39898D - Willard

CAMA / ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
Alew iModification (Complete Reissue CPartial Reissue Date previous permit issued
•rized by the State of North Carolina,Department of Environment and Natural Resources /�O
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
,/f,, El Rules attached.
t Namev�� / '',i 1,�4.7 47,//lAr� Project Location: County 4/6 is, /`/7 *I/v4
2 O 2 N. C4,7w/rr/ Street Address/State Road/Lot#(s)
V y2f51:,1 i £ State NC ZIP2ory&4 2...d2 4/ C .7 at/ D, •
(9�D) / • 7/6 f Fax#( ) Subdivision
zed Agent '------_ City A/,^,9 414//i &4 ZIP 2$1
I ❑CW Pr6A ElES ❑PTS Phone# ( ) 37.4*+} .• River Basin C.e%
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body .gel%l c ,, � at
❑ PWS: ❑FC: f
yes�� PNA yes Crit.Hab. yes / no Closest Maj.Wtr. Body C��'rnv�//�' SO •
f Project/Activity •L r •,s74// /7! 4'7 ,7 Lye•7.* ,. •�kj f '
LL7. A-Haw gyp/.mac 7io., o// 7 *1�/'��r<.,,'e'77'7odi (Scale://V
)ck)length WC - f/i� s /
n(s) 06 _,.i,,���1
)ier(s) / SE ali4 /56st) C -
:ngth / r
ember j P 1 Pi/{A_ ! '. //
z-,',lie' /
ad/Riprap length o' (//elalt.°Ir , f
,g distance offshore
ax distance offshore la _
ete/ neekv
:hannel CI.//i Ili + ex t'5 //h/_ f,.0f
e4riaibic yards ►3X afj,,,,;
mp
us atli /3 X/3 �1/ / ii-49-6)t--
3ulldozing •
re'#)���-�-�'
/ ..
le Length -9-7. 2 lk
not sure yes
gs: not sure yes 11' t
S/a d/
•
rium: n/a yes �I id. .a _ I
yes c
nl / / f L
Attached: yes (r i- 9e7 41• e7-.44.1€ .t^_ .
ling permit may be required by: 4 •/ e;:rl4/ . . I I See note on back regarding River Basin I
./, / -1 u ,— 1 ./ , - .1+:, 1

GENERAL PERMIT COMPUTER FORM 3'7' ,5'
PLICANT NAME: V "
)DITIONAL NAMES:
;C DESIG: p T / EGV DEVELOP AREA: (9.fZ 3 PROJ DESC - /2
II only take 6) (Will only take 1)
g L. 13 r 13
11 only take 4)
dINT:
11 only take 4)
[P: Ow
II only take 6)
ACTION EXPIRATION
ZEDGE& FILL REQUIRED:
kMA MAJOR DEVEL REQUIRED:

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
/
lame of Individual Applying For Permit: Zni . Ma KT i 1 k ,l/4 p�
\ddress of ,Property: A I
P � � � /Vr1r /Lr � GcCt ViviPl r� �Q
(Lot or Street #, Street or Road)
(i0 (IA' 4'6114 ee-k c C1 tit C
(City and Coux1ty)
hereby certify that I own property adjacent to the above-referenced property. The individua
ipplying for this permit has described to me as shown on the attached drawing the development the;
ire 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 Coasta
vlanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3901
vithin 10 days of receipt of this notice. No response is considered the same as no objection i
'on have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings,breakwater,boat house or boat lift must be se
ick a minimum distance of 15' from my area of riparian access - unless waived by me. (If yoi
vish 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.
i N Date
/ i r /

10 i4 'i
11/4/i 'Exrsf:,3
EXi's�iw' Fte..�i- I a�MP F- - /2 /6"X /s /���mr. ��r)if��°'
><1 `r
y ---- I32 6/' —
s
s ReMeva. Pae+ Ladd aoa+l;��
J of •P10A4
V ��

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
\Tame of Individual Applying For Permit: W, M Q r ,t• �!'//A rI
kddress of Property: 2 2 A c.'/ A C L a m t �e I or A✓Q
(Lot or Street #, Street or Road)
•
ll 3� “ C
(City and'oun
tY)
hereby certify that I own property adjacent to the above-referenced property. The individua
ipplying for this permit has described to me as shown on the attached drawing the development the;
,re 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 Coasta
'Ianagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3901
vithin 10 days of receipt of this notice. No response is considered the same as no objection i
-ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must be se
Ick a minimum distance of 15' from my area of riparian access- unless waived by me. (If yoi
vish 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.
T - - 27f
ign N me
Date

+"0lf do c
t t.9t1 °8 riot/y t4"d -tnawat R
s
•• ,
c ,,,A, ,...J G.�`f V/d / S! X„9i �1 —' , d`""b F I `t"o 14 ;�;,s,'X g •
tt v
t,.,ys.,(3, h 9 Ir
„ ,, 01
,__
aiv �,}s;X3 0

Autwww u _ uate
Pay to the /�
Order of A/
C D f_ / 9 k I $ J oO,oo
C/✓t e A vw.Gt(j jt-ardf/oe, Dollars LI F:«"t
BANKRAINKOFNVILMINGTOW Sy CLASSIC CHECKING
Wilmington,NC 28405
For PerrK i=t 6/.3 fer9 '' Ai'eX. 0.0_,
i:0 S 3 L L 2 20 41:00000 3 3 2 7 40 34 LB
• ,