52501D - Heath

CANIA / !j DREDGE & FILL
IENERAL PERMIT Previous permit#
New K Modification Complete Reissue —'Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC kj. I IC
❑Rules attached.
Name `I Il;•,q S, Project Location: County 0 2
3n Q.zyi4t_ ` ,,,..c Q,k Street Address/State Road/Lot#(s)
,c,+4.6s,.) VSJ-L l' State Statot3 L ZIP 2 P t( ti S i
(oq\D)Z`}t •3-VA-1- Fax#( ) Subdivision
,d Agent 4 City5 ,� ,F. ZIP 6.27 1-1;
❑CW EW 'J PTA ❑ES r I PTS Phone# (av:) 2°1 ,.3H4 L River Basin
❑OEA ❑HHF IH UBA 1 N/A ���
❑ PWS: ❑FC: Adj.Wtr. Body 57vkmnp �j..� \�"�_(na
es rfo: PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body y�/
Project/Activity V..,'P L AL—S. - .J c-X Ly'(a.oly L ,6. 1..'
E (Scale1' - -
()length
s
I
i
r(s)
_ '
}
ber —_
iprap length
distance offshore 4,_, 1
7
distance offshore
— r
nnel
yards I 1 — = I
— I _ c.,_ -
?./Boatlift I I I
I i
[dozing �_{_ - __
I
I i I ; f --4..i
LengthaM� I f
not sure yes no ,_ __ .f'r , •
not sure yes no T_ —, {
m: n/a yes no -. i {T_
yes
[ached: yes I•
permit may be required by: 3‘.,c)„,--(-- G�` 1 I I See note on back regarding River B in ruh
pedal Conditions W ps' 1 S ALL PL k 1 , 1"4J ,yX LS)1 ,..)7, c iI

-2009 12:02R FROM: TO: 19103272 3 P. ]
OM :GUY C LEE'SNEADS FERRY FAX NO. :9103272387 Apr. 16 2009 11:29AM PC
F309 12:56 From: To:91E22723E7
CkikrantI,I -BUM lam'FROVEnria
DIVISION COASTAL MANAGEMENT
A.PJACENThPARXAN PROPERTY OWNER STATEMENT
fl y A
o& �
Nome Property Owner; 't 1 -
Address of.raperty; 3�J �/ , "IG-reX _ T^
(tot or Street it,Sect or Road-.City&County)
AppiiGar:t's phone 14:J0/030,2 MaltingAddrees: .
1 hereby cortify that awn property w4jacenx to the above referenced property. The indlvtduni applying is
has described to me as shown o•n the attached drawing the development they are proposing. A.ciascript p
T have no obtections to this proposal, ,X have ohjeations to this prop
If you have objoctions to what is being proposed,yon must notify thtrDivision of Coastal Managent
in writing within 10 days of recolpt of this notice. Correspondence should tic mailed to 127 Cardiac
Wilmington,NC 2 405-3$45. DCM representatives can also be contacted at(910)79d-7215. No rc!
sonttiflorLid the same as n2pi ircrlerf if no have bete ..natilled by Csrttf 4111Ahi _.
WAIVER SECTION
I un sand tar a pier,dock, mooring pilings,bred wotar,boathousor rr ti muse be sct back a ntinirrurr
1 S' from ri Ian access unless waived by me. wish to waive the sothock,you most In
appropriate blank below.
I do wish to waive th sec back requ re
I do not wis waive the i 5' set beck requirement.
(Pro erty Owner Inns rrnation) (RJpari, n'Property Owner Infni mu
Signature Signature
Pik T;
farink dr Type Name . Or
Mailing Address Mailing Addrer.se

02/14/1995 22:23 7048277667 JOE STUDID PAGE tJl
.
i
F
FROM :GUY C LEE:SPdE:N FERRY j
Eaey N 38?NO. :9103272
1 56 From; pPr • 16 2099 I1:',LPt9 r';-
To:910 72387
F.
TiPIE
•
r S
DIVISI
aDraCENTRTPq� N RppERTAG M OF COASTAL LrNT
p OWNERSTATEMENT
Nome ofPri party Owner! J� __
Address of 1 ra 30 �3�, '- --~--•- �-- -__
pG (Lot Or Street 4,SO'Cet dr R0�1,Clry&Caunt,) -"
Appiicnn!'9 hone k / 'e �t: — ..�
man log Address:
I hereby cost. y that Iowa
hne reby art to ham as shown property
the adjacent
to the above refaranoed
property The Individual applying for they perm
lilA$1litti rnwing the dejamvelopment they are propo!ing
I
l! I have no objections to this proposal.
If you htivr c tjoctions to what is being
have ohjo lions to this proposal
in writing wi his 10 days of receipt orPis noriee. Cnrrutpondence should be mail , to l27 t
P ,y'wr must notify thb Division of oasts!Management(DC.Y1
Wilmington, JC 2ggp5-3845, DCM representatives can also he eentretod at(910) ,96.7215, Nu response i,,
�all . Cr rdrnnl Driv,T_x
coif rve ) n n ec P
WAIVER S�li,CflON _ _,,,�
I understand;I at a pica;dock, mo• in pilings, break
15'from my a ea of riparian access t 8.se waived� b o.r((fyouOwish 0 waive the setback,you mustuse,or lift must he se:bock a iiniti�altitui c
appropriate bl� �1k below.) ,h�
.._. _.,.,. ' de wish to waive the 15' . t back requt . t. I
..-, .,,.,,,-„r„w do not wish to via a the IS'set back requirement.
(Property Ovt for Informutiun) {.Rip !Property wrier fnfnrntnthonj •f
_, Iii. , ..,m.,,... / , .
Signanlr Si a o
4r., R)i 1A-4i50 1 A.A749-^ -
fast r Type 1 any, ....... _'- --7-,-5-i
Print or Type Nun
,50 j‘i riL,-,‘ cAt,,,frit
Molls'"" nfs Mailing Address

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