42842D - Varnam

JCAMA / CI. DREDGE & FILL
3ENERAL 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 I 5A NCAC 7N,/JOO
&IRtl1 s attached.
t Name jkyvh,, / thikAA,Loev, Project Location: County g f.SGti(A
/3-1y /loN5 t}Q P1AC k &----5-4- T Street Address/State Road/Lot#(s) / LOt
U(I iy StateNe ZIP 2 e)- \\
(9/u) N - N L(3D NSax#( ) Subdivision /' J S /,�ti0 ► nn/ Lit
ed Agent 5,41hryty U yvWNN City54Qis f W ZIP_280
Cw L VITA ¶s/ ❑PTS Phone# ( ) River Basin L.Wvt 1
l._.OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body 3 el Y S C.•zet C CO
❑ PWS: ❑FC: �
yes tiY" no .J PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body t Nit s C gee L
'Project/Activity RR,ukt. Pi r 2) 64 7C O , c/0/1-6 -6- bock" ( ct4 I
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ium: n/a yes ) 7 a
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\ttached: yes no — T
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ng permit may be required by: -Th wit/ DP N 5 LISer /1e fie i4 See note on back regarding River Basin n

LAMA/ DREDGE & FILL
3ENERAL PEMIT - Previous permit#
Alew Modification 'l 'Complete Reissue --Partial Reissue Date previous permit issued
rized 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 7N,140)0,0
[ .ROles attached.
t Name �AA;--ry bw,y OP/t4 V✓` Project Location: County 4g UN.SiAA(7(
ti,C'"4.1-t /116, 5 tot 1jNZ J[. �'".5-Iii VC Street Address/State Road/Lot#(s) 1 LG/
4 f I Y state Mt ZIP D..t-/ ' --
(q/u)14 v - Li.) q CFax#( ) Subdivision /(4.14 _ 54 0/f /Ql V f
:ed Agent 5t4i W/ V iv A^ CitySi4 ti5e f f{ ZIP
CW I* VN VITA 'ems CI PTS Phone# ( ) River Basin L t4n4 6
-OEA CI HHF CI IH ill UBA ❑N/A
Adj.Wtr. Body 3., y S ( (Let k nat
-I PWS: ❑FC:
yes I nol PNA yes / o) Crit.Hab. yes / no
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f Project/Activity .-}k OACr? Pr r P (j4 7t 60 t r,ur/_/l A 6 7) (1( ( 41 / `` 1
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ium: n/a yes • --h
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Attached: ys .
e e
Ing permit may be required by: ' LAU 1/ of: (•tA,SF i3e
7 (de N I See note on back regarding River Basin r
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CAMA/ E DREDGE & FILL
3EN ERAL PERMIT Previous permit#
..New _Modification Complete Reissue CPartial Reissue Date previous permit issued
sized 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
Li-Rules attached.
t Name V i i,)Er t r G V%((r i 1)u t(:;C'i` Project Location: County
/q 2L/ /(C c k /<<. -`>ecr Street Address/State Road/Lot#(s)
/z e, 3`/{ '_51. r//C. State 'VC ZIP ZfO7cf.
(-7 .4 d'7 7 0 Fax#( ) Subdivision
,ed Agent .. , ,1/ yl.-r i 4 n, " City `. , ,-c 1" c:)Cl,t /) ZIP
ii CW ❑EW jPTA ❑ES ❑PTS Phone# ( ) River Basin / ((r
❑OEA ❑HHF KH ❑UBA ❑N/A Adj.Wtr. Body 77 / ,'.•5 /r%/; (na)li
❑ PWS: ❑FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body 7(_SLR �' ,)/(-
f Project/Activity -� (_
(Scale: / r..
ck)length '15 G> (o
J i ' I I 1 ' .._� I
,ier(s) `7_`• 1 (r- I f t 1 ;
:ngth r` r f[ 1 ,
mbar 4 i f— is1 i i
d/iZprap length I t
g distance offshore
I I
ix distance offshore
-t
E. — i 1 — f
hannel i
bic yards C , t —
i � (-
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1 $NvN}L
t
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\ { i
iulldozing ' I f
-4- I
I
ie Length //f, / 1r
not sure yes no 'fltJ
' ..-..... — - . '....— Ixa/E rte tie 45/r. ,f l r r rc:. --j--4
�s: not sure yes no
1 rium: n/a yes ,ho 1
Yes ( � _1 _i- I , I
- i
Attached: , yes . r no
ing permit may be required by: ' Be_64 . ❑See note on back regarding River Basin r

GENERAL PERMIT COMPUTER FORM
.PPLICANTNAME: V60 are /hah`i--fiSec
ADDITIONAL NAMES:
SEC DESIG: DEVELOP AREA: _.QdZ PROJ DESC: 7 - r 2.
Will only take 6)
(Will only take 1)
WORK: P2 Z55o / (o -re ( (Q )1la
Will only take 4)
t;/ F3L- /Z, /5
vIAINT:
Will only take 4)
[MP: O W 3S1-.
will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: ' 2/ `r os <37/4/05
CAMA MAJOR DEVEL REQUIRED: Z/9J0S 6/V/05

