38454D - Carolina

'❑CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
NNew - Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
❑Rules attached.
nt Name ea ro((00 rj'1 t r r Lv6 f f✓ Le 11 S/ vCfitirl Project Location: County /;, _( -i c /cam
s (,,cj 3 L' 9 6.eC<c A i)r i rC J IA) Street Address/State Road/Lot#(s) t /y
i-7 /V/C .5u C./i State A/C ZIP;:IFc/6,/ G rc J tree r4
#(' /0) 75 —7/0 o Fax#( ) Subdivision
ized Agent 52'0/ 605tnii-Ckrf-cr, City OGean IS k ben(I) ZIP 2S1/&
i ❑CW ❑EW El PTA ❑ES ❑PTS Phone# ( ) River Basin hurt'?
ur
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
III PWS: ❑FC: Adj.Wtr. Body Cc<roc( traT1
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body tr'/LUc cJ
of Project/Activity as»,s f r t(c74 buc 4 Via.tk et.14,/
(Scale: /'
ock)length /Ln X i
m(s) AO x — --J--__
pier(s) } i
ength —, - 1 I
G' 1'?G
umber t } j I
ad/Riprap length ,.tea _ 1•
ig distance offshore h...
lax distance offshore _ , a
�Y '
t- / ._.,,_.
hannel f I I
ibic yards 1 •
.mp IL
use/Boatlift ( ( { — !i
Bulldozing C -i 1 i i
—a
ne Length 5 E- lF?(
1 { — f o f tnt
not sure yes no - 1
gs: not sure yes (no {.... i.
arium: n/a yes (no f J.... 1
yes no -- — ----! : T }
Attached: yes no — —
ling permit may be required by:"7ozy-r7 c,4 dce0i7 b Ic 3c:e c.h _ n See note on back regarding River Basin

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Carat eta 131 ve lJUtt. ('emu" r fun
ADDITIONAL NAMES:
AEC DESIG: DEVELOP AREA: .G ( PROJ DES C: ` - fZ
(Will only take 6) ———
(Willonlytake 1)
WORK: Pia 4, i6
(Will only take 4)
MALT:
(Will only take 4)
LNIP: Ow ?
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: /o/s/o5< /5/o5-
C_AMA MAJOR DEVEL REQUIRED: /o�s/oy //S-A -

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 74/#// ,1//4u47T/ (,yll e/76
Address of Property: h 3�� 4' Doe ST
(Lot or Street#, Street or Road)
&',iA
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The individi
applying for this permit has described to me as shown on the attached drawing the development tl
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 Coas
!Vianagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
[ understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
;et bck a minimum distance of 15' from my area of riparian access- unless waived by me.
'ou 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.
5Igt4me ' Date
;7 _ i/ / AmA

DIVISION OF COASTAL MANAGEMENT
ADTAC NT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: _ ! ru/,i?,'1 VeeQ/6r 6/1 ,074t
Address of Property: / I 514 S ' 4,1
(Lot or Street#, Street or Road)
4 7- 8
(City and County)
[ hereby certify that I own property adjacent to the above-referenced.property. The individt
applying for this permit has described to me as shown on the attached drawing the development th
ire proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
V
[f you have objections to what is being proposed, please write the Division of Coasi
Ianagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-391
within 10 days of receipt of this notice. No response is considered the same as no objection
rou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
et bck a minimum distance of 15' from my area of riparian access-unless waived by me. 1
'on wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I dp not wish to waive the 15' setback requirement.
3,20-
n n WmQ'1
Vetn !1 11 \'n nt At. !^ AWA

CAROLI NA BLUEWATER CONSTRUCTION
::4 1 hh. Custom Beach, Mainland, and Golf Course Homes
Complete Design / Engineering / Building
6934-9 Beach Dr. SW, Ocean Isle Beach, North Carolina 28469(910) 575-7100
Canal
• Dock••
15'-0" 15'-0"
a
• 3
I Concrete Bulkhead I
50.0'
/ 30'Setback Line
Open /
Deck //Covered Deck f
Lot 35,8 Dare St. Lot 33,4 Dare St.
Carol Springs i.,, Patrick Lewis
402 Hogans Valley Way N 4319 County Lane
Cary,NC 27513 o •c Charlotte,NC 28270
Po/
House
—— 7 re// ———
/Cove
7'-0" --f- Deck

