41546D - Generation

eCAMA/ DREDGE & FILL
3 E N E RAL PERMIT Previous permit#
thew Modification Complete Reissue Partial Reissue Date previous permit issued
•ized by the State of North Carolina,Department of Environment and Natural Resources �� /)vU
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 '
L R(1s attached.
Name 6-ec..I/14j un, Pj,.. /del j Project Location: County_ V qv$l.✓IC(L
59 3 )_ 771r/ A, BR,/-f Street Address/State Road/Lot#(s) Li 7 /rJ
4i 4cI State/,"L- ZIP s273/0 L04'11ef .J6K,Q S f
(33(() 6t-( - 0 ej1p Fax#( 1,(ft/ C)/)$ Subdivision �J
ed Agent '-t72kt Y j /ner2- City OCEi¢ev 3 '�`e ,+� 4tf' ZIP ,
g.'W C EW Cerra 11ES PTS Phone# ( ) River Basin L le1'w
❑OEA ❑HHF ❑IH E UBA N/A Adj.Wtr. Body Chivei 0 '' ,4J?.✓4✓ (nate
❑PWS: ❑FC:
yes / PNA yes / no Crit. Hab. yes / no
no
Closest Maj.Wtr. Body �"'
Project/Activity /R, liklo f. eR ( e047' &- Doc"(
I / \. ,i (Scale: —�
:k)length $ (/ /(6 ----- /� _�- �_�
(s) e, y aQ. f 10, r \
er(s) i t C A 1. C
igth 5-5 (. 1A .�'`
nber Vv t')t
1/Riprap length
distance offshore
x distance offshore /--'
annel ../-'-- ---.
t
a°
iic yards I
,p ly 411
se/Boatlift
ifldozing Y/ '� t!
�f
Length /
not sure yes l 7 IZJ�� h"t,.7
not sure yes 09)
'um: n/a yes Ro L. e
yes 9
attached: yes V
ig permit may be required by: O( /bN-4S/f— AEA . I See note on back regarding River Basin ri

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: g�-,�' /�, r �c '/Je .rs
Address of Property: //.90"6 Aje6- ��° let,/
(Lot or Street #, Street or Road)
Ace( ,< ,Ujc rc
(City and County)
I hereby certify that I own property adjacent to the above-referenced__property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
`DX/ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coz
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
(e' li1 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
aLde.ce
iign Name Date
% �„ AAA

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: /' ?J e,1 7iL,,,
Address of Property: jeriF
(Lot or Street #, Street or Road)
,&ide#/(/ 8essc/ A.2u.4Stscc,�
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Col-
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
(D2e/17 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
;ign Name Date
/-e AT:

C1 1✓a 1. j I _ !<"F l�,W`v �nl6ld e� - -0., .! (65( % • r
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BB&T .
BRANCH BANKING AND TRUST COMPANY
SHALLOTTE,NORTH CAROLINA i,/ �d�`�
(,..ram —LDS s e4 lob-k'l"q 5'
" 1 1:053101122 LI: 52110660 L81' [.•t 782///
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