38944D - Ellerbe

]CAMA/ Ill DREDGE & FILL
3EN ERAL PERMIT Previous permit#
"iNew —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 ISA NCAC 7 0-,
L j El Rules attached.
t Name / f/T ii r, , Pl el/2e Project Location: County pc.-' (`'7
ii• jn,1 72bi & Ai 415 144 y Street Address/State Road/Lot#(s) //S .d/G4 cf
i/ei,h StateA ZIP 27t /r 6u/i dfy, AC ��21NY
('"f�9) g f— 6 Fax#( ) Subdivision s,I 42' !
ed Agent PWI9 -rn, City „ urlL c 'r ZIP 2 CCP
ii Cw $EW jit.PTA ❑ES ❑PTS Phone# ( ) River Basin (i`
OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body „..it ei ,...of (nat /r
❑ PWS: ❑FC:
yes / no PNA yes / no Crht.Hab. yes / no Closest Maj.Wtr. Body &AA, ��in 4e/
'Project/Activity 4111,E row 6aS-1A ran #ze OS C/GS//`Mf „AQ.Ef Z,747c
ift
(Scale:
ck)length _
i(s) ilit 7 -r 1-
-1-
() to net t I f e I I-24.1ier s — i ;
ngth I ., /� b j x At
1 i l
mbar I t}.........I .. i �-- i
i/Riprap length O 06_ -4 i
O
distance offshore
x distance offshore 1 - ....l.._. _i— 4 . - t ( ...... �. ....__
cannel I I 1I ��
sic yards ....j ' � — I i-
-i-.......... ... _ t ------ - __..... .l c --- -
oatli /36Y� I
s I.:.
I
; : , -I -1----- 7 --1--r---1-101.-
1 i l
ulldozing j I (
T
! I i Is I r 4
I `
ill
e Length 5� _
not sure yes d �' 6T�l'j" QC ! r' i 1 7,7
i
5: not sure yes I 24
/ I _ I -1 f f f 1.
cum: n a yes -
4
__...
! : E 1
\ttached: yes no
rig permit may be required by: wr714.":711/ . I I See note on back regarding River Basin rt

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 4 1 / i/4/(i'fx
ADDITIONAL NA.NES:
AEC DESIG: DEVELOP AREA: , 00 3 PROJ DESC: . - /2
. cwaic.ry tale 6) (WM only take 1)
WORT~: ,&' /3 r /3
(WtM only take 4)
M A NI:
(WM only take 4)
11\ED: pryl �q
(w113 only take 6)
ACTION EXPIRATION
DREDGE&FEL REQUIRED:
CAMA MAJOR DE EL REQUIRED:

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Ma..)%5-1/4"ka, . _i .thke_.-
3
Address of Property: 1 ( 5 Pj,a, (yi
(Lot or Street#, Street or Road)
C 14C Pin -C CO _
(City
and un tY) I
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 thi
are proposing. A description or drawing, with dimensions, should be provided with this letter.
'O 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 1
set bck a minimum distance of 15' from my area of riparian access-unless waived by me. (
you wiev
h 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.
� ( �; (j ./,uso ) la��- 03
Sign Name Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 1.-Ilack key
Address of Property: I 16 bh
(Lot or Street#, Street or Road)
S)c'c ci t Qe Cout-4cA
(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.
it sm shy' c ► rrm i t t ilk et (Tale- ot* I 0 . =ac
I have no objections to this proposal. -la -et'h
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 I
set bck a minimum distance of 15' from my area of riparian access- unless waived by me. (
you wish to waive the setback, you must initial the appropriate blank below.)
fete I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
• Yhi(-/-Li
Sign Na 4141 Date
A I_ n 1 1 . 1 _ AAA

Security r hu 4.1 ros rut. i;er ;irk t*5-‘f Wes,A -..,;-Trlit.727,71.-744,1,
21f.
LIGHTHOUSE MARINE CONSTRUCTION
P.O.BOX 2532 910-328-4852
SURF CITY,NC 28445
66-
DATE
DOLLARS 6
inkof America
.4":0:00•74
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v002i51y 1:053000L961: 00065L3L13671;7'(-6/
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