Stillwater Investment Group LLC 77141C

�CAMA / El DREDGE & FILL NO 77141 A B D
GENERAL PERMIT Previous permit#
lew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality r
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Q:1D(R
c•� / / �, ules attached.
Applicant Name I 1 ( QO -Project Location: County (fi Gy6. n Address Street Address/ State Road/ Lot #(s) (13 %MV/ AJ Dt i &
City State ZIP��
Phone #�E-Mail Subdivision i1%5 1Hf
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES
AEC(s): ❑ OEA ElHHF ElIH ❑ UBA
❑ PWS:
/
ORW: yes / no PNA yes / no Type of Project/ Activity
Pier (dock) length ^�
Fixed Platform(s)
Floating Platform(s) /
Finger pier(s) r
Groin length
-nutnber
ulkhea/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other /
Shoreline Length J CJ
SAV: not sure yes no .. --
Moratorium: n/a yes no
Photos: yes - —no
Waiver Attached: yes n —
A building permit may be required by:
( Note Local Planning jurisdiction) Notes/ Special Conditions //I (A
M14
Agent or li t Printed Name
City /V Q4AJ A. n ZIP
PTS Phone # ( River Basin Ale&S
N/A Imo,, �, ~
Adj. Wtr. Body i C 06/ (nat %� /unkn)
Closest Maj. Wtr. Body —
Si n ture Please read compliance statement on back of permit
Application Fee(s) Check #
.-
WA
(Scale:
❑`J See note on back regarding River Basin rules.
on
Permit Officer's Printed Name
Signat e
'3/z/w — / 0� IZ4 2- a
Issui g Dat xpira ' n Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Stillwater Investment Group 's
(Name of Property Owner)
property located at 113 Shoreview Drive
(Address, Lot, Block, Road, etc.)
on Bri . Greek , in New Bern , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
V I have no objection to this proposal.
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
Installation of vinyl bulkhead at rear of property ,
Le L'�._.. IL le�G�k/�/V�
011) r 4,,,-
,- .
1
WAIVER SECTION
;�< \\K�
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, o
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you,wish to waive the setback, you must initial the appropriate blank below.)
V I do wish to waive the 15' setback requirement.
i do not wish to waive the 15' setback requirement.
(Proper Owne Information) . (Adjacent Property Owner Information))
,Signaturea
r;_'J. pre
Print or Type Nam Gr-�c,yp��c
2851 Trent Rd
Mailing Address
New Bern, NC 28562
City/State/Zip
952-638-8310
Telephone Number/email address
8-13-20
Date
*Valid for one calendar year after signature"
T
City/ a /Zip „ /�
°mil ��(V/(4 � 7
Tel phone Number/email address
Date
r, .'2
evised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Stillwater Investment Croup 's
(Name of Property Owner)
property located at 113 Shoreview Drive
(Address, Lot, Block, Road, etc.)
on Brice's Creek in New Bern N.C.
f (Waterbody) (City/Town and/or County)
The apant has described to me, as shown below, the development proposed at the above
locatio .
I have no objection to this proposal.
i have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
flndividual proposing development must fill in description below or attach a site drawing)
Installation or vinyl bulkhead at rear of property
WAIVER SECTION
i understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be s t back a minimum distance of 15' from my area of riparian access unless waived by
me. (If y wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement
1 do not wish to waive the 15' sediack.;:r-6Uuirement.
(Propert Owne Information) ,,
_1 f
�1 nature
t 6 ��f A, /���1�r�a4 J
Print or Type Name
2 51 Trent Rd /J
Mailing Address
New Bern, NC 28562
City/State/Zip
--252-638-831 n
Telephone Number / email address
8-13-2-n
Date
(Aojacept Ptyperty Owner Information)
s ature* 1 �S
Print o Type ame nSSoelAT io�
. L +Jw?j ' `F- ' V
Mailing Address r� j �1c / �p
City/ tegip
Telep one Numb -err /}-email address
Date * ` /-- —
'Valid for one calendar year after signature"
(Revised Aug. 2074)

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