46273D - Bellamy

1`
LAMA/ '6REDGE & FILL
I(E� NERAL PERMIT Previous permit#
IVew ❑.'Modification Li Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources '/
aastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 21 • /J Q Q
['Rotes attached.
Name gQ 4 ..ort q ‘L jin./►?y Project Location: County B6C 4, J e.i//C/(
2 S 0 j 'J ✓ o,t go.. At . Street Address/State Road/Lot#(s) LSI,/i, . ...
1i911 a f� 4 State/VC. ZIP 2 1y 76
(Q)7cy-3//y Fax#( ) Subdivision
:d Agent City,5, I C (.2 Jf`f{ ZIP 2 1-%.
❑CW LLEW R-PTA C4r+ES ❑PTS Phone# ( ) River Basin 610,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A ��L vP�
Adj.Wtr. Body �//A)/� nat./
❑PWS: ❑FC: ,q
ill
ies no . PN• Ant_no Crit.Hab. yes / no Closest Maj.Wtr. Body v/ / W
Project/Activity 7 40 0 23 y I XA PA d
(Scale
:k)length •
(s) ---
igth I J
nber I 1 i _ ._.
Riprap length 92,$ %d' �./'5 ✓r41......_
distance offshore t .. f
K distance offshore + G _a l __. ...__
. _ r�
' 1
annel �1�
.a ...._ ...JIr - --., fill- I-__}_
is yards _ _ ...... / .� �r
,p — - �i.
.
I
se/Boatlift
illdozing MEI I --
_ , , , ! L__ i _,_ li__
Length 7 • S 1 i
f
not sure yes
not sure yes not i 1 . . ' ME—
ium: n/a yes _
't
yes . � � { ( • �'- / ii:niii
kttached: yes

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J104-t_41-0003 Mfg r'rOm.
p1V!SjiI j QV CX)ASTA M�MiglOP
CST R[PARJAN PROPERTY .OWNER NOTOICATIONMAIYER,CORM
Name of Irndividuat Applying For Permit„ ofis dj"'r 77- ,,,—//z seS
Address of Property:_f $Z5 3I1Jr-jc1vq PT•_ti•
(Lot or Street 9.Street or Road)
(City and County)
i hereby certify that I own property adjacent to the above.rcitcrenced property. The individual
applying for this permit has described to me as shown on the niched drawing the development they
are propeaf',ng. A deser ptior; or drawing.with dimensions,should he 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 Coastal
Management, 137 Cardinal Drive Extension, Wilmington. NC 28405 or call 910493.3900
within 10 days of receipt dab notice. No response is considered the same as ao objection if
you bare been notified by Certified Mall.
WAIVER SECTION
I understood that a pier,dock,mooring palmy,breakwater,boat house yr boat lift must be set
hck a minimum distance al!'from my arm of riparian access-unless waived by me. (If you
wish to waive the setback,you mast initial the appropriate blank below.)
I do wish to waive the !S'setback requirement.
I emu=Wish to waive the 15' setback requirement.
S um Date
.71
Print Na tvt //� ,%1/ /(/n /(�/// -- = -'

•v•rrw•w.�• '
JU04-04-6.1003 ass C'► r r Om "
p1V1S O QF cQwsT*0 MAN4G tan . ;
Name of individual Applying For Permit:„f,����"r�� •-------�
•
Address of Property. GA/ -
(Lot or Street 0,Street or Road)
J.4s Tic.,/YC. _2/11.7e r oRra w141e—Co..
(Ciry and County)
I hereby certify that I own property adjacent to the ebove•referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
pre propos'•ng. A desrip . or drawing,with dimensions,should he 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 Coastal
Management, 1:7 Cardianl Drive Extension, Wilmington, NC 2$405 or call 910.395.3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,doe;;mooring paPeit of riparian n ac�ess�t house or boat ttnlera waived by me. {If you
must be ot
bck a minimum distance of oafrom
in� itnitial the appropriate blank below.)
wish to waive the setback,y
I do wish to waive the !S' setback requirement.
I ijpc wish to waive the IS' setback requirement.
e Date
alga
\\ttiz
z m tiJ Print Name ri .��
to3y OIR

>t
Ir .
SHORELINE MARINE CONSTRUCTION 67-7235/2532 3284
i GREG PREVATTE �2se000a,2
H P.O. BOX 10671 DATE 5 'S/-oG_
• I`15 • THPORT, NC 28461
aPAY TO THE II $
ORDER OF /91YI A J $ ;
• g �O-l�F�[.�=�� `I` a�16� DOLLARS. 8 i
Coastal Federal
g —Ba, 4 c 2�1 /�•UTHPPORT,NG2 ( /1 ^///�- _` 1MEMO I• '• 12C240 1 S V'-' _%� /�..� .4-,.-^l.- 7, ._ NP
T �
• 25327235 El: 32S800087211• 3 28 4
•
ROBERT L BELLAMY 1496
BETTY M BELLAMY
1250 RIVER BEND DR. 66-1215/531
SHALLOTTE NC 28470 Dated— �d^ e3o
Pay to the N Oo
Order of ‘ 4'T I $ 2-
� yx
� 10' /g� l'" Dollars 15 '...,.�
. )WACCAMAW
W , r
BANK Regal Advantage
ShaUoa.,NC 28459
For 771q6)—/-3 - -46)
by.
1:053LL2L521:80003L598L00L496
INTOUCHPJ CUSTOM CREATIONS