36890D - Braxton

•CAMA/ DREDGE & FILL - c
;E N E RAL 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 iN .12 O O
��Gk� n ❑Rules attached.
:Name L r,'''' 7 Project Location: County O tow
I z t 6 C ra j-ro t t( 1)q;r Ro( - Street Address/State Road/Lot#(s)
nkare( Nil( State WC ZIP G?S/6 i 0 2 6 i s+ S4
(41161)167 412('I Fax#( ) Subdivision
?.dAgent pc,ire(( Erny City sor� C ;•1 f3Lf
ZIP
t❑CW W ;E ❑TA ❑ES PTS Phone# (91 O ) 14 72 3 River Basin Cafe j
❑OEA ❑HHF ❑IH LI UBA J N/A Adj.Wtr. Body ►'1 q' .4'1-Q A( C G's-I ' (nat /JI
ElPWS: ❑FC: 4-1
� w IA/
t�
,es n) no PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body
Project/Activity A)ck.A/ (6 eel-F f f Ad i a c er, F 40 a x,s - r K c Gin c k 4 e X,.s--1 i
bo q'(' ra AI 1 . (Scaler. 2
k)length
s) C ANIAL ,
:r(s) i ' t — I :
gth r 1 __1 ._
,ber Ntti 12,5 X/�1Z•s f
I Riprap length Q a.f
distance offshore E0.0;rf
:distance offshore
r r
wind (2 X Z 4 ,G e`
c yards It]
P
lar i 2 5'42-5'
Ildozing
/ rl_.
Length Y SS # 1(')z-te) 1 Sf -CI"
not sure yes 0011 d gek
not sure yes q b
im: n/a yes 6
ye no PL
Cached: es no — _ .__i_____
g permit may be required by: T wn O Sv rF ( '4 y . Li See note on back regarding River Basin rul

• � 3C
- GENERAL PERMIT COMP-DER FORM
•,PPi.TC"-?N 1 NA.NE:
D=VyOP°�=-�— -1L PROJ DESC: / - Ii'
=C D SIC•: (Will only taiz.i)
(Will only:ak.:o)
cci•' z =)
•
1vLkfl i:
(Sv ui c:iy
�: OW 159,Vh
(xM only 5)
• ACTION MAroN
DR"D • FILL R:QUIR=:
CANA MAJOR DrVL.REQL `7:

•
ADJACENT PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to L.#1 Qt-R £RI`}X r" s
(Nam Of Property owner)
property located at /0a
(Lot, Block, Road, etc.) /�
on 711S/}- 'C J"5/ram , in 54i r r ( ��� ,N.C.
They have described to me as shown below, the development they are proposing at that
location, and , I have no objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED
DEVELOPMENT
(To be filled in by individual proposing development)
011 jivt, ri
7- to mil (fie- -rft54A-e-' 13-46-°`59 "7?ja-
Dock
� ( r ( •
Mr Mt k7r —4h \� li,rs .
• l/ Aititic,— Gifi1
bignature of Adjacent Owner
K r c S 14)4L.k eit
'Do ��v� S 4tv -t- Print or Type Name

ADJACENT PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 14i ix& ifhl X v 's
(Name Of Property owner)
property located at /Oa 6 ./.`r-s-1 SI
(Lot, Block, Road, etc.)
on -lop nn $ it i -r5/0 , inS41 I- r ( '�1 ,N.C.
They have described to me as shown below, the development they are proposing at that
location, and , I have no objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED
DEVELOPMENT
(To be filled in by individual proposing development)
T wai a, t
,,,,t5 .,6, ie, ex.4"51 4(124
n 1w-Pr 5`04 7 n' DeGf
t
1 4
7- 1 I I I I 3 I Ing
14 ( .
Pir WtR )frek� h1tS . Si,r,'Ck/wNf
L ) -JiZelfa k
Signature of Adjacent Owner
KA-r;-ne 5, D, Slv'rS / lc
Print or Type Name

•
NIMOZZEMEmsQ]Serari ty enhanced document. See back +for de fails.Nl --.—
IHOUSE MARINE CONSTRUCTION 2041 •
P.O. BOX 2532 910-328-4852
SURF CITY,NC 28445 f
3 .. 3 ._ ore;[ 66-19/530
DATE 702NC
- D �'41/2 , $ 55'd?
(�` / l�i1�cy 00 /O& O�tL A R S 8 Er-L—
i
3b25'o AP
204111' I:053000 L961: 0006 513 L L36711'