 or
10 days of receipt of this notice. No response is considered h 2 sane :i__
you h::'e been notified by Certified Mail.
WAIVER SECTION
1 uadei-stand that a pier, dock, mooring pilings, breakwater, boat hous:: or bu.i:
ck a minimum distance of 15' from my area of riparian access - unless wave; :i . .
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.
Date
�1 r„-.my D . A )1 a-y .v-�:

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U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. SAW-2007-02260-010 County: Brunswick USGS Quad:
GENERAL PERMIT (REGIONAL AND NATIONWIDE)VERIFICATION
Property Owner: Rebecca Tise Agent: Wanda Grice
450 Market Street Grice Construction
Portsmouth,New Hampshire 03801 6618 Beach Dr.
Ocean Isle Beach,NC 28469
Telephone No.: 207-251-0419 910-642-5718
Site and location of project(water body,road name/number,town,etc.): Site abuts the Lockwood's
Folly River in Brunswick County and is located at 3003 N.Ebb Tide Lane,Supply,NC. Latitude
33.9488,Longitude-78.2264.
Description of activity: Construction a new dock consisting of a 8'x10' fixed deck that will be
cantilevered to an 8'x14' floating dock for a total distance,including 3' between the fixed deck and
floating dock,of approximately 22 feet as shown on the attached drawing and received by this office
on August 14,2007. This verification supersedes the verification issued on 7-13-07 for this project.
RECEIVE
Applicable Law: _Section 404(Clean Water Act,33 USC 1344) DCM WILMINGTI
X Section 10(Rivers and Harbors Act,33 USC 403)
Authorization: Regional General Permit Number: GP 197800056 AUG 2 7 20
Nationwide Permit Number:
Your work is authorized by the above referenced permit provided it is accomplished in strict
accordance with the attached conditions and your submitted plans. If your activity is subject to Section
404 of the Clean Water Act(as indicated above),before beginning work you must receive a Section 401
Water Quality Certification from the N.C.Division of Water Quality(telephone[phone]). For
activities occurring within the twenty coastal counties subject to regulation under the Coastal Area
Management Act(CAMA),prior to beginning work you must contact the N.C.Division of Coastal
Management in Wilmington,NC, at(910)796-7215.
Please read and comply with the attached conditions. Any violation of these conditions may subject
the permittee to a stop work order, a restoration order and/or appropriate legal action.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain
any other required Federal,State or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit,or the Corps
of Engineers regulatory program,please contact Mr.David Timpy at(910)251-4634.
Corps Regulatory Officialig‘iPialp-4.--- Date: 7-13-07

.
13/2007 20:28 9105799096 GR I CE CON PAGE 2
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