39863D - Mitchell

1 CAMA/ ❑DREDGE & FILL
;ENERAL PERMIT .Previous permit#
:New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
^ized by the State of North Carolina,Department of Environment and Natural Resour s
:oastal Resources Commission in an area of environmental concern pursuant t I NCAC
❑Rules attached.
t Name &fr -. ,r. 7 // Project Location: County
t 0 it.:, x Street Address/State Road/Lot#(s) //5
5p,,, ;L%-r /e- State ZIP =: -il iU� _%/ ; /7S ,
(fig '/2'' 63/D Fax#( ) Subdivision
ed Agent •-cam 5' . ' - City /4,' / i . - „ ZIP .-?- /i!
❑CW XEW X PTA ❑ES ❑PTS Phone# ( ) River Basin L/i,7:•
❑OEA ❑HHF ❑Ill ❑UBA ❑N/A Adj.Wtr. Body Ca- i‘,-f (nat
❑PWS: ❑FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body r w44...)
'Project/Activity
(Scale: /r^.
ck)length
at -f
ier(s) I j
n gt h 1 i - 4 1
i
—
1
mber t +
.... I I --i—
d/IZprap length I —�
distance offshore t ......) j 1 /-Liz- I . , i ix distance offshore F_..— I i i4/1- 'fft't‘°� t-- -r .._. -1-
cannel
t 1j0 1 —,,-, 1
p IX _ —
i
,ic yards `
1,e/BBoatlift /?X/3 1 _
i I
%1%, >t r 2 .2, 1 1
1 f l i
ulldozing I 1 1 E r 1111461
i
1 J I
l I , i
t --i
T
e Length J;.: v4. ( � ^
6 j i(
not sure yes no 1 `�0 j 1 ram- I P 01—
Ill.._
s: not sure yes no �
i
urn n/a yes no ✓scCt1r�2}
1 t I
yes i no - 1 . ---I--... I ...._t _� ' _
_ I 1
\ttached: /'�'y,.'// _ i
ng permit may be required by: . ❑See note on back regarding River Basin n

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Et,§c14-4- ,et iciGGt
ADDITIONAL NAMES:
AEC DESIG: EZJ AT DEVELOP AREA:__. G/ PROJ DESC: / -is
(Will only take 6) (Will only take 1)
WORK: 51- /3, i 3
(Will only take 4)
MAINT:
(Will only take 4)
IMP: G't /lo ‘i
(will only take 6)
ACTION EXPIRATION
DREDGE& FILL REQUIRED: /2 s `/4(5-A
CAMA MAJOR DEVEL REQUIRED: //2 s*s 6/2 s/75-

2 /qA) 79 (__
xtia
•
, 10(e X je I
� I
li
II

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
fame of Individual Applying For Permit: (�-/,(,(9 C Ai Cr j /L4Tc...H
p
.ddress of Property: ) 6- (7 1-V- 1'7 ki )fz .
(Lot or Street#, Street or Road)
EiJ E OC-) 6
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individw
Dplying for this permit has described to me as shown on the attached drawing the development the
7e proposing. A description or drawing, with dimensions, should be provided with this letter.
r/ I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coast:
lanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390
ithin 10 days of receipt of this notice. No response is considered the same as no objection
uu have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (l
)u 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.
/A/Li
ignn ame ate
1 AO (Li 1 A : A

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Jame of Individual Applying For Permit: ���Zi��G .
Address of Property: III— ,S7 irl2/ r Y
(Lot or Street#, Street or Road)
G—D (°
( ity and County)
hereby certify that I own property adjacent to the above-referenced property. The individt
applying for this permit has described to me as shown on the attached drawing the development th
are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
[f you have objections to what is being proposed, please write the Division of Coasi
VIanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39i
within 10 days of receipt of this notice. No response is considered the same as no objection
Tou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
;et 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
— .3 - O 5
►i Nan
gn Date

c ccr+vn, 111,, LOYOU
DATE O.S` _
'% PAY T
O THE `/) / I $
QIL ORDER OF
` / /J�
V G
w6 //
o Belle_ - i lL� OLLAF
ccB Central Carolina Bank 530
Wilmington,North Carolina 284403
FORA4-7_146,/' a? Sg41)6." - -- --
"0000 2449u' '1:053 L004651: 53 LO5 ? 300us
- ._...,__ em u-y< .t .. .._ _,o....„„,., . ...
a.