36818D - Collins

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CAMA/ '. ]DREDGE & FILL
1ENERAL 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 7/1 /am
❑Rules attached.
Name //7 X u f i r) L`6///.w Project Location: County f t.(i 1,5te.)iC A-
/ to,4r- i!!te c 7` Street Address/State Road/ Lot#(s) ii-o20
,-4-•57/70"7'7 State I,jL ZIP 770 24 '4u' `1 3-ty.cc w
( ) Fax# ( ) Subdivision
.dAgent -5,ll IEG.:,',,..:_ City /'I 5 3cuc / ZIP
❑CW YEW $ PTA _ES PTS Phone# ( ) River Basin L t(fv 14
❑OEA rl HHF ❑IH UBA 7 N/A
Adj.Wtr. Body e7„ ' ' (.-r�'c 4.- (On
❑PWS: ❑FC:
ies /.mo PNA yes 01'6 Crit.Hab. yes / no Closest Maj.Wtr. Body yu
Project/Activity Cc , ,StYu ct iei t I I6,c ti , " !)oc4- ( IGC€meft7")
(Scale: ( ')_2
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ar(s) 11 I
igth l' L ' ' \J - - - r
fiber _.._
/Riprap length r }-
distance offshore f �` ' �' 5 C F
c distance offshore "'
innel
is yards
p __ 9' r
e/Boatlift
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not sure yes no) /'-4 •/, 7) C..
: not sure yes ;no ,,)rr
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Jm: n/a yes no
yes
[cached: yes no —_c—�
TC
g permit may be required by: -AXfl G/ 51 c r)SC r1 VCa c-- I See note on back regarding River Basin ru

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: /7
ADDITIONAL NAMES:
AEC DESIG: r 1 DEVELOP AREA:_ .� ( PROJ DESC: h -
(Will only take 6) (Will only take 1)
WORK: AR
(Will only take 4)
f L'
MAINT:
(Will only take 4)
IMP: CA ) •
(will only take 6)
ACTION EXPIRATION
s `la ( 1 '/ c-I
DREDGE&FILL REQUIRED:
5/i 3 o q. $l,a/o
CAMA MAJOR DEVEL REQUIRED:

1
11a Z4 2004 09::i5P^^ -7
FAY NO. 91©�'9's3CF �'
/3/4.4 4)pfc 9 //D -;, '7 c - ',;t964,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to, .1-X j'M/ (�'et,•',, .---_'5
// ,� (Name of Property Owner)
property!rued at _
. / (Lot, Block, Road, etc.)
an L14/lig E re ..., in _it.+d f%i __.r 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. I understand that a pier/uncovered boat lift
must be set lack a minimum distance of fifteen feet(15') from my area of riparian access unless
waived b.y
. I do pot wish to waive the setback requirement.
I s4 wish to waive that setback requirement.
DESC ON ANI)/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing davwtvpment)
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.1
1NILLIAM J.J.hRASPA ">
DONNA M. RAgPA� 12 ' 5425
[phone]•yR . , -_ai
708 OYSTER BAY DRIVE .;, �''' //��//�� AO
i 9 SUNSET.BEACH, NC`28468 Date/e/ y A •e,y
a Pay to / )
~• \ /
the order of 1��4� r os`l
E 1 $`/0e /�
1 _° c Dollars e
BRANCH BANKING AND TRUST COMPANY `' 5 '`^7�+'rs
8FQ CALABASH,NORTH CAROUNA •
,�,.1'---•....-
For 3a I U 3170 Zetjez..:1L., ._,6_______-‘r':053LOLL2L1: 52L8l38L38u1 542 --" -