46211D - Brocklebank

' - (4/r0r—
YCAMA/ L 1 DREDGE & FILL ! /
ENERAL PERMIT Previous permit#
w EModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Resources ���, /2
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC DO
III.Rules attached.
t Name To 4 ,. Arz Q c k L e 6e,41< _ Project Location: County ga U,S u/c/r
3 y0Q //6lr7 tt I //1 J , t , Street Address/State Road/Lot#(s) y 2 ('Ni„1 Pit i
? l PS A state C DP 2 2G OG
(2L9) T S /-3 DF6 Fax#( ) Subdivision
ed Agent ek)L/pf g!/ik r10e' City&CP�...0 2SLc 849c4 ZIP,2?ylo,
CW l-EW !.ETA li S'-- ❑PTS Phone# ( ) River Basin 4te 47
OEA ❑HHF -IH ❑UBA ❑N/A Adj.Wtr. Bodyr4/9 /A I
41 PWS: 'J FC: (nat4
yes t_no, PNA yes Ino Crit.Hab. yes / no Closest Maj.Wtr. Body A/II/
Project/Activity A e i!i c t S L e U CX 'S ^j 7/0/9T 4/NS // /'� �pf��
04_ i,
:k)length t X' S),is) le A"►2 fg__1_�.,� (Staley/ L
i er(s) I , -t I r I
Igth T i
nber . Lrd . I
l f.� -_
-
/Riprap length
distance offshore
K distance offshore j- - _..l i ---
'
annel ( I ' I 1 ..
"
is yards I1IIi,l
1.,- I- 1
oatl`� 7 �l f Q t l--"P7 �-i-�u_ 1 fI
illdozing ! _ , i i
ai
_ }_ t
Lengthy I
not sure yes /ng.-
t
't, . ' -t ' -•!... — - ...*--, —[..—,,--i—..,,,,,..
: not sure yes ,rtgl i
gym: n/a yessticp? r _. ,
yes
ttached'K '---t yes.- no ' ! C id A► � 4,

/
JOHN C. BROCKLEBANK, PH.D. ss_s5eis31 3 6 7 0
VICKI H. BROCKLEBANKDL 124520004a, jeLPO
NC 5863776 6061750 �
5400 HUNTER HOLLOW DR. PH.919-851-3086 DATE
RALEIGH,NC 27606
NC Of"Aig 1 $ �o© , orb
PAY TO ���/�� /�
THE ORDER OF / ///�/� /� %4 W VJ /D P
hi/P.L'l.E� l/�J� LLARS e+
u
Fidelity Bank
Ralei h,t�G 27606 4j/
--
C ----- ---
le ts,
MEM 411111444 --- —
1:053L035851: L24520001,403 70
CHARLES E.R. ROBINSON ROBINSON
PH.910-579-1906
JACKIE 4221
DL.8863176 DL.8863208
403 E.2ND ST. mate U�c 66-1 162401
OCEAN ISLE BEACH, NC 28469
T1 /7 iI/e $ / `4
!ia der• //
BB&T IIIII
BRANCH BANKING AND TRUST COMPANY •
c w s s , c
LLOTTE,NORTH ROLiplp f
�Int<r 1.71�jI fi�tature-\ G:.G'i �`-- 4-y0�,,
I:053LOLL2LI: 5LL903532 ?u' LI22L

71
0 / 'ei-
8X 16 Dock New 12K
o .-AD
Boat Lift
0
;tback 3X 18 Ramp
10' set back

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Je'V'N.1 C . POCKLE N,,P �
Address of Property: `T Coal de-a, L q /ll LD
(Lot or Street #, Street or Road)
�CE,cl ES-LE ‘elqc Cz g 6' 7
(City and County) BUNS t
I hereby certify that I own property adjacent to the above-referenced.property. The indivic
applying for this per m;1-has described to me as shown on the attached drawing the development t
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
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
rvithin 10 days of receipt of this notice. No response is considered the same as no objectio
you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift musi
;et bck a minimum distance of 15' from my area of riparian access - unless waived by me.
Toil wish to waive the setback, you must initial the appropriate blank below.)
t (t �'_ I I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
ikun(z),_ (6--1yLL��
;ign Name v ate

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: eQncios-8,(10k Le 'q rq 59i
Address of Property: � 9- CuinbehI4 7\0( 2..� 0rl�� 9iq 53
(Lot or Street #, Street or Road)
DOet n. <T.sfe }feetck NC a$&f6 q
(City and County)
1'NSwcGC COO Any
I hereby certifyproperty
that I own prop rty adjacent to the above-referenced_.property. The indivic
applying for this permit has described to me as shown on the attached drawing the development t
are proposing. A description or drawing, with dimensions, should be provided with this letter
" U./�/. I have no objections to this proposal.
.f you have objections to what is being proposed, please write the Division of Coax
vlanagement, 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 objectioi
'ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
at bck a minimum distance of 15' from my area of riparian access - unless waived by me.
ou/),waive the setback, you must initial the appropriate blank below.)
. O- I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
y • s . - , .
1 AuG 0(p
gn ame Date
Jirgirva Willia 1YI30