17tl/174/117i74 17:7L7 71177 f 1DOLD I11..A,,M1.7 Co wr-4r\1.1 i 1 ,.,1. v.
i
andy 0.Ward,a Professional Lind 5uncyor,certify that the "Cif'Map
**of Preueioare' I 1 40,000+ and that this map meets the minimum
a1ort 9v in North CaeWru. I F ..
Q 9
ii
n gaji day of 2034.
4444 ,p.L.5. L-3494 two Sena
rthe 'qd t?ae is in pascal of land.
,0 r r No Scale
1
Based on Brunswick County Flood insurance Map
375357 0003 C.d ited Afrit 2, 1991,the parcel
appears to be located in flood Zone VE El 17.
n~
"' For additional t+e hne and reference see MC hi,PG.
ki
r X — Spot Elev.
Iron Pipe pd. ii Revised July 29. 2004,to show pile location.
Q x
N
g — 35
Mpg NailNail Set
iev. — 5.93'
(NGVO 1929) 7.a Iron Pipe Pd.
N 69'5603'E 1 N 69.5603'E 115.00
1 •
ZS.Op �ron Pipe Pd. 105.21'
In
nistini....___
i F4 V =
g I „ `° Pour 1 v
►vcat+on a
26,S' ..
�� 24.s' rii
sq c
1 _
105.17' •
In tsar Fd, a 5 69'5T24'W 115.00' Iron Pipe fel.
7.O z
N
� 33
w
`!
N....r
•Iron Pipe rel.

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. •i t e '
item 4 if Restricted Delivery is desired. t 0,
1 0 Agent
• Print your name and address on the reverse X , 0 Addressee
so that we can return the card to you. B. Received by(Pri ed Nam C ate of Delivery
■ Attach this card to the back of the mailpiece, _
or on the front if space permits.
D. Is delivery address different from item 1. 0 s
1. Article Addressed to: ter delivery address below: 0 No
Cc rod Sc v\I S Ur- 1.
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qua anS \ialle,,.f+ 1 ��
f ' 1 C> t_7 3. S4
fali ail 0 Express Mail
Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Numbrfrom 7002 0860 0005 3202 6289
(Transfer from service label)
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540
•
'ostal Service U.S. Postal Service
IFIED MAIL RECEIPT ru CERTIFIED MAIL RECEIPT
estic Mail Only; No Insurance Coverage Provided) L.11 (Domestic Mail Only: No Insurance Coverage Provided)
.a
ru
(" N 43 _. o C U E Hi l - :.•.
Posta e $ SO.37 ul Postage $ $0.60
0470
g 2,34i--- 0470 p
06 D Certified Fee IBM 06
Certified Fee O
1.75 Postmark Postmark
rn Receipt Fee Return Receipt FeeMal Here
merit Required) _-_ Here (Endorsement Required)
tft,fttt ..-0 maiiiim
d DeliveryFee Restricted Delivery Fee
merit Reuired) . ? 0E/31/2004 D (Endorsement Required) 08/31/2004
)stage&Fees $ ru
Total Postage&Fees
O
D Sent To
N
._...._._.. Street Apt.No.;
pt No.; or PO Box No.
re,Z/Pr 4 � '�. ..... City,State,ZIP*4
3800,April 2002 See Reverse for Instructions PS Form 3800,April 2002 See Reverse for Instructions
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X Y�/ F Y • 0 Agent
• Print your name and address on the reverse /I�uTG�?l 'L'� 0 Addressee'
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits. l.•d- I • •-S
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No

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SOUTH BRUNSWICK STATION _
OCEAN ISLE BEACH, North Carolina O -z
284695501 ! CDm m
3613950470-0096 _ '' w m
08/31/2004 [phone] 10:35:33 AM ti a r ��
i S A R7 /
Sales Receipt J3 A '
Product Sale Unit Final Nk,;N
Description Oty Price Price ,. - © r .c
CARP NC 27513 $0.37 ru o '. Q
First-Class , un a
Return Receipt (Green Card) $1.75 �, w _ A N
Certified $2.30 ti
Label Serial #: 70020860000532026289 i
L/
Issue PVI: $4.421 6+'
-_ _
CHARLOTTE NC 28270 $0.60 Ln
First-Class ■
Return Receipt'(Green Card) $1.75 F.
Certified $2.30 ( ru
Label Serial #: 70020860000532026562
•
Issue PVI: $4.65 O
O
--- '., ru
Total : $9.07 ru t...
.-
Paid by: O
Personal Check $8.84 -aCash $0.23 - G
a
m
Bill#: 1000401054928
Clerk: 06 G
— All sales final on stamps and postage. —
Refunds for guaranteed services only. _ �1
Thank you for your business. •
Customer Copy — C
j v69.
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