39773D - Freeman

'1Y..
iscAMA I DREDGE & FILL
3ENERAL{� PERMIT Previous permit#
(New Modification Complete Reissue -Partial Rei ue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC //O12CT6)
❑Rules attached.
t Name r • 7. /7 . „ ,,. , , Project Location: County 0Pc r, -,,:,,i< ii C A--
?'2 5f ✓;I G i t n I Yoo S Street Address/State Road/Lot#(s) /,3
600(7 , State NC ZIP Z$(,On/ 1:), f/ ' t-i P.. tJoc4 I
(Si ) 2LS/ /7-87-- Fax# ( ) Subdivision
zed Agent `7!r a ey FQ-c.ry-, G/ City (:)Gcl r7/a`G 3c c/. ZIP-z,e5-�lc
I ❑CW PW $PTA DES ElPTS Phone# ( ) River Basin/41:0ir)/,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body /¢/Gc,JGc_.) (nat
❑PWS: ❑FC:
yes / no PNA yes /Q Crit.Hab. yes / no Closest Maj.Wtr. Body_ A7 f 64_)4‹�
f Project/Activity L.G-,7 5 ? fe--,4 /e-'L / f ., ' C7 4•
(Scale: /fi-z-
)ck)length /0 X 6 -_ _ i
n(s) / X b. , . ,.. , j
�
-1
)ier(s) ! I — i ,- I
ngth 7C...
1�- I to 1
/ `
imber .-
ad/Riprap length �i.^'____
,g distance offshore I i
ax distance offshore i 41" �� { --t. -}-.
:hannel [ A 7
.i, L i
1 !
ibic yards &11.0! !%ti
rtl S
mp I l
;
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use/Boatlift y,i.i . 1
-1----
-
3ulldozing
1
1
ne Length .0/ i-—
not sure yes 'no . .—_.__.;
L.-
1
gs: not sure yes no r i.
l/ :
rrum: n/a yes no I .do ' '
yes i ✓
Attached: yes no _
i
ling permit may be required by: °G«t-•-) 6 l-e- 5C4G-4 I See note on back regarding River Basin

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: crr trn r-✓re Pvt4 64
ADDITIONAL NAMES:
AEC DESIG: 7'T DEVELOP AREA: G / PROJ DESC: / -/2.
Will only take 6) ---- (Will only take I)
WORK: PR_ 70 J Lo GZ 4
;Will only take 4)
F/ /6
MAINT:
;Will only take 4)
[MP: DL<J) /ZP
;will only take 6)
f
ACTION EXPIRATION
DREDGE&FILL REQUIRED: /'c2-4S/oi‘ 3//5-- /62_5-
CAMA MAJOR DEVEL REQUIRED: /2//S" /0V 3//S /D_5—

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DTVJS.TON OF rr sTAT,_MANA(,FMFN7
ADSP.CENT RIPARIAN PROnERTY QiYM,Y. NOTIFICATION/WAI J- p FO2M
Name Of Individual Applying For Petmit :
Address Of Property: -)A6r ai,97-k.042)
f 356 ? 4 / - atti<JA
- --(Lot or Street #T---Street or Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
I have no objections to this proposal .
opoi
Tf von have ohj erti ons to what is being _Drop_osAd, please writ the
nivi si on of Coastal Manag-ment' Drive 122 Cardinal Rxte
nsioz,
Wilmington, North Carolina, 29/109 or call 910 ";q,--Rguu within 10
days of rereint of this notice Nn respnnse is considered the same
as no objerti on if von have been notified by Ce?-t i f; ed Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house or boat lift must be set back a minimum distance of 15 ' from
try area of riparian access - unless waived by me. (If you wish to
waive the setback, you must initial the appropriate blank below. )
/I/
1 do wish to waive the 15 ' setback requirement .
���, I do not wish to waive the 15 ' setback
5 setback requirement.
I
rS Name -

IP
STEVEN T. FARMER NCDL 5716744 5453
ROBIN G. FARMER NCDL 4103077
PH.910-754-2725 .i
897 MIDDLE DAM RD.,SW date 42—/. -‘,./ 62 112LM1
531
SHALLOTTE, NC 28470 , jir 1
TAyy-25,D,u;siovt.. Ji.r.
as(6 vca, ) 1 $ i ID —
ich,V_ hbc,ovpt --} IY./7
BB&T ACCESS
B
BRANCH BANKING AND TRUST COMPANY
ALLO E,N t.CA,yLINA
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1:oi3L0iLdo. 5LL9032 ? 5453
7003 0500 0000 8894 2330
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