36935D - King

CAMA / J DREDGE & FILL
3ENERAL PERMIT Previous permit# --
Mew -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 I 5A NCAC 7 4 'I Z. 0 O
UN 310 RV (4, N tk v`1�0i attached.
Name Project Location: County
1 1 8 S AN TA Mi'f1124 f Street Address/State Road/Lot#(s)
4 tk,NA IfJC roti StateAl L ZIP I fli I 1 It 8 Sn (AM- A---AV
( ) q q 3-(f U? Fax#( ) Subdivision
BdAgent is (iC4L S_ City WueV\ ZIP �r`(c
❑cw SEW '�fIPTA E ES ❑PTS Phone# ,
/v �" ( j River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 1,7kieve5 cse- KC.- 420
❑ PWS: ❑FC:
PN no Crit.Hab. yes / no Closest Maj.Wtr. Body pp l ti so uN
,te- COProject/Activity Q.VA 5 4-V✓(JFw-i,- et- h U t ! /, .
(Scale: A.17
k)length
Is) "------ I- r f
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Igth ` `
fiber l. ) y 1 `T/' 4G
/Riprap length \
distance offshore \
:distance offshore � JJ
innel (
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� x32
is yards
a 0
P Boatlift (3/ /
© if 0
Ildozing_ j
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Length
not sure yes no i 1 I i 1 i
not sure yes no /..
im: n/a yes no L L, i00 K/d26 (/ : I
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yes no t l-- 1
tached: yes no i I ; I_ I
g permit may be required by: t J . See note on back regarding River Basin ru
. . _ I — I'7n1-,

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: L U/f'3f O' I7 C((,�
ADDITIONAL NAMES: SI*/ CZe
►EC DESIG: &Gv( P fl DEVELOP AREA D ° ( 'PROJ DESC: P - %Z_
Will only take 6) -- (Will only take 1)
r
VORK: 6(, 15 (3
Will only take 4) 1
TAINT:
Vill only take 4)
vIP: d W t/(a q i
rill only take 6)
ACTION EXPIRATION
REDGE&FILL REQUIRED: 3 -3 0 ( (90 --Jo -O '
AMA MAJOR DEVEL REQUIRED: 3 - 3U - g 3 -O y

Pages Creek
12 Ft.
S < > 32 ft.
par tan A
tback A > Ripar
Setba
> a a /^\�Deck Ramp Floating Dock -n
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Designed B : Edgewater Marine Construction,Address: P.O. Box 365
Wilmington, NC 28402
a Telephone: [phone]
a Fax: [phone]
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75 ft.

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DIVISION OF_GOLSTAI,MANAGF 'N7
Name Of Individual Applying For Permit: I,._(-- /dSrD R. E'er WC'-; r
Address Of Property:
�\.}e-., lAQ' '4 fkti ^u�
L.j( j n.. �� .r\ c_�...5 an c,.rc_J�
(Lot or Street 0. Street or Road, City & County) ,I hereby terrify that I own property adjacent to the above-referenced property.
The ittdiv
applying for this permit has described to"me as shown on the attached draw eial
ent
they are proposing. A description or drawing, with dimensions. should be provided With
this
letter. P pvith this
X _ I have no objections to this proposal.
iflliehave.shjccLir2ns_tt2 I
af-,C'-llstra1
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ified by rAtrfifiP4Litiall
'AUllOILIIIMI
111111111111101.mmumiamilimmesmommmanow fininaMli
WAIWit SECTION
I understand that a pier, dock, mooring pilings, breakwater Sei back a � F , bast house, Lift or sandbags tut be
distance o. I5' from my area of riparian access unless waived b
wish to waive the setback, you muss initial the Y me. It you
�'Pr'oPriaut bank below.)
I do wish to waive the 15' setback requirement.
I &Lint wish to waive the 15' setback requirement.
Uri?cJC101 t t kt'
Signature Date Atiali
0'11 c,t-+ aC-; L L K i At G
Print Name hileanCII

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- REMITTANCE ADVICE
_.,. .�.W... _
:WATER MARINE CONSTRUCTION, L.L.C. t.4MA WI' •,for rrK�
P,O.BOX 365 L, ) f
WILMINGTON,NC 28402 v
PHONE:[phone]
oo�
d.n1 4�wr,r,Gl l I 4A"t a/ too DOLLARS • An
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II'0066L711' I:053LO1L2LI: 52LLB6479811'
'R""°F""•��••-•�w�*•^••+SECURITY FEATURES:MICRO PRINT BORDERS-COLORED BRICK PATTERN•WATERMARK ON REVERSE SIDE-MISSING FEATURE INDICATES A COPY.�•W -•.••.._.••........