52572D - Thompson

:AMA / I DREDGE & FILL 52
ENERAL PERMIT Previous permit#
Jew -Modification `]Complete Reissue ❑Partial Reissue Date previous permit issued
ed by the State of North Carolina,Department of Environment and Natural Resources �� /�U G
astal Resources Commission in an area of environmental concern pursuant to I 5A NCAC aRGles attached.
Name e JJ P.✓ l G/v -e,." Project Location: County 6R t-,N-r L✓i G/3 /� _TO
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6 � cid o� A2 I p aro Street Address/State Road/Lot#(s) _TOGoL�s•A4
State 6 ZIP 2.7 /3
`2,9)3` -66 kf. Fax#( ) Subdivision
d Agent City ii,�c.49"r '15 I P ,e0OAc A ZIP 2 744.:
❑CW ❑EW L PTA eES PTS Phone# ( ) River� Basin 1 /./�7. /
❑OEA ❑HHF IDIH III UBA CI N/A Adj.Wtr. BodyCflr/A L dI/4/h/!' (nat 6
❑ PWS: ❑FC: W/
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Attached: yes
ing permit may be required by: �ie-Oi *' A.ISito I I See note on back regarding River Basin r
Special Conditions gl. ( l'G..cL lia,-t ,e'r "2A /2oa 5 1ye/1 /rs //! O 7/1 e/t

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CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: (S7Zk/CJ ? 14rI PS1\
Address of property: 4 _aV (71(k bU rO ST
(Lot or street#,street of road)
0 Cf2,1V/ ,___L,3 Loa Fp/qc 1.-/— '3dztj 1,6 Lt.—)i
(City&County)
I hereby certify the I own property adjacent to the above referenced property. The
Individual applying for this permit has described to me (as shown on the attached
drati'g) the development they are proposing. A description or drawing, with
di , :If ions, should be provided whit this letter.
�, ' lave no objections to this proposal
1
If you have objections to what is being proposed,please write the Division of Coastal
Management, 400 Commerce Ave.,Morehead City, NC 28557 or call [phone]
within 10 days of receipt of the notice. No response is 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, lift or
sandbags must be set back a minimum distance of 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.)
do wish to waive the 15' setback requirement
l
1,ip,‘
o not wish to waive the 15" setback requirements
)
Yy( 2 .5a,, 07

CERTIFIED MAIL - ! TT1 ;uN RF.CE!P':' FOUESTF.T)
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONf V IV R
i llvi
Name of individual applying for the permit: -te..k..l 111 b . 7 C
Address of property: 43 d /--, (..3/clS JO4),'v (. 1
(Lot or street#,street of road)
• ty do county)
I hereby certify the I own property adjacent to the above referenced property. The
Individual applying for this permit has described to me(as shown on the attached
drawing)the development they are proposing. A description or drawing,with
dimensions, should be provided whit this letter.
C_____I have no objections to this proposal
_____)(
If you have obje=-°_ o_1s to what is beingproposed,please write the Division of Coastal
Management. 401 Commerce Morehead City,NC 28557 or (252) 80[l 2 0_
Ave.,J J�+I call f14e�A��S,j(5
within 10 days of receipt of the notice. No response is 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, lift or
sandbags _•_us_ hark a minimum distance of 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' setback requirement
VI dnot-wish to waive the 15"setback requirements
I j
/ -: - - - „t_________
• .smahtre n_a_

• IrawA
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Aif
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
heel F.Easley,Governor Charles S.Jones,Director William G.Ross Jr.,Sec
Authorized Agent Consent Agreement
is hereby authorized to act on my beha
rinted Name of Agent)
Jena°obtain any CAM permit(s)required for the property listed below. The authorization is limited to•
ific activities described in the attached sketch.
A T ION OF PROJECT:
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if?D .1 s C_ rf>
!PERTY OWNER-MAILING ADDRESS:
1 r! i r�P itit h Or
IFt.�c C____ c27O S� PHONE NO. I - 2 �
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HORIZED AGENT MAILING ADDRESS:
— CiLa4rx Ch14.\YIACat uc�-
LM0 HONE NO. 9/o —c17 3 77 7
ature of Property Owner:

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