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�u • • r_LL r, r i ._ ( � s � `a"c'c fiv. i'L r 7
. DIVISION OF COASTAL ?vtANAGEMENT
ADJACENT RIPARIAN PROPERTY ow'N .NoTIFICATIONiWAI\ER FORM
Name of Individual Applying For Permit: I f\i\I LtAae hurry w
Address of Property: L i �� $L\L \ !""'-«l< c -<
(Lot or Street 4, Street or Road)
(City and County)
1 hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the development 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 the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
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 set
bck a minimum distance of 15'from my area of riparian access-unless waived by me. (If 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.
Sign Name Date AT/Si

!fq cipi Jan. 27 2001,t_4: C3PIVI MARKETSMAF < N:. 1.7246,51201 61393/4
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Asianas cr:Pwpraty• W-C)0.21-.4 De2
_AA:qv Streetti, et•olloid)
• _ '°-'&2 ‘r%
(City anti County)
niss41,ly c.rti Wet I•aves-propetty soliooent to tile above,refheougodTroperty, The-individual
-opplyioz far this_ptimit has dosetittetta ate es Shard=that/Idled&mg&Vile development-04y
aro propoiing._A dmidiptiosi,ou witii iett.m.
hovelio•nbjectionetcrthisizoisosal.
It you Amy*,objectiom-.to what-b.;•bgiisrg Imposed,violist *Tilt*-ilso Division •of iroosoal
Mansgonisat* 127.Ca' rdinal-Drive-astenglott;Wihuiligtou, PC 2$405;or•eill NO4954300
MU 0 dolt.?receipt Of-tidslsotico.•Pio Tospoliseis.cousidered the ono as zo-a bp Motif
_you-hove hash-uolifiedly Ctib. MIL
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•*-4.11AINTICOECTION •
.I undorstanitlhat iup11rs-dook-z000rinitpiling4 isreolroatorl.bog house or-boutlft mei).sot
:beim oiinimunAstasole all'Trani nyares of-rios don aceists-toilost-waivod byn •4f,you
wills Jo wolvollie:stbor.X:yoeauirst iniAI-tho moorhen Ilank_bolow,)
Lin%kith to-wzivelre-11'-sothiek reqoiromait.
gazd.wish to waive the-1-5'setbackstquiteinen
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NCDENR
North Carolina Department of Environment and Natural Resources
t McCrory, John E. Skvarla,
lovemor
Secretary
June 3, 2014
CAMA Field Staff Training, New Bern
Check Handling Policy Change
DENR Controller's Office requires removal of copies of checks from permit files.
Date removed: �j -1 3 - q
Check number: !3I V
Amount: 7�0
Check date: 7 _ c6
Staff initials:

STATE OF NORTH CAROLINA
Department of Environmental and Natural Resources
•
127 Cardinal Drive Extension
Wilmington,North Carolina 28405
[phone]
FILE ACCESS RECORD
SECTION (aJ\ D ( C
TIME/DATE 1 .3 D — I / - ( 1 - 0-1
NAME �J , � VDU C @—
REPRESENTING �"
Guidelines for Access: The staff of Wilmington Regional Office is dedicated to making public records in
our custody readily available to the public for review and copying. We also have the responsibility to the
public to safeguard these records and to carry out our day-to-day program obligations. Please read
carefully the following guidelines signing the form:
1. Due to the large public demand for file access, we request that you call at least a day in
advance to schedule an appointment to review the files. Appointments will be scheduled
between 9:00am and 3:00pm. Viewing time ends at 4:45pm. Anyone arriving without an
appointment may view the files to the extent that time and staff supervision is available.
2. You must specify files you want to review by facility name. The number of files that you
may review at one time will be limited to five.
3. You may make copies of a file when the copier is not in use by the staff and if time permits.
Cost per copy is$.05 cents. Payment may be made by check, money order,or cash at the
reception desk.
4. FILES MUST BE KEPT IN ORDER YOU FOUND THEM. Files may not be taken from
the office. 'To remove,alter,deface, mutilate,or destroy material in one of these files is a
misdemeanor for which you can be fined up to$500.00. No briefcases, large totes,etc. are
permitted in the file review area.
5. In accordance with General Statue 25-3-512,a$25.00 processing fee will be charged and
collected for checks on which payment has been refused.
FACILITY NAME COUNTY
1. Gs [e09, 241b) a 7319 ,
2. 379l3, 3g9.-8 , 3 97755 3ti1.,( CO9
3. 3Q '57 tiZB�t�� ya39 4333b (fa)?
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4. D2 5 au-7 5a LI 79 5 .9 '3 'a ,
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1574 MONSTER BUCK ESTATES
SUPPLY NC 28462
910-755-6861
DATE a - 3- 65-
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