36852D - Latham

CAMAS/ ❑DREDGE & FILL .. .. 3
IENERAL PERMIT Previous permit# 31M 1 r
New 'Modification Complete Reissue ❑Partial Rei ue Date previous permit issued 313n
zed by the State of North Carolina, Department of Environment and ural Resources
pasta)Resources Commission in an area of environmental concern pursuant to I 5A NCAC —7 14: 1 I on
Rules attached.
Name-7 .S P6(.Q Qj P . LA1 �.- r Project Location: County u b w iL<_,
I-t ( I U. ar(1 QG.$. L - Street Address/State Road/ Lot #(s) Z 2 t Lo,,
f5r C. 1C.s I CI"� State f ZIP
((oIQ)71 2064 Fax# ( ) _ Subdivision ��,
d Agent rot s i LQ�N City - k/01pi (acfk ZIP -2_4,
"ON ❑EW -PTA ;OS ❑PTS Phone# ( ) River Basin ,,,
❑OEA ❑HHF IH nil UBA ❑N/A Adj.Wtr. Body A L w (nat /m
❑PINS: FC:
Closest Maj.Wtr. Body PCT.--W w
es /rn61 PNA yes /r Gno Crit. Hab. yes / no
Project/Activity c A-4J-t( - i.][ ) l kk— k..e.PrS H2 -t 1^-
- 0
L.�� 6Q (Scale: 1I I —
:)length — 4
r(s) , ._
;th
i
ber 4 c
Riprap length iistance offshore '` V
distance offshore \l/
nnel
•
yards
NI i
, a a
Boatlik
dozing t
-I -
I
_ength ` -.S t-.- i
not sure yes i
�r
r \ {_ _-
not sure yes no + )
h.-
-n: n/a yes no
yes no j . 1 ' _ 1 I • { L.
ached: yes no y..___•, _.._.-
permit may be required by: f"{'Ot A� ) B� ,r�1,. C �� . See note on back regarding River Basin ruk

-- _ 1 i _ ..a �._y. _ ^-'�'1
L2P IC=_1\?N-- : 1-41-11-1
ADDITIONAL NAIv1 S:
AEC D£SIG DEVELOP AR. 4 j PROJ D SC: P _ t
(Vial oniyutkrs)
(t+E oniyuk=I)
WORK: 6 4 -1.S
(Will a iy,"rt 4)
M AJNT:
(W-Al army laic.4)
: --�
ACTION EPIR TION
DR GE&FILL REQUIRED:
CAMA MAJORDrVE,R Q13] 3 - -

r
No
•
rCAMA,/ _'DREDGE & FILL
E N E RAL PERMIT Previous permit#
7New IlModification EComplete 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 I 5A NCAC '1y /"Oa
ski Rules attached.
t Name ,j r n Ge i a . L-C• -1,4 Project Location: County 7 i7 S1:)iCk
A 1 7z//4 0-;76,•-z 'i"i i Street Address/State Road/Lot#(s) 2.3i
•
7c,5i 46c.5P>" State Pil ZIP l 0/3i L
(L'-fc) ')g3',2J U I- Fax#( ) Subdivision
ed Agent City -4 r&zt,i czt/6 ZIP !( f�
❑CW ❑EW ❑PTA XES ❑PTS Phone# ( ) River Basin ,[.d(i);
OEA D HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body / iu..140 (nat 1
❑ PWS: ❑FC:
yes / io. PNA yes /4i Crit.Nab. yes / no
Closest Maj.Wtr. Body N>�iJ
Project/Activity ('''z 5752i G71 tee()jG}ram & ./,E<ic't-,d
(Scale: /i-s.,
ck)length
1(s) i
f/izl%W ,
ier(s) T
ngth
mbar ---
•
d/Riprap length •"�( ' t" .� I _
1
distance offshore L % '
IX distance offshore ` L
cannelAlil ii,
Dicyards 4/ ,y VI %Li. tksffre W`` IV
np y T--- i"Gd o
ise/Boatlift ! :-r
ulidozing
1-
- -- I
--
- -• - -a—I-
e Length
I�
not sure yes o1
� I ' i! i
s: not sure yes
1 j
cum: n/a yes
Yes I
4ttached: yes 6 .—
i I l
ng permit may be required by: 1w-,--7 ^ 71-4641r--2-> 2c- 17 See note on back regarding River Basin 1

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
. Name Of Individual Applying For Permit:
Address"Of Property:
(Lot 'or Street #, Street or Road, City & County
I hereby certify that I own- property adjacent to the above
referenced property. The individual applying for this permit ha
described to me as shown on the attached drawing the developmen
they are proposing. A description or drawing, with dimensions
should be provided with this letter.
I have no objections to this proposal .
If You have objections to what is being proposed, please write th
Division of Coastal Management, 127 Cardinal Drive Extension
Wilmington. North Carolina. 28405 or call 910 395-3900 within 1
days of receipt of this notice. No response is considered the sam
as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boa
house, lift must be set back a minimum distance of 15
from my area of riparian access unless waived by me_ (If you wisJ
to waive the setback, you must initial the appropriate blan]
below. )
I do wish to waive the 15 'setback requirement.
I do not wish to waive the 15'setback requirement.

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Si nature
item 4 if Restricted Delivery is desired. I ❑Agent
• Print your name and address on the reverse X ���CCC _ •�'-�J 0 Addressee
so that we can return the card to you. B. Rece 0!.by(Printed Name) C.ate of Delivery
• Attach this card to the back of the mailpiece, p ..�
or on the front if space permits. - , \ �L-� 6'
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to:
If YES,enter delivery address below: ❑ No
\\LLL rk tG� —
t 0 c C L7a-<qu iv i2..
HVn b F^so,0-kt` 0,C, 3. Service Type
❑Certified Mail ❑Express Mail
aI ❑Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label)
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540
U.S. Postal Service
CERTIFIED MAIL RECEIPT •
(Domestic Mail Only; No Insurance Coverage Provided)
.A
.e'. .
a
co
in (�� {Y`\ Postage $ 2 1: - A cr
J3 ` i' �\
(v rat - "� .,,
ICertified Fee 1¢ / �'�0%'t
Return Receipt Fee --_,1‘
{ f
(Endorsement Required) .) ti I
Q.(1(J ��,.` :t�? I
O Restricted Delivery Fee y L
D (Endorsement Required) i�' �r
..tp 'r •L`
o Total Postage&Fees $ tom`` '' ;.:�\.:_ `�f
frl
ul Sent To 4: , '•
O Street,Apt No.;or PO Box No.
o Ao 3 ,i_ is
CICity,State,Z•Ail
PS Form 3800,May 2000 See Reverse for Instructions

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: SPei,ke..). E_, '• LAT IA-�d/�
Address of Property: 23t L015 uu�...
(Lot or Street#, Street or Road)
.--B
IkOLD Cp. T3if/t °t;t P..bl IC I IOC-- a LL�
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development the
are proposing. A description or drawing, with dimensions, should be 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 Coast.
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must 6
set bck a minimum distance of 15' from my area of riparian access-unless waived by me. (1
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 requirement.
lOSICY-1
Sign Name Date
_ _ . _ Al I WA

�a 1 ,r . I $ 00, O0
WACCAMAW
BANK
Su)y/y.NC 28162
www.wruranuu lank.;
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/064-
4053LL2L521:8000L5 ? 5300'0L601
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