39037D - Crouch

II CAMA/ ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
New .__'Modification 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 7//,/2-Gz
❑Rules attached.
it Name ;.-:r1 i L x-�/c, ,) t_ r;. - r- ' Project Location: County
�►5? fir:c o.Jci y / 6, 0 VC Street Address/State Road/Lot#(s) / of 77
`,r /f/?C rr r) / State ,, /C. ZIP :< V/4f C /d .iv/tr;ic' ,/fr at
( ) Fax#( ) Subdivision
:ed Agent f?C(/r,/C Jr.ei/rr<; City (5reon /5/C Fe''f: ZIP `4
❑CW W %PTA ❑ES ❑PTS Phone# ( ) River Basin L tires)
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body 4-/4.4-_,c.4_.) _(nat ji
❑PWS: ❑FC:
yes / (io PNA yes /e Crit.Hab. yes / no Closest Maj.Wtr. Body y -)W
f Project/Activity i?-tA c 74" tl e i' •I %,o
(Scale: /
ick)length /6 V it- , ._._ ,
n(s) 8 x 20 + ,, - i Y� ❑ — - -
i
� I
�ier(s) i I E
ngth -I-- ,
}
imber
P P lei.ngth - t
id/Ri ra len h � �
distance offshore � * _._1
ax distance offshore } T .._.... i I _I.._�; _-
hannel
T I_-- t
ibic yards 1 T
rnp
ise/Boatliftt i ['ll
lulldozing i : I . I,, t'1 1. 1
—*—. j
f J! V I
vl
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r-r- V vi
( -,C
le Length i.,U 0 /+l i in iii —
frcArl-ii4 , , ,
not sure yes r i + T
.... }
gs: not sure yes ® f �...._
ti
rium: n/a yes 74t4,Yc 42 rL�
1 1
itAttached: yes O / �L! . i I ,
r/ /
ing permit may be required by: /I !j 6G Eci c/ . n See note on back regarding River Basin i
. . r

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: enuc -
ADDITIONAL NAMES:
AEC DESIG: �A r DEVELOP AREA:__a. / PROJ DESC: /' -
(Will only take 6) (Will only take 1)
WORK: Pam' /3,41
(Will only take 4)
T� 8/20
MAINT:
(Will only take 4)
•
IMP: U LJ ! o
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: V3'//Gi4 /2//°%I
CAMA MAJOR DEVEL REQUIRED: Of A) /,2///O`�

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Jain i e Rye Grouch
Address of Property: bD+ I !SI a v\ tr 12 tcoat J (,t.O SWr4 C3tV(�
(Lot or Street , Street or Road)
0 \,\< Dct n Is(.t P a th , eru,Y,ctdick,.
`� (City and County)
I 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
are proposing. A description or drawing, with dimensions, should be provided with this letter.
V I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coasi
Management, 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
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be 5
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If yi
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.

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete A. Signature
item 4 if Restricted Delivery i de it 0 Agent
• Print your name and addres o X b� �y v� . ! Addressee
so that we can return the ca to u. /,� B. Received b'Printed Name) C rpte of Delivery
• Attach this card to the back of th �
or on the front if space permits. •
D. Is delivery address different from item 1? • Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
[olDkie/We-'"nC - 7
f 1 I / / �'/�� 3 ce Type
v ^ Certified Mail El Express Mail
El Registered ❑ Return Receipt for Merchandise
El Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Number 7002 0860 0005 3201 4279
(Transfer from service label)
PS Form 381 1,August 2001 Domestic Return Receipt 102595-02-M-1540
IT' U.S. Postal Service
N CERTIFIED MAIL RECEIPT
ru (Domestic Mail Only; No Insurance Coverage Provided)
a
0
m 0 BlititeMCo C15 I A L. U S
`n Postage $ $0.37
$2.30 0470
0 o 46
Certified Fee $1,75
Postmark
o Rahim Recelnt Fee .,�

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: J&h 1& eJt �u.an
J
Address of Property: L,0.f11 7 IS1a.vtdtr ILt tC4P , vta OId Sockld 61V,
(Lot or Street #, Street or Road)
0Cuth I sly 13 -o 73►/ w) -
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development till
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 Coast
Management, 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
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 s
bck a minimum distance of 15' from my area of riparian access-unless waived by me. My(
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 require e• .

