40489D - Lawson

CAMA/ DREDGE & FILL Nle
4
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
:instal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7/1 /2 C'
es attached.
t Name ..T w l-6 Q5crr`- Project Location: County
2O 1 106 le-lc, -Nc-4 Dr Street Address/State Road/Lot#(s)
is(C State n/C ZIP , .
) 7`y - l 2) Fax#( ) Subdivision
ed Agent City /5/c ZIP
\AW EW 1044 7 ES ❑PTS Phone# ( ) River Basin
'.OEA C HHF IH UBA ❑N/A
Adj.Wtr. Body './/cc)t - (nat /i
PWS: 17 FC:
yes /0 PNA ir/ no Crit. Hab. yes / no
Closest Maj.Wtr. Body / 'f
Project/Activity 7.;_
(Scale: i '
ck)length / ..
L(s)
ier(s)
ngth
mber _
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d/Riprap length •
distance offshore
uc distance offshore
bic yards
np
Ise/Boatlift /'/ X/s/
/ J
ulldozing -
e Length ,x"/
not sure yes .no f
s: not sure yes Lno
cum: n/a yes (no
yes 'no
kttached: yes no
ng permit may be required by: _See note on back regarding River Basin r

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State Employees'Credit Union
41 Whitetrilie,North Carolina
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;TANCES ARE NOT REDUCED TO GRID _� /�
NCGS GRID MONUMENT WITHIN 2000' ..�

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200 100 0 200 400 600 t 180ft Setback AIWW

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Zr Let W S D N
Address of Property: p./11 94 KM NU'
(Lot or Street #, Street or Road)
OCe 1q.✓ Ts le ,i 'es c4 C, givios w
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individua
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.
1.7- I have no objections to this proposal.
P P
If you have objections to what is being proposed, please write the Division of Coasta
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3901
within 10 days of receipt of this notice. No response is considered the same as no objection i
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock, mooring pilings,breakwater, boat house or boat lift must be sf
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (If yo
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,
D 30
APR 0 8 2005
7/ P, VOS COASTAL_MANAGEM
Sign N ue /� Date DIVISION OF
/(/ 1#c k //ot /eS
AV 1 WA

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 1 W 4*11"a,0
Address of Property: Olt) I a 4)04. 1)r1
(Lot or Street #, Street or Road)
6Cett A/ li/0 serhC.4 Ali es BIA WV'S kJ i
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individuE
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.
VI have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coasta
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 i
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock, mooring pilings,breakwater,boat house or boat lift must be SE
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (If yo
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement. -., (� Zil—
3 �JHVI
I do not wish to waive the 15' setback requirement.
APR 0 8 2005
DIVISION OF
COASTAL MANAGE
Sign I Date
C (Pe*/ Ayn sP9

I PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA minor
ent permit.As a service we have compiled a list of the kinds of permits that migh Well,be Septicrequired.
We (oar eost youer c ita eck over Wan the list
e
LPO to determine if any of these apply to your project:Zoning,Drinking
Water system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA Certification,
re,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway,Connection,and others.
:MENT OF OWNERSHIP:
n
dersigned, an applicant for a CAMA minor developmentCAMAdevelopment permit,
EC or a
rmit, being minor er the owner of poperty in certify that the person
uthorized to act as an agent for purposes of applying for a
landowner on this application has a significant interest in the real property described therein.This interest can be
d as: (check one)
see Deed Book
owner or record title.Title is vested in CountyRegistry of Deeds.
ICI- in the By'u,v$ +�J l rY
owner by virtue of inheritance.Applicant is an heir to the estate of
•
was in County.
other interest,such as written contract or lease, explain below or use a separate sheet and attach to this application.
1FICATION OF ADJACENT PROPERTY OWNERS:
ermore certify that the following persons are owners of properties adjoining this property. I affirm that I ave given
IAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
0 2 R•V 50
p(c ru14-,u l7r, 5% Isle
Sw
m e N Di^, Oct) Ai
v'
les °
t DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
nowledge that the land owner is aware that the proposed development explained to me planned for an area which may be the particular hazard problems i�l�
)n and/or flooding.I acknowledge that the local permit officer p
with this lot.This explanation was accompanied by recommendations concerning stabilization and floodproofing tecl
es.
tMISSION TO ENTER ON LAND:
rhermore certify that I am authorized to grant and do in act grantpermission
tto the ed to local
l perrmm
ita officer
and
his agen
r on the aforementioned lands in connection with evaluating
. , the

Locality Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER /
Name r W L. W S e
Address <;2.0 L{- ( Do/1/4 N 49 1 U` . �y
City © @AN T CS/e So, e h State /(l, C. Zip 1f�o / Phone 7/p
-5
AUTHORIZED AGENT
Name S f4 M e As A'b o U P
Address
City State Zip Phone
LOCATION OF PROJECT: (Address,street name and/or directions to site. If not oceanfront,what is the nam
the adjacent waterbody?) c;D 1-/-/ O,4414 A d N,
LoCA7 d oAr Tyre C`.ob S7~,¢/ MI/IAA 64->r4.) 3 Tw ,, i
BCe4ti Ts/e 4nc4 4'-cQ Su+v 23e4ch
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
Co-wSrk GM�v o � , No47` L,` Pr
SIZE OF LOT/PARCEL: / 81 Do 0 square feet acres
PROPOSED USE: Residential (Single-family )( Multi-family ) Commerical/Industrial
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF Er
RONMENTAL CONCERN (AEC): 4//� square feet(includes all floors and roof-covered d<
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT-UPON S ACE
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): �a
(Calculations include the area of the roof/drip line of all buildings,driveways,covered decks,concrete r mason)
etc.that are within the applicable AEC.Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property:
(1) within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2) within 575 feet of Normal High Water for the Estuarine Shoreline AEC,adjacent to Outstanding
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