52582D - Gore

;AMA / J DREDGE & FILL J. .I 52
EN E_ RAL PERMIT Previous permit# S 0;/,y-
lew --Modification i Complete Reissue 'iPartial Reissue Date previous permit issued o!09A
ed by the State of North Carolina,Department of Environment and Natural Resources
3stal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7N, /'2 s attached.
'4ame . i ' L L.C 6-6.'L Project Location: County RR,u ' c,y is k
236 , s e //), ,,,� , ,,,,,, el Street Address/State Road/Lot#(s) Sf9/724
e',,, ZSLo goo c A State 4 G ZIP 2 i Y
9/0) 5 2.5'-265b, Fax#( ) Subdivision
:Agent City- ZIP_ /
E CW ❑EW PTA ❑ES ❑PTS Phone# ( ) River Basin t c✓^, b'
❑OEA ❑HHF ❑IH JJ UBA ❑N/A Adj.Wtr. Body '/ nat ms
❑ PWS: ❑FC: /S�/L✓L✓
es I�1 PNA yes / no Crit.Hab. yes / no
Closest Maj.Wtr. Body
Project/Activity P . y,9I e _Pixel_ tbaC/e/Cda4r ell G/9 Z lac
(Scale:/ j
()length l q t/ X b I /ZRiry i /6,x f
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fiber (
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distance offshore0 r i I
c distance offshore_ 1
annel
is yards
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fie/Boatlift I , _
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Length /.�S i I -- - 4 - — l _ +
not sure yes 69i r -.
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s: not sure yes i:a,iI) -...._ I — — _...-_ -
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ium: n/a yes rt4.II--- f —
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4ttached: yes :.'' i 1 i �I t
ng permit may be required by: t/CeA✓ -rSLP 0P x h See note on back regarding River Basin r
Special Conditions 5/,Ct/C 1Z 4C "i...51-__21. CA,Ca o,9c ti ,.. /o Y0'fp Age( `/jn 'pe' l SSisk d

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:PEL I CAN BOOKSTORE FAX NO. :910 579 3455 • Apr. 09 2EC9 10:45AM P1
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1 1760-1013 C,HANDLERS LANE
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,_,.. . • / 0,4•,pr„vv.,../- . SUNSET BEACH, NC.; 33188
910 579 8770
910 579 3455
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r ACSIMILE TII.ANSMITTAL SHEE'T
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To: • nom:
De.I,..)b i e a) ri s
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COMPANY: DATE- - 1±
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FAX NUNDE-Itz TOTAL NO.OF PAGES 1140.,UDING CO'7EE:
-3 cit•-ti • 3 . • .
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PHONE NUMBER.: SOMA'S REPERENC.E NUMBER:
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RE! YOUR REFERE NCB
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(1 URGENT D FOR REVIEW El PLEASE COMMENT D PLEASE REPLY D PLEASE R.EC7/CLE
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:PELICAN BOOKSTORE FAX NO. :910 579 3455 Ppr. 09 2009 10:45AM P3
9/2039.-ThU " 1 ; 10 AM HCLS&M FAX No, P 1C2
:PEL I CAN BUUKSTORE F of NCI. :910 579 3455 Apr. 09 Ma9 09:52AM P3
ptvISIDi QF CQI,5TAL►` i lytEk('r
.NQ NT BAN PROEM .?�B... 07TFILATION/WAIY.22,fOL,M
Marne of Individual Applying For?t rtnit: I 1 S„_.
Address of Property:w
(Y,ot or Street te,Strett tYrr Rood)
. (City and County) 801.4„.„1"444).1;64
I hereby certify that I own property adjacent,to the tibove-rcferenced property. The individual
appiyiris for phis permit has described tome as shown on the attached drawing the development they
pre proposing. A dr, criptiari or drawing, with dimensions, should be provided with this tettr:r.
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1• '' . I have no objections to this proposal.
If you have objections to what is being proposei1, please write the Division of Coastal
Management, 127:Cardinal Drive Extension, Wilmington,,NC 21405 or call 910•-796-7Z.15
within .10 days of receipt of this notice. No response is considered the same as no.objection it
you have been notified by Certified Mail,
WAIVER SECTION
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I nutIerstand that a pier,clack, mooring pilings,break-water,ixoa.thouse or bon!lift must tIe!et
bet:,a miniuiui i distance of 15' from my Area of riparian nrcONS -unless waivers by nac. (If you
wish to waive thc,sctbsek,you must Initial the appropriate blank below.) -
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I do wish to waive the 15' setback rctluireraent,
l fiir,not wish to waive the 15' setback req►Ilre:nlnttt.
Name: Date

-06-2009 MON 02:35 PM COOPERATIVE BANK #08 FAX NO. 910 653 3527 P, 01
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