43478_LALONDA, STEPHEN_20051026 (2)

_ L'=�Ai\ A / ❑ DREDGE & FILL NA ' 43478
GENERAL PERMIT Previous permit# —
I�ew LIModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued —
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of;en;viro7
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nmeat c ncern pursuant to I SA NCACAL__ ; s attached.
A licant Name _ Project Location: County- "
Address _ �t^ `// 7 f^W A"� I `" Street Address/ State Road/ Lot #(s)
City` _ State !'I`L ZIPI
0
Phone # on �%� Fax. ( _)_ Subdivision
Authorized Agent
Affected City�1 N ZIP�7
/ / f— a�
LAW mvq TA ❑ES ❑ PTS Phone # ( ) River Basin
�% — _--
AEC.(s): ElOEA ❑ HHF [IIH ❑ UBA ❑ N/A Adj. Wtr. Body " �1�� C-, � at man /un
❑ Pws: ❑ Fc:
� Closest Maj. Wtr. Body "' �✓
ORW: yes PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity X �J Tf e r c, l a
01,E a J �" / o .r�4ti ✓� (Scale:
Pier (dock) length_
Platform(s)
Finger pier(s) —
Groin length
number - - -� -
Bulkhead/ Riprap length r I
avg distance offshore
.......
max distance offshore
Basin, channel -
I
cubic yards
Boat ramp _
Boathouse/ Boatlift
Beach Bulldozing _ I
Other
i
Shoreline Length �`
'�
�'n
SAV: not sure yes
\ _ ,. _ .-
-�
- T'kC.
l'�r�u.✓H
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Sandbags: not sure yes
Moratorium: n/a yes
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Photos: yes no
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Waiver Attached: es no
A building permit may be required by:
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See note back regarding River Basin rules.
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Notes/ Special Conditions
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Agent or Applicant Printed Name
Permit Offic"er's Signature
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Signatu Please read compliance statement on back of permiy�,�; ;
Ido. Oo y`�
Application Fee(s) Check #
Issuing Date
J Expiration
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Oar{ (c L
Local Planningjurisdiction Rover File Name

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ORDER OF
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stephaf ,Calmde 53-7299/2113
sltzabeth stage
45 Ware ,01• DATE /�
NiARBLEHEAD SAVINGS BANK
u marblebank.com
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FROM :
FAX NO. :7816314585 Sep. 26 2005 06:50RM P1
Adjacent Riparian Property Owner Statemcut
Page I of I
Adjacent Riparian Property Owner Statement
(FOR A PIER/ OORING PIS.,INGS/BOATLIFT/BOATITOUSE)
I hereby certify that I ownn property adjacent
property located at _ f
Name of Property Owner
Lot, block, road, etc!" - - - —
Waterbody Town and/or county
0
He has described to me, as shown below, the development he is proposing at that location and I have
no objections to his proposal.
I do not wish; to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
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13 f
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Print or type name
Te ephone number
r
Date
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FROM :
FAX NO. :7916314585 Sep. 26 2005 06:50AM P1
Adjacent Riparian Property Owner Statement Page I of 1
Adjacent Riparian property Owner Statement
(FOR A PIERMOORING PIL NGS/BOA1'1, MBOATHOUSE)
I hereby certify that I own property adjacent to ]— 16Ox-1
Name of Property Owner
property located at + q A_A n c' -_ �D--- i_c� _T.
Lot, block; road, etc!
Von in � �` � C� .c ��, � NC
aterbody l'own and/or county
He has described to me, as shown below, the development he is proposing at that location and I have
no objections to his proposal.
I do not wish to waive the setback requirement,
I do wish to waive the setback requirempnt.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
Iphone number
l . �
Date
/o /26/b _
U.9-q_�

FROM T FAX NO. :7816314585 Sep. 26 2005 06:50AM P1
Adjacent Riparian Property Owner Statement Page I of I
Adjacent Riparian Property Owner Statement
(FOR A PIERIMOORING PIf,INGS/BOATLIFTIBOATH`OVSE)
C gU�1 �2
f hereby certify that I own property adjacent to �y1 �Lv/✓ s
Name o Property Ownei
Property located at �. (� v a
Lot, block -,-road, etc!
on ��' c5 c, t A —��, i11,----�- , NC
Waterbody
own andlor cannty
He has described to me, as shown below, the development he is proposing at that location and I have
no objections to his proposal.
I do not wish to waive the setback requirement,
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
Y �v/ V
4T u 7,L��
�s
rrint or type name
41enumber
6 �s S
Date
lltt[l-//tA/tJVC:r
OF (' P d-) �-)
s a) may,_ 7 6
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