55825D - Dove

'CAMA / DREDGE & FILL
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GENERAL PERMIT
Previous permit #
k' ew '❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources �l %2,aG
Coastal Resources Commission 15A NCAC
in an area of environmental concern pursuant
to
.nt Name t49Nli}/ :AVV
❑4 ales attached.
Project Location: County i3ePu�S4��C,(�
s ,2a ' O (/ /"i G L h �Q ✓ e
Street Address/ State Road/ Lot #(s) Le fi
'
?C L T State /Y C ZIP 2- Y 9912
# (2& -7 V -42 Fax # ( )
Subdivision
ized Agent 4 9/2lo- /V'
City 14 014 1- &- IVC* ZIP
d ❑ Cw RrEW ❑Pe ❑ eS7" ❑ PTS
Phone # ( ) River Basin L 4 CIO
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body (Yl9N AL o Al6v Al (nale
El PWS: El FC:
�yW
yes l�oa`>� -- PNA yes / o Crit.Hab. yes / no
Closest Maj. Wtr. Body
A Project/ Activity V e—) )Pk, i/A / e
(Scale: / -
lock) length /Z �y ,&�ss_ lelji► f �C j�
- — --- — — —
length
camber
gad/ Riprap length_
vg distance offshore
iax distance offshore
channel
ubic yards_
imp
)use/ Boatlift
Bulldozing
ne Length
not sure yes'
cgs: not sure yes
)rium: n/a yes 1 p
yes
• Attached: yes 12
ling permit may be required by: l pCPer' S010,C4
See note on back regarding River Basin

,Top

CERTIFIED lNI_=UL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL ?YLk AGEMENT
ADJACENT RIP ARLkr PROPERTY ONV-NER STATEyIENT
Name of Property Owner:
Address of Property: �69 i ! aZ 117 Dr ✓ e— t'l a den & cA &6LJ—&fe
(Lot or Street #, Street or Road, City & County)
r
Applicant's phone 9: � t�D� 21k Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this pe
has desc 'bed to me as shown on the attached drawing the development they are proposing. A description of dray
with dim sions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DC
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response i.
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, boathouse, or lift must be set back a minimum distant
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
appropriat# blank below.)
do wish to waive the 15' set back requirement.
)Q4 I do not wish to waive the 15' set back requirement.
(Pro Owner formation)
SiQ ture
(Riparian Property Owner Information)
Signature
Print or Type Name
,f/0 ilAellAf
Print or Type Name

CERTIFIED MAIL —RETURN RECEIPT REQUESTED
DIVISION OF COASTAL tiLLrAGEMErT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner:
Address of Property:
0
Dr" v e 1-16 ldw
(Lot or Street 9, Street or Road, City & County)
Applicant's phone #: �V � � 3 z-q-Y/ Mailing Address: a 0 16 e—'�l0,r ,
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this pe
has described to me as shown on the attached drawing the development they are proposing. A description of draw
with dimensions, must be provided with this letter.
`ttc-(�
I have no objections to this proposal. 442, I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DC
in writing within 10 days of receipt of thL notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response i;
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, boathouse, or lift must be set back a minimum distanc
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.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owner Information)
Signature
Print or Type Name
(Riparian Property Qwner Information)
Stature
!1LAl4 C. �31�15S0,0
Print or Type Name
i<1 �I"1L2�?uti1�o�t, �JzccL�
X/Nd;no AricirPcc Mailing Address

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JOUPPAB 'ASMIPOR

jplicant:'��Vd, Pdv Q
ate:
Permit #:
!scribe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
Lind in your Habitat code sheet.
bitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated fii
disturbance.
Excludes any
restoration an(
temp impact
amount)
O w
Dredge ❑ Fill ❑ Both ❑ Other
�,
6
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

JOSEPH V. MILLIGAN 66-7143/2Ml 5451
LARA R. MILLIGAN
NCDL 4319111 4299734,.m
P.O. BOX 131, HWY.130 PH. 754 9345 DqT
y� ASH, NC H- 6
28420
PAY TO
S TH ORDE OF
�r w
t DOLLARS �i �
SECURITY
SAVINGS RANK
Shallotte, NC 28459
MEMO �
1: 2S31? L4301: OG 2000??S 2111 S45 L