38974D - May

CAMA/ ❑DREDGE & FILL 1
;ENERAL PERMIT Previous permit#
INew lilModification LComplete 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 15A NCAC . -
El Rules attached.
:Name 77c: , • /"% I7i! Project Location: County J ii,>5,-U,C. k..
(-• / % ' ; ). )/ e Street Address/State Road/Lot#(s) „75-02
: i ,.s State VC, ZIP a; '/(,. L--e. 574 ya c.A f )r's e
( ) Fax#( ) Subdivision
edAgent / 7e", /Cci") /Sl (; , y/>Gsrc/ City �, /G /5/1 Pic/ ZIP xeim,3
E CW ❑EW ❑PTA E ES ❑PTS Phone# ( ) River Basin Ll r/+-,
OEA ❑HHF 0 IH E UBA ❑N/A Adj.Wtr. Body /9-744>l c, (nat Cf
❑ PWS: EFC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body /`i1Gv)Gc�
Project/Activity /n.s/i-f-C Cede.)4 I-./'
(Scale:/ =L
:k)length 98 'eiv i 5 erg
(s) /Z x/!v e.0 i 5{7. + — r /0447-rt _� �. +
er(s) 1 l
igth I -} i 1
nber /;
+ /b
I/Riprap length — T l— Ili rt i - __ i _
;distance offshore /
x distance offshore -� ..1 ....... — /3+ ... ���- — ......
cannel T •
..... ....._._
nc yards_
j
1p
se/Boatlift /a x/ ; I 4a } ' i
( C... ..........." } ti,
JI
illdozing i ! __ I I }
I i
I i 4 li
a Length 6 0 i 4.. f
I.
r —
not sure yes I no ` I L ___ + t '
. �11` I ; ! I • r I
not sure yes j no 1
i d :
'um: n/a yes no
yes no, i__ 1- - t e,c-, c
T}
attached: yes rn ; I I ' L J(,u rd/'/Le_ , i L- 1 ,
ig permit may be required by: • /.Sll riC-Z . n See note on back regarding River Basin rn

GENERAL PERMIT COMPUTER FORM
.
APPLICANT NAME:
O O'
ADDITIONAL NAMES:
AEC DESIG: Jai DEVELOP AREA: . C)L PROJ DESC: P -
(Will only take 6) ——— (Will only take 1)
WORK: r52
(Will only take 4)
MAINT:
(Will only take 4)
IMP: Uw
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: • 2/• O` - • Z / -
•
CAMA MAJOR DEVEL REQUIRED: 6 •Z/' 6111 9. 2-1• o 1-
t

.� . . . American Fish Company
P.O. Box 11046 dr/, 1!
Southport, North Carolina 28461 /
4.7; e ,
/l l^W e /

_ r •
4)
DEVIJI9N.OF COASTAL MANAGEMENT
ADJACENT RIPAR.tCI SPROPERTY QW7`IER NOTIFICATION/WAITER FORM
Name of•Individual Applying For Permit; ./l/".1( 0/A.address of Property:
of or Str et , Str e or Road)
(City and 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 the'v
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 Coastal
Vianagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
You have been notified by Certified Mail.
•
WAIVER SECTION
understand that a pier, dock, mooring'pilings, breakwater, boat house or boat lift must be set
>ck a minimum distance of 15' from my area ofriparian access - unless waived by me. (If yo/
vish to waive the setback, you must initial the appropriate blank below.) 5ezrit/ fr
I do wish:to:waive the 15' setback requirement,
I do not wish"to waive the 15' setback requirement.
:Crll 1.311)e Date T' 9
•

DIVII9N.oF COASTAL MANAGEMENT .
ADJACENT RIPARr1CI 'PRQP RT OWNER_NOTIFICA\TI_ONAVAIVZR FORM
Name of•lndividual Applying For Permit: . f
�dcress off"ro.perty:0,2,5 ,2V(Lot or Sir - t . • oad)
(, -
and County)
I hereby certify that 1 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 the'-
are proposing. A description or drawing, with dimensions, should be provided with this letter.
1------ I have no objections to this proposal.
if you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice, No response is considered the same as no objection if
you have been notified by Certified Mail,
WAIVER SECTION
I uuderstand that a pier, dock, mooringpilings, breakwater, boat house or boat lift must be set
)ck a minimum distance of 15' from my area of riparian access - unless waived by rne. (If'you
vish to waive the setback, you must initial the appropriate blank below,)Atzt/ir
I do wish,to:waive the 15' setback requirement.
// I do not wisfi"to waive the 15' setback requirement.
,d—e-f„,..-- 74/ — 174-e,r,
I;cm Name /1( Date
AA

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-- �re c u r r l ry e n M a n c r d d o.i i t 5 r r b a c k J o d e t I. IJ s.. '+ °'�' g r ' '"' \! ,r\(.
ti 73710/;\\:'
�; �\THE AMERICAN FISH co. .`; -,\,,`;j` i`�� ,s::- •,,; r�/l`. i\r
`: CHARLES H. OR KAREN• Z. PERRY ` ,\,r ��` \� i, \/ • .\i., /`/0/„;,/\ ,\,r
`�`,:,\f\P O. BOX 11046,WEST BAY ST. \r,)\;,,\ i 2 /`• /, ., l�' " '/`,,\f`80- 63i\l \
c / ��l\. `SOUTHPORT,NC 28461 DATE r 1 G '�%�
/C.A/R I $ /Qo. CO
`TLt,- a/!'L''d �-ia /O� '� DOLLARS 8 a-4=-- 4`
T CITIZENS 453 1
7'\
KFirst-Citizens Bank 6 Trust Company p }
Southport,N.C.28461
www.firstcitizens.com
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PR 1
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