54031D - Dunn

'LAMA / -' DREDGE & FILL
3ENERAL PERMIT Previous permit#
�Nevv El Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
irized by the State of North Carolina, Department of Environment and Natural Resources ,,//
Zoastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �r/. /2O G
5?Kules attached.
it Name 4Z&AK P4 r nJ
✓f// �lAcA State,`-' ZIP2-74eQ
k( Io5.2 OV41 Fax#( )
ted Agent
❑ CW 14EW GiPTA ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
es PNA e I n C 't H b /
Project Location: County & w )S c✓, C t
Street Address/ State Road/ Lot #(s) 2 7S / ;�) y P,
Subdivision
City VeK"wem toafa zip .2 �yH
Phone # ( ) River Basin L w v
Adj. Wtr. Body ck�oy�1 /�o��i �� L et Pat
Closest Maj. Wtr. Body f3 w
y �/ o r� .. a . yes no !�
f Project/ Activity Z0'd /PLC A4 2-2a c71 S7,,• , 0 6l , v,Olf , P2
(Scale: /
ock) length
n(s) Cx i
)ier(s)
�ngth
tuber
d/ Riprap length
g distance offshore
ax distance offshore
hannel
bic yards
np
ise/ Boatlift
ulldozing
>fL�� 20 xZ
f
e Length lay y / L
not sure yes c
s: not sure yes C0--,
ium: n/a yes tf�l
yes Csa,
kttached: yes ca,
ng permit maybe required by: fflf4nSG+//C,E' L146 4s.v 2/. ❑ See note on back regarding River Basin n

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to J;j4djk DyA1r 's
(Name of Property Owner)
property located at 17Q %i re,� 12k..7 > 1 ,
(Lot, Block, Road, etc.)
on �Oc-kwooj Col/V in N.C.
(Waterbot y) (Town and/or County)
Applicant's phone #: [phone] Mailing Address: 7SZ
lric l��s.:.1/e Zk.ZW Vo
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 understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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.))
V I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
--------------------------------------------------------
(Information for Property Owner Applying
for Permit)
(Riparian Property Owner Information
Xx
Mailing Address
n

5 i Rive,,, l2u •� `�l''.
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ANPA 3mo
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e- -t.h' " /;,%� L--
CERTIFIED MAIL -RETURN RECEIPT REQUESTED
DIVISION OF COASTAL TNIANAGENIENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner; ra„>k �17�.+.+ i4'j-� n >( &✓q h) r-J j%
Address of Proper,): Dr. 1 l(� t / �u
(Lot or Street #, Street or Road, City & County)
Applicant's phone 4: 91a .So -0,441 Mailing Address: p, A.x_
I
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 descriptign of draw
with dimensions,, must be provided with tliis letter,
- I have no objections to this proposal. ye-IfA 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, INC 28405-3845. DCM representatives can also be contacted at (910) 796-72135. No response is
considered the same as no objection if you have been notified b Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring piling;, 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, Q is 1.
�Pdo h to waive the 15' set back requirement.c�
/ �11'_A
(trope ty Ow er I rmation)
Signature
L1tQ..a as
Print or Type Name
i % J mc-T r`` cf 6- v ef% E!4-
Mailing Address
- (Rip ian Prop" Owner fuformation)
Signs ure
Print or Type Name �c�
Mailing Address
%z w r+ -I r% rA,. I

P 0 Box T)Z ylu-j.,M-v— =YL `CWX
Wrightsville Beach, NC 28480
$ ago
�y to the
order of c: , J� / Dollars
r j'>l/.-I C—
Foldl
WACHOVIA
060 Wachovia Bank, N.A. �
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For G? �`" --
i'0531016261:10101654952??I's 6015