61580D - Honeycutt

CAMA / ❑ DREDGE & FILL nI
hiENERAL PERMIT !�6 Previous permit# --
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources ``!!
Dastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �% /'i ` f Z. U G%
� F-1 Rules attached.
Name I fI t Wf 4 C�i/ j' Project Location: County 11 S�D 4t/ -
uo
i L, t /,- / ar X", 6r— State tJ i ZIP
fO) 3 :7 _. 'y=-, Fax # ( )
A Agent e'er
❑ CW 0 EW [,D PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑, IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
Street Address/ State Road/ Lot #(s)
&/< 3�& .7
Subdivision
City r4 6-L7,A- ZIP i
Phone # ( ) River Basin
Adj. Wtr. Body 77, c ra s.ai (nat d
res /�� PNA yes /, no, Crit.Hab. yes /, no Closest Maj. Wtr. Bodyy �G l ),]JD
Project/ Activity (� 5 i tZv 1)V Lt
7_ re �" ) (Scale:
k) length
igth
nber
I/ Riprap length
distance offshore
K distance offshore
annel
,ic yards
ip
.e/ Boatlift 13 X 7 3
illdozing
Length + l S+t ❑T
not sure yes n
not sure yes
iurn: n/a yes
yes n
\ttached: no�O
ig permit may be required by: �1n5� m1j UVc (4 ❑ See note on back regarding River Basin

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13,4/1- i9®�i'.
a�;er

-"Onnn
P-'Oper
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zo YOU aj U ar,
adjace-rat Tiparian properry owner to the individual or
-Ppi icarior! procedures require that applicants provide the Division
Coasta: Management coin-5mmarion that, a wriaen sramment has been obtained' signed by :he adJacenz ripamp propent. I own
7 iica� property owners �,P ' —
ind-I , ing -.Iha: -hey h.ave no obiemior. zo dry pro -posed work gj that the adiacenr riparian prope owner have been no
Flail oF'-zhe proposed work. Often these forms are submitted to the adjacent riparian properry owners by is
or 0-ther '-fd:viduals ac,finq as an aurhonzed agent on behalf of the appiicanT.
-�Mduai or company desilagnated by the applicant as art
Z ril S 0 M 1" 2 S C� 13 0 0 U.
r
.
13 Ina following In"I
autbc--;Zef azen':: .1109.
N
S:zia-ure
mit:a r
�.L :)r Street Scree: or Road)
and %-OUT,r%
proper- adiacen r no he above -referenced propem. The individual applying for this pert
_cvn on e artac ed drawir, a the de,.elopme �t -, ey r h are p escriorion or dra%vil
PIC-, z S e roposing. A d-
%Vi[h ij is ierrer.
i bay.- no oblections Eo rhi-s proposal.
to. ":;hax is being proposed.. please -wme the Division of Coastal :-!Ianagernent, 1.
2z i" or aH 9 10-796-72, 15 within IG days ofreceipt of this notic
(7 LC C 0
0, jaS a CC; n -4 derec LI the sarme as no objection if i ou have been notified by Certified Maii.
WAIIV.C�R S—r-70N,
dloci,L mooring PWIIOS. boat house Gjr boat lift must_ beset back
In'orn rmv a rea c 4' riparian access - unlessaived wb-V e is h Po Me. (TI -,U W WaiVe t'
9
M'usr mfia-nw, ropriate blank belo',
�l the a-p- - j
'i ri'^' "-Ac7;-' - . ..' In
11�e 3e`,aG.1- 7eqLlaremem.
zeTback- requirement.

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