59118D - Smith

CAMA / . , DREDGE & FILL l�a�
GENERAL PERMIT Previous permit # V
New ►- ,Modification . Complete Reissue ❑ Partial Reissue Date previous permit issued
HAM by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
NJ Rules attar ed.
nt Name Project Location: County LIV
s Street Address/ State Road/ Lot #(s)
State ZIP
Fax # (_ ) Subdivisi n p
ized Agent City :���% �� P �' DZI
A CW EW w PTA —ES PTS Phone # ( ) rRiver Basin AA V
OEA HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body
PWS: -1 FC:
yes / no PNA yes / io Crit.Hab. yes / no Closest Maj. Wtr. Body
of Project/ Activity
(Scale:, 11 _
lock)length
pier(s)
length
camber
.ad/ Riprap length
tvg distance offshore
nax distance offshore --
channel
:ubic yards
amp
ouse/ Boadift
Bulldozing
ine Length U�
not sure yes /nod
ags: not sure yes Qr
orium: n/a yes no
s: yes) no
r Attached: yes no
ding permit may be required by:y�' `�V V �� (tom 1/\ ❑ See note on back regarding River Basin
h INUNA 1 K i A 1 '-, . � I e �1 .,,1 r,,.. , . j ,

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CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL M.A-NAGEMENT
ADJACENT RIPARUN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Jc� w l� oN Sm Tr/ 's
(Name of Property Owner)
property located at, ,z� ! 5 ,3�Nk S / .0 G- Sr .
(Lot, Block, Road, etc.)
on LcCewoo FCxc r ,rrmot` , in 26"a/ ✓/ t9 , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 7ay -538 - 7oriv Mailing Address: /Do INPe sso
HelShe has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
-----------------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPINIENT:
(Individual proposing development must fill in description below or attach a site drawing)
i.�-'ST"Rt c. �¢0�/T/u�✓�9 �- /?/.� h'J�/3 TG cY�t�c�� EX i JTiti4
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC
DCM representatives can also be contacted at [phone],
No response is considered the same as no obiection if you have been notified by Certified Mail
(Property Owner Infor ti?n) (Riparian Property Owner Information)
L1. ) I b( V�6& ---
Signature Signature
e4f"/-) Cjo�La��
Print or Type Na lie Print or Type NaMe
Mailin&_Address• Mailing Address
y0 `
City / State / Zip City / State / Zip

de items 1, 2, and 3. Also complete
f Restricted Delivery is desired.
ur name and address on the reverse
we can return the card to you.
this card to the back of the maiipiece,
ie front If space permits.
ddressed to'.
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a � 17�
le k/
1,79366
A. Signatu re
� 11 � q 4 i /
❑Agent
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ft d�drassee
✓�il
8 R elved by (Prtn m4t,-ml
Date of Detiv
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p. is delivery address dffteren
O Yes
If YES, enter delivery address below:
O No
3 Service Type
ertified Mail O Express Mail
Registered O Return Receipt for Merchandise
❑ Insured Mail O C.O.D.
4, Restricted Delivery? (Extra Fee) ❑ Yes
lumber
from service !abet 7 010 1060 0001 5 913 3 715
3811, February 2004 Domestic Return Receipt 102595-024A-IW
UNITED STA'9tii` C,ii" 2 w Paid
4C-.*�*tjxya Axmai Permit No, G-10
4
• Sender. Please print your name, address, nd ZIP+ n his ox •
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11►1lllifit 111111111111111111111

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S83'35.05"
£ ERB
32.33 S8J72'2a"�
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' LOT 13
/ LOT 14 /
LOT 15
/ SEC TION
I/ iDA BRYANT
I FUL WOOD HEIRS
SUBDIVISION
/ MAP CABINET W. PACE 189
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PR9YOSEC BULKHEAD f
a ^ LO"�110N APPROVED
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01/29/10
BANK
PRQPOSED
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FLOA71NC 0424 RIPARIAN
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