40445D - Sheppard

CAMA/` DREDGE & FILL \ / N? 4
;EN ERAL 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 Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ji, 12-00
VI Rules attached.
:Name 1 .--1 ,< 5 e9 ,12- Project Location: County r C N l)E(L
,.r-Nib`/ LAN f' Street Address/State Road/Lot#(s)
i 2S• G-r,-/ State1,)4 ZIP 231-1# 3z S in ,.. pV L►ct nd c
(ti 1 ) s t 3 -y g 5z Fax#( ) Subdivision 3 At.) J-( La_OU E-
ed Agent L z.c,H'7•444,1 s E. ✓►l caltah4 f City S LA r2 L.y i`i ZIP 2-%L1 U
CW *A ❑ES ❑PTS Phone# ( ) River Basin LiaPE
OEA ❑HHF ❑IH ❑UBA ❑N/A " QS"'1 \
PWS: ❑FC: Adj.Wtr. Body GjLE i.. r w� l �/r
yes /SO PNA es no Crit.Hab. yes / no Closest Maj.Wtr. Body 1 ps'17-L k-,,..,'N.)
Project/Activity 2►..)5Tr\ 1. L 2 C Z. x Z.4 A C.4-fi.s S ,'-t. .L `:) ?..,- Q A s Q- t I41"`L
1L v Z' zj , L , (Scale: /I:, 3(
:k)length
(s) ,
er(s)Z L X Z.LI
I
igth ' I
nber
1/Riprap length
distance offshore
x distance offshore
annel _.__. __,_
iic yards i i
' B + �—1° C /Z ._ - -{
illdozing 1i. )''
•Length r 3-D' I
IA
spot sure yes no /e 1<� _
not sure yes ao Z. ` I ! L'
um: n/a yes no
yes no
ttached: yes ,
ig permit may be required bys1/4.,, (t C c..T%,' See note on back regarding River Basin ri
, 1

•
04/08/2905 12:15 918-867-399e PAGE 01
ADJACENT PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to RICK. 6.19 12se
�.�.,rr.� (Name of Property Owner)
property looeteO et A • _LSE- � F G,l'rY .
(Lot, Block, Raad, etc.)
on_ 4F0P1SPIV jou *10 _yin aI4VevrI'r "IC, N,G
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and , I have no obJeotlons to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be tilled In by indlvldual proposing development)
nl w ssges..usc
I.
C ' '11I11�+ I11[ li�'flh 7
emirs(son k6)
-
, ems. J
slQf>o�LJrQ
Print or Tvoe Name

•
ADJACENT PROPERTY OWNER STATEMENT
�� 's
I hereby certify that 1 own property adjacent to iCjLArNp
(Name of Property Owner)
property located at N - ,
(Lot, Block, Road, etc.)
on i l L SO JN1) , in 44' -
,N,C
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he Is proposing at that location,
and , I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled n by individual proposing development)
iEw urr 2
_ .Mil a6 ser i,
il WIIPIIIMIIPP--11 mcc.k 4.,1 -77377 ' la id
i it
W19.11P
Signature , f

DATE
PAY;
.00
TO THE
" ORDER OF
(A' GZ� r 901 L
Bankof America �� ;,,•�, •▪•
ACH R/T 053000198( �D(4111..
I'.'�� \( ��t f
W�
• FOR J 4�S�SI, /4 2- 4/1/0-
°.''' 14li 11600300Lii' 1:053000L961: 00065L3LL36 ? ' •