43277D - Wyatt

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��CAMA / DREDGE & FILL
3ENERAL PERMIT Previous permit#
?New . 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 SA NCAC 7/ 1.21 d
PAGles attached.
t NameCA(LIS r Co A.) L 1jN i Ai)Jg f f Project Location: County OQy,.ij 641/a"
eJ d. a x J OS y Street Address/State Road/Lot#(s) O L e41 /o/
a,'/Ptt.S. v,1/e State/V C ZIP 21-d 7d
vay) 20-0 922_ Fax#( ) ,`` Subdivision
ed Agent gP i d �yP�CS CJ.�f�a„c7 /U City OCPe i f 1 e Seer 4 ZIP 27y&,
❑CW [IVG � D iC ES ❑PTS //l". 7)c- Phone# ( ) River Basin L 4,vi
❑OEA ❑HHF ❑IH ❑UBA ❑N/A ���
Adj.Wtr. Body(39✓f} d( (nat4
❑PWS: [LIFO: /
yes no �' PNA y o n Crit. Hab. yes / no Closest Maj.Wtr. Body ��h/A
Project/Activity PPk i u f} i t U i e 4/2J o c 4-
(scaler ,
ck)length y 'k J ie4-iy, /6 .4,1_-- —
i(s) I
ier(s)
ngth
tuber
d/Riprap length 1A ._
distance offshore
a distance offshore
iannel i
dic yards
rip
se/Boatlift 1 y
ulldozing
.
rtoRl 2o 'xy'
c 2,
Q
e Length 3-0
not sure yes C> V'
s: not sure yes 9 3
ium: n/a yes e1) 1 L. 62 L
yes '_ f ` /
,ttached: yes
"l, F- `� Aw C� ,
ng permit may be required by: (9cp 4,✓ JJI 63Q/,Lc% . i See note on back regarding River Basin r

•
NP
JESSIE & MYERS CONSTRUCTION BMX 433 1
Bnoch BanWag and Trust Company
- P.O.BOX 5024 •
OCEAN ISLE BEACH,NC 28469
[phone] 66-112/531
8
PAY
TO THECi $
. �
ORDER OF 1 r yF 2�� � a
DOLLARS
O�
MEMO 06(--tL- evt/t..)-Lt L-61-AVID AUTHORIZED SIGNATURE
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CERTIFIED MAIL- RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: TESS/5J 7)9 (
Address of property: (.a4/Leb 67
(Lot or str street of road) _
06-A/ LZ 8g-tht)
st3i
(City&County) /
I hereby certify the I own property adjacent to the above referenced property. The
Individual applying for this permit has described to me(as shown on the attached
drawing) the development they are proposing. A description or drawing,with
dimensions,should be provided whit 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,400 Commerce Ave.,Morehead City,NC 28557 or call [phone]
within 10 days of receipt of the 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, dock, mooring pilings,breakwater,boathouse,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 must initial the
appropriate blank below.)
/I do wish to waive the 15' setback requirement
•,/ I do not wish to waive the 15" setback requirements
P61/4_wQ /d,„/0 ,
Si azure Date

CERTIFIED MAIL —RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: 765,S/f✓ cL 1�i 1 �✓� w
Address of property: g I.- t L fq'''tt1 S
(Lot or street#,street of road)
__ CEAAJ
(City&County)
I hereby certify the I own property adjacent to the above referenced property. The
Individual applying for this permit has described to me(as shown on the attached
drawing) the development they are proposing. A description or drawing,with
dimensions, should be provided whit this letter.
XI have no objections to this proposal
If you have objections to what is being proposed,please write the Division of Coastal
Management,400 Commerce Ave.,Morehead City,NC 28557 or call(252) 808-2808
within 10 days of receipt of the 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, dock,mooring pilings,breakwater,boathouse, 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 must initial the
appropriate blank below.)
_ I do wish to waive the 15' setback requirement
I do not wish to waive the 15" setback requirements
•
/ate 2. B:ni•-• /f///3/04
Signature Date

i'
4
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sig -
0
item 4 if Restricted Delivery is desired. ❑Agent
• Print your name and address on the reverse a_al► i__ _ i. •ddressee
so that we can return the card to you. B. -9ceived ey(Prin=• ate C. Date 9f':'very
• Attach this card to the back of the mailpiece, L naJI v /`/ D
or on the front if space permits.
D. Is`slei ery address different from item 1? 0 Yes
1. Article Addressed to:
If YES,enter delivery address below: La No
Tal 4 v l U.U PO w-eL(
3oo (—cr-1 ;cy_, Cu-es f -`v
�r y 3. Service Type
h( 1 i L 2 7 S 3 / ertified Mail 0 Express Mail
❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 7006 010 0 0004 0808 4376
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. /� ,,/1 lI' 0 Agent
x /
• Print your name and address on the reverse LG .),\., 7 . �
so that we can return the card to you. 0 Addressee
• Attach this card to the back of the mailpiece, B Received by(Printed Name) C. Date of Delivery
or on the front if space permits. w 47 . . 11?i�U r;'. f
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
Val
I If YES,enter delivery address below: 0 No tgl ,t,, k \NAaxin MOO re_
t 13 go tr\K i v-I-. Oc\\ e,
pa ` gv fi / S .c. 3. eryiceType
21 -501 Certified Mail 0 Express Mail
❑Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) n....