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also comp r A. Signature
item 4 if Restricted Delivery is e Y X ; (e._ ❑Agent
II Print your name and addres v�r��/' El Addressee
so that we can return the ca t ou (/Y B. Received by(Printed Name) C. Date of Delivery
• Attach His card to the back o h iece, ,/�
or on the front if space permits. IAiS'' 1'c c"le 9//Z
D. Is delivery address different from item 1? ElYes
1. Article Addressed to:
If YES,enter delivery address below: El No
Fru r,k Ro Fe
5-vc1 E. Lci,uchvvood or
L0,1x,inbu,9 nC a835a 3. SS vice Type
Certified Mail ❑ Express Mail
Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Number
(rransferfromservicel 7002 0860 0005 3201, 4262
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540

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Assessor Ownership, Location, and Tax Information
The below information represents all pertinent assessor data based A
upon the parcel number that you selected. ?"1/4"
0 Ownership & Location Information
.0 Tax Information
MaplAssess,Info. 1k "
Property Card
Parcel Report
Ownership & Location Information
Current Owner: CROUCH JANIE RYAN
Mailing Address: 2529 PINEWAY DRIVE
BURLINGTON NC 27215
Parcel#: 257GG014 33 ' - s �(-4— 615 a
Legal Description: L-77 ISLANDER RESORT PLAT 25/32
Physical Address:
Deed Book/Page: 1519/ 1091
Neighborhood: 6006/O.I.BEACH
#of Lots: 1.00
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Tax Information
Current Fair Market Value: 252,000
r - Current
I Assessed Balance Paid
hnr Tvinn I!nil. 1/nIi in flrininnl My u,i+h in+nrnc+ rl +n flwnnr

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le I e-services I real property With mapping) vehicles-registered cars' comparable sales I property cards
a are here : homepage >e-services>real property search>real property search results>assessor info
Assessor Ownership, Location, and Tax Information
The below information represents all pertinent assessor data based
upon the parcel number that you selected.
(ii Ownership & Location Information
.43 Tax Information
Map/Assess.Info.
Property Card
Parcel Report
Ownership & Location Information
Current Owner: KENNEDY MICHAEL B ET BEVERLY B
Mailing Address: 610 NEWBERN CT
BURLINGTON NC 27215
Parcel #: 257GG015
Legal Description: L-78 ISLANDER RESORT PLAT 25/32
Physical Address:
Deed Book/Page: 1733/0268
Neighborhood: 6006/ O.I.BEACH
#of Lots: 1.00
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Tax Information
Current Fair Market Value: 252,000
r- Current
Assessed Balance Paid
..... T....:.... I I..i• \/�I. n /'1rir.in�1 Tw uri+h in4eroc♦ (luinnr

ices Page
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a ...;3
e-services I real property with mapping vehicles-registered carsI comparable sales I property cards
are here : homepage >e-services>real property search>real property search results>assessor info
Assessor Ownership, Location, and Tax Information
The below information represents all pertinent assessor data based
upon the parcel number that you selected.
O Ownership & Location Information
Tax Information
Map/Assess Info.
Property Card
Parcel Report
Ownership & Location Information
Current Owner: RO FE FRANK ETALS
Mailing Address: 509�LAUCHWOOD DRIVE
LAURINBURG NC 2835t-
Parcel #: 257GG013
Legal Description: L-76 ISLANDER RESORT PLAT 25/32
Physical Address:
Deed Book/Page: 1782 1 1382
Neighborhood: 6006/O.I.BEACH
#of Lots: 1.00
back to top
Tax Information
Current Fair Market Value: 252,000
Current
Assessed Balance Paid
T....:.... 11..:� Ib-dem.. llrii.iranl Twv ui41-i in4eroc4 Iln4o rluinnr

OCEAN ISLE BEACH, NC 28469 67-7235/2532
[phone] 8/27/2004
O
NCDENR $ **300.00
7,1
id red and 00/100***********,r***,r***,r,t*******,t***,r***,t,t,r*,t*******,+,t**********,t***********,r*********** DOLLARS
3DENR
ilmington, NC 28412 8 •
•
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AUTHORIZE.4 NATURE
>ck Permits. cif 3 T"7/:Q, _3_96_3 D
II'00407011' I: 253 27 235Si: L 2Sa0037 L311'
IILDERS, INC.
4070
ENR 8/27/2004
and Permits CAMA Permit for 8x20 Dock 100.00
and Permits CAMA Permit for 8x20 dock 100.00
and Permits CAMA Permit for 8x20 dock 100.00
aoCI E
145 via DO_ SvUrN
O-f 1 I s la.1d-4 (ZL rrk
3 Dock Permits 300.00