44082D - Southerland

CAMA/ YkDREDGE & FILL
3 E N E RAL PERMIT Previous permit#
KNew Modification _ Complete Reissue Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1 H , \\O 0
Rules attached.
t Name bE 0 01.s �o v i N b LL A Ps) _ Project Location: County I t.J t C iL
j I(j ) VI'►.)4 } (- ,J) i NG )2-1 - Street Address/State Road/Lot#(s)
Arh pSTE+►►s State J C. ZIP L%Lig 3 I l tv9 . T n/(TS L A►✓A2 p-)cr /Lc+
( ) Fax#( ) Subdivision
ed Agent C,.1t..t.<, ft\IA{1-7 s t,/ City rt.Are,P S i C IA D ZIP 2..53 4 Li
CW ❑EW ❑PTA ES ❑PTS Phone# ( ) River Basin r„,Ap t
E OEA El HHF El IH ❑UBA El N/A Adj.Wtr. Body 0 P A7 L &:.ra t.M ()r
- PWS: ❑FC: ,]
es no PNA yes '�• Crit. Hab. yes / no Closest Maj.Wtr. Body !-`T VJ w
Project/Activity 1-►:'ST^f-A Li— B) L1 J i-A& E "r 0 ,4 a. 1+_ L..ph.►✓) w,-N (L I
NS t A L vJ L i L 4A t.-,() .S (Scale: / 2
:k)length
(s) Q CAmA' STAVt'S
er(s) #
,gth {
nber
I/Riprap length 'BO
distance offshore
K distance offshore
annel .... ...__--
is yards
ip
re/Boatlift .._..
illdozing 'V �l l�,
/
‘b \V k( V
Length
rro�sur yes no
0 4' fi 0
not sure yes , "no7
um: n/a yes 4�
yesli ,.
ttached: yes ._ _ �
g permit may be required by: PE,..2)N r (Z 6,a I I See note on back regarding River Basin ru
• . •._ .

»:tea— .,..T —..—._ �.. -..1 ❑ S e c a r i t enhancedd document See back for d e t a i ls rn' ..... --x=xi mr.2 ' T
RI 6534
ii DELTA DOCK & BOAT LIFT
402 AQUARIUS DR. 910-686-9700
WILMINGTON,NC 28405 j ss-3o/ 5
i; DATE 1j
PAY ` 1, F� O �6 K
TO THE C -�
ORDER OF C 4) /(
w0 In c/ i
Ix c/-e.-2 IW l> / "a DOLLARS el --•-,. '-
ap
{�.,y, FIRST CITIZENS 765 `�
Y` BAN Frst�i[izons't^k2a una Company G, Le Li 8.3 8'(gu t'y) s
rn l� Ham stoad.N C.28447 ! 4
www.firsteitizens.com G/0C1/(fQ 8 1-- ,N...._,..n -?
FOR S0d14/vxLf►v /.Z -slef
i II'00653tIII �:053 L00300t:00353 L99 L504u'

DIVISION OF CO4STAI_ M4N4GF.MF.NT
4'ILACENT RrP4RTAN PROPERTY OWNER NOTIFICATION/WAITER FORM
Name Of Individual Applying For Permit ��,� sc>ll� L��rr an,
Address Of Property: /6 2 Ali S /v A
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced ro
P perty The individual
applying for this permit has described to lie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
Ma nag_ement, 2.7 North Cardinal Drive
, Wilmington, Noah_Carol inn nr atI 91k 95'3900 within 10 days of; �—
if von have iren notified 113, Certified Maii
•
WAIVER SECTION
I understand that a pier,'dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of
riparian access unless waived by me. (If you
wish to waive the setback, you rmic initial the appropriate blank below.)
RECEI\
DCM WILMING
I do wish to waive the 15' setback requirement.
MAR 1 3 2
I do not wish to waive the 15' setback requirement.

4r}.19r.E!cr Rr &R1AA' FR(�PFtiR'1'X� N(�TIFIC_ Z"tONIR A�'F RM
Name Of Individual Applying For Permit �COutu. v�i `��- kr✓-71)\
Address Of Property: //4 5 L N_ \c-
- -eY4- • 4Y,VZ 2
(Lot or Street#, beet or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to rtie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
le•ae:.
have no objections to this proposal.
Ir L�i?ye o iS�M tlT2c to � t ' h ing r ns nl �e w tr, h lli n of �ctJ
MariagP ,1Z7 North C'irdirs ai nrivj laming= Nth Carolina,28405 or tall 91VQ .
3410 Ajtivn j.i fistyt.of Titmipue ShhB ne No rs1pase_is rnnaidarbit me acnn Ihdectiort
if you have he.trinntift Cpttified Mail
WA?YER.ECT1.n
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
setback a minimum distance of L5' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you mast initial the appropriate blank below.)
RECEI\
I do wish to waive the 15' setback requirement. DCM WILMING
MAR 1 3
I do not wish to waive the 15' setback requirement.