40436D - Popkin

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CAMA / DREDGE &FILL C Q
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NIERAL PERMIT Previous permit #
w Modification L Complete Reissue Partial Reissue Date previous permit issued
rized 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 -7 / l?�
❑ Rules attached.
t Name L << Ay/i Project Location: County���Gy li�,pr/•
Street Address/ State Road/Lot #(s)
I�'PAle &4 State_W ZIP ►'A
Fax # ( ) sQM.r Subdivision �-
:ed Agent r.�,�"X 41 City !•1i �•i� ��a� ZIP
❑ CW Q EW [i • A iio Sl ❑ PTS Phone # (- ) � "/ River Basin
OEA ElHHF C IH UBA C N/A Adj. Wtr. Body SZ"-5-" (nat M
PWS: CJ FC:
yes / PNA yes / 4V Crit. Hab. yes / no Closest Maj. Wtr. Body
Project/ Activity
1x 'iii` Z
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i'iSf�'la�r o✓
li j7 r6rCt (Scale:
ck) length X
>/ .
'(s)
ier(s)
ngth
mber
Fit
d/ Riprap lendistance
�1G
offshore
v
x distance offshor
cannel
sic yards
np
�s o
`
ullci/ing
•x�y
e Length
not sure yes
s: not sure yes
ium: n/a yes
L4 ?�/S 7111 C
yes
\ttached: yes
13 Gee
rig permit may be required
by: (/�/. /,7CL%��
_' See note on back regarding River Basin n

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applying for permit /Ay . ' 6&A')
Address of propertypl3
d 1,. , A4g)oJy✓1X B&t," N1
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 they are proposing. A description or drawing, with
dimensions should be provided with this letter of notification.
Please initial below if you have no objections
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, N. C. 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 understand that a pier, dock, mooring pilings, breakwater,boat
, 00a;
sandbags must be set back a minimum of 15' from my area gjripanan acceo
unless waived by me.(lf you wish to waive the setback, you rrt initit the
appropriate blank below.) :Ao '-
1 DO wish to waive the 15' setback requirement.70
I DO NOT wish to waive the 15' setback requirement p
T
7
■
Signature & Date h
Print Name

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applying for permit Zlgn" A�,Yi'�
Address of property 4CF %3 &XAJ' 0A 0a l!% 31r�ill �L�lzrt /UL
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 they are proposing. A description or drawing, with
dimensions should be provided with this letter of notification.
Please initial below if you have no objections /Yom
/ I have no objections to this proposal.N�
If yo have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, N. C. 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 understand that a pier, dock, mooring pilings, breakwater boznpd!an
xjej"r
sandbags must be set back a minimum of 15' from my are-Cof ' s
unless waived by me.(If you wish to waive the setback, youj iye in*1
appropriate blank below.) y<�G
�(
I DO wish to waive the 15' setback requirement. y202
�O
I DO NOT wish to waive the 15' setback requirement. 0.
2-Z4D� Signature & Date
Wig WI,�lc �(Z Print Name

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME:
ADDITIONAL NAMES:LZ
-'�ynr�
AEC DESIG:, DEVELOP AREA: PROJ DESC:
(Will only take 6) (Will only take 1)
WORK: IPA- 6,1 S/
(Will only take 4) 141
MAINT: _
(Will only take 4)
HAP: vli S3 7-
(will only take 6)
Si3 r2Ll
DREDGE & FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED:
5
ACTION EXPIRATION

DATE! ) g_ OS -
TO TER OF D
D� PAY �2
O
✓k era �
--DOLLARS 8
RBC
Century
� RBC Cernura Bank
Wrightsville Beach, NC 28480
FOR �� �V�—1��-�J>AUy3S /j
118000 3 L 4 4 2ul i:0 5 3 I,008 501:0 2 7 200 580 'in
- - - - - _��
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