37861D - Greater

(CAMA/ ❑DREDGE & FILL
3,ENERAL 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 / /9O�
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 �"f/
���' ''l i2/- /,--i',:;,,,,,,,,,, fd%47 /�i 9 �G r jA -e/ El Rules attached.
it Name %t.�`ii-f ,,t a ,We S/ �( Project Location: County II/C GI,' /%i, ay/,
//g ALrLI/-,, ,�is y�li Street Address/State Road/Lot#(s) �Q 2' j G
y/��/ /�Dr ✓ Stateik' ZIP 2g//// /1f!-t✓SCAy /G'f
k('W') (v64, , 7( 4Fax#(_-- Subdivision TOtrSe h 7C1/"ih.1
ted Agent 6/19 /ter/�h City Wi/11,Yh ZIP o2
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❑CW C `W )xtrTA ❑ES ❑PTS Phone# ( t--..,_ River Basin ��.4
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑PWS: ❑FC: Adj.Wtr. Body WdY /( /
es no PNA es no Crit.Hab. yes / no Closest Maj.Wtr. Body fe�/ `/' -'©A,�
i
f Project/Activity ;r#') I v�/"G� `-4 7' '%- /S//%..} '/ll-e/"I7G/tlC0!-
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ember 1 r (� �� ,4f 02
id/Riprap length
g distance offshore t
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ax distance offshore 1 t _ .._- l �.. r..
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ibic yards j _ 1.
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use/Boatlift : .
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ne Length
not sure yes no l j
gs: not sure yes ® j
rrium: n/a yes C I _
Attached: yes rfd --:---
ling permit may be required by: /Pg (_ D . . See note on back regarding River Basin 1
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7-ewe/faxed, 7
_PPLIC.ANT NAT\ : G7. /brae( /' S
ADDITIONAL NAMES:
AEC DESIG: DEVELOP AREA: C % / PROJ DESC: e- lZ
(WM only take 6) (Will only take 1)
WORK: 6/ U
(Will only tale 4)
MALNT:
(will only take 4)
Imo: aw tigO
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
C.AMA MAJOR DEVEL REQUIRED:

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aPjaLMaNaGrivi-FArt
MaN4GEM '!
kni A pNT RIPARIAN PRCPFRTY O 'Tg liCITIECATIONZ ATM FORM
Name Of Individual Applying For Permit 6ed4fZ Itr#vc. r9'J Ate.erk.X1
Address Of Property: Zb 29 ,eA
(Lot or Street#, Street or Road, City & County)
I hereby certify that 1 own property adjacent to the above-referenced property. The individual
applying for this permit has described to rile 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,
*r
M agem t J Jiprth Cardinal eve Wiiminotnn Illeirth arfilittar2S405 or ca1i 9i 0 3cipr
3900 withr, 1 D days a rm{ rh' nt . No p�lrLP. 1'13�rid r the termeaig nn nhierticir
if ysmt ham. iv= nn/iSe.d C.artiftee Mail
WAN.ER„SECTION
I und. rand that a pie:, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of I5' from my area of riparian access unless waived by me. (If you
wisia to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
l I dart wish to waive the 15' setback requirement.

DIVISION OF C'OASZ',4L MAN4 r .ME .-r
/C)/Ctf
Name Of Individual Applying For Permit:
Address Of Property: Z
a�u/a-3,-, rr ,C
('I.•ot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referencedproperty.
applying for this permit has described to x ie as shown on the attached drawing The elopmen
they are proposing. A description or drawing, with dimensions, should be provided with thn
letter.
I have no objections to this proposal,
9 P * 17
1 ,
n
if you have harr nntifierthy re.rtjfted Mail
WAL TR SFfTION
I understand that a pier, dock, mooring pilings, breakwater, boat house lift or sandbags must be
set back a minimum distance of 15' from my area of '
wish to waive the setback, you rnttci appropriate initial the blank below.)
ess waived by me. (If you
I do wish to waive the 15' setback requirement.
I lit= wish to waive the 15' setback requirement.
1

A.1-..zratnear,..-miermann ""•1` -3-rFenncr2141 S rtIe rt hanIt i de rTh-fil;Itt Scr I, k for d• tart, women MAIA11,A.M •",•1,11‘r AREAM67i
5735
DELTA DOCK & BOAT LIFT
402 AQUARIUS DR. 910-686-9700
WILMINGTON, NC 28405
DATE z 66-30/53
365
PAY
TOORDER OF THE /Ve ef/C216' I $ / 1
t
C9 e,
DOLLAR S
FIRST CITIZENS 365
BANK rr4gIvNer2t4TZM C"P"Y
www.firstcitizens.com
FOR 6 u) rkt —1-611)0 3Tzto
POO 5735116 1:053 L003001:00353 L99 L 501.1116
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