39878D - Dee

CAMA/ DREDGE & FILL
EN ERAL PERMIT Previous permit#
"New -Modification L.Complete Reissue -!!Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural es rces
Coastal Resources Commission in an area of environmental concern pursuant A NCAC 7N, /�U
les attached.
nt Name �C, p ,c �Qe �(, Project Location: County �n /Ga.
s 617 P✓✓i f.G/L D�. Street/Address/State Road/Lot#(s) 3Y-5— ad-if
64�y State/�� ZIP /7327 ;<:-f 0
#(4110 ) 3/0—/973 Fax#( ) Subdivision /
ized Agent ...5e4n ieIC,hf/5 993—all t1( City #4,70Att0. ZIP
d ❑CW SEW 2cPTA VMS ❑PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
): ❑ PWS: ❑FC: Adj.Wtr. Body_ it ii/P9 (na
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body
of Project/Activity Ar o/US e#/ ioi'P✓ !- }"�+ T`"ii 1 /26 f,'v✓n It— ��i T I ovl
A / I
``t (Scale:
:dock)length o 7Z _ _ ._
,rm(s) /4-�!(/� / 'X 12 ,�� /
length !t,
number xli,
lead/Riprap length
avg distance offshore
max distance offshore fi
1,channel g
cubic yards
i I L
ramp
xl2
house/Boatlift
h � k ty Bulldozingld � '/ II '/ v
:r T/DLTC✓ `6 x/G' tf r V tJ
.A / ,
aline Length 77' Iv it i
not sure yes no Y'
bags: not sure yes no 34' /
torium: n/a yes no
x: yes no 3'f C Ol d P PO;Ivi k d.
er Attached: yes o
ilding permit may be required by: /rr7/4/ t 0, . See note on back regarding River Basil

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GENERAL PERMIT. CO1.PT TER FORM 3?$7
/hon16s e�
DDI �O -T N_MES: $a ri 12) CKe f5
EC D=SIG: D7-7V OP =.: �. U (I PROD DESC: /f - /2.
ors}:a:: )
Mk:(Will :1)
WORK: PgGx77 f$ gx /(.
cmiy
• /74 73
• ACTION P k?LR All ON
•
D- E r &F. _L REQ iRED:
. C M A MAJOR DPti r?REQUIR=

i1c, 1kS ►Jr[ 1£ 1
b
6e 1ysbur, , ph._ 173 z5
.phanc no. 4110 310*- J' 73
i
345 Oleic. P,✓D/ Pc)
1
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11
1

Flootiro Dock Not O O
To Exceed Ectob]lehed
Pier Hood Lire ,Y
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4 M
if
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12 ft.
Deck
N I-nndrail Around
tire Perimeter
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For: A.E. Johnson and Son
Job: Lot 44 Olde Point Rd.
Hampstead. NC
\WI/ By: Edgewater Marine Construction, LLC
Address: P.O. Box 365
Wilmington, NC 28402
Telephone: [phone]
I/ Fax: [phone]

E2/01/2005 09;46 9107933402 EDGEWATEP. MARINE PAGE 0
it 31Sha 11 AVIC-wrAilistr-EWLEP ,�T
A N PROPERTY n WNFR NOTIDCAXICWw,Armayfirod
Name Of Individual Applying For Permit: 1 AomC �
Address Of Property: s!c� �/ i c ✓1 \- d
(Lot or Schee- t
A�, Street or Road. City do Coun ry)
I hereby certify that I own property adlsctnt to the above-re
ferenced applying for this permit has described mine as shown on the attached dries wi` Tb: i iv the nt
they
r� proposing. A description or drawing, with ditneruions. should be provided ith this
letI/� I have no objections to this proposal.
lL ai -.Gave nhjerflnne_reLi bat it hying jtZnpnj 1
Mana$�mrat_1Z.�N .h rsr� art t W..iimim �utisioa-of fr..�,i
11Q�axQf�i� 1�cm�rthS a��, ��.� 1 ]1Li45_
is coatid�txd ik.Sa�tts �lism
tttified Mail
Millmamellemmegumemilmnimmaiimaral
WArvrit Wijois
Iunderstatie that a pier. dock. mooring pilings, breakwater, boat house, lift or
set back a mmimuai distance of 15' from my area ofsandbags t be
wish to waive the setback, you riparian blank unless waived by me- �( f you
joust initial tax appmpriata blank below-)
I do wish to waive the 15' setback requirement.
I do_ocs Wish to waive the 15' setback requirement.

•
tifil
tulle I;AYi'1'AL MA14 vv.'.911005 13.51 RAK,_.04fi4y'3933 �0;?�
CAROLI. A COAST
lion N'�D 9:22 F 910 p� g54 wA'r k MARINE PauE a�
ILICLSI -OF('(lhS.'l`J►1:.1dA.dALLEt EIra
4LUJ !►.�giEMILldw tst.OPERTY LIME t=tL NO • ',AI]'
1� -
Manx Of Individual Applying FOr Pero r,
n; _ Lia:?•i __ ,J�y_ -eJ!(
Address Of Property: _ to+ y y - Ode ?o,„1- aed_
ii-lcirini..,,a A,c,
c),naer c..i. i
Q.ct or Street #, Street or Road. Miry it C_ounry)
k
I hereby at:rtify that I own property adjacent to the above-referenced property. The i , ivdmal
applying for this permit has deuxibed tome as shown on the attached drawing the + . . in
they are proposing. A ecrip�tion cr drawing, with dimensions. should be provided ', , skis
ic7 I
AR-til9 have no objections to this proposal. j
Z,.gyi ys ah irvia to what a hrins prep_ s rl p asw irr the Divia'
on of,Liassal
M2na fJ t"v" 1? (' [!� '.—� 'i DI 011.. par C ajritinn. dLX?g recallz.
1. ibai-a Aar of ipt.o . -
,
i
CMIKIMENNIMINIUMINOMMIIIIMIPillnli
w fl rt*artm {
3 understate the a pier. dock, mooring pilings, breakwater, boast l:.0ts9c, lift or sandbags ei be
zsi
set back A minimum distance of I S" iruen nay area of riparian swabs unless waived by me. (if you
vcsh to waive Mt setb3 1. Vow =Ma initial the appropriate blank below)
w I d0 wish to waive the 15' setback requirement.
_ 1 dcsatea wish to waive the 15' setback requtremt etri.
..w2:Za.a.
7- 11/ . / 7-177-1 ,2 — c c -0,r-
AWA

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PAY Ofn 42 i 1-, 1 4ec DOLLARS ,
• DATE TO THE ORDER OF DESCRIPTION CHECK NO.
2- /5-c5 MC bE,/ ' 044 perms# Johnson Joh 6s'9? $ io'
P 39S)7.1A
BBranch Banking and Tnist SCR Gc yr Z . 1.
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0006139911' 1:053 10 11 2 LI: 5 2 1 L864798lt'
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