53154D - Beverage

CAMA / IXI DREDGE & FILL
IENERAL PERMIT Previous permit#
New LModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized 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
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' / [ (tules attached.
Name W1t-LT-Ar( �6.�fc2�GE Project Location: County P.�o`
1 'S Aa l LA a g Street Address/State Road/Lot#(s)
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( ) Fax#( ) Subdivision SArJ / 1210C -
:d Agent L--S.Cs AI AAow5 e City, ?iL(- CST y ZIP -2 8' IL1
❑CW LAW E PTA $ ❑PTS Phone# ( ) River Basing ?E. V
❑OEA ❑HHF ❑IH ❑UBA ❑N/A r-
❑ PWS: ❑FC: Adj.Wtr. Bod P�Al.L S0%. .J nat
Ts I PNA yesr/ no Crit.Hab. yes / no
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cached: yes ED __ ! ME= 1 ,
g permit may be required by: k-"SL GE 1_ "J n See note on back regarding River Basin ru
,pecial Conditions 5 jv.t-\i f u t S "\%-',it t-i t--Z 1 EI. Lt-it)b.r./►-s% 1

ILNAM
South Atlantic Region 800-9:
LL, SOUTH CAROLINA 29059 919-8
AC 803-496-5027 Santee Region 819-8
Toll Free: 1-800-922-7001 803-7
:ate Toll Free: 1-800-845-7051
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DI' SIGN QF CQAS;"A,I.,MANAGE161ENT
ADJACENT R ARL PROPERTY OWNER N!�??TFICA TIC IVA. 1E.FORM
_ Name oflndivadua Appiving.:E.o"Pe:m� A �!'�+.1 �v� evercje .7;T
Address of Property: 3( laAd yy Gel
(Lot or Stree:#, Street .Di(Road)SF
(City and County) /
I hereby certify that I own property adjacea: to the above-referenced property. The individual
applying for this permit has des c ibed to me as shown on the attached drawing the development they
are proposing. A description or drawing,with dimensions, should be provided with this letter.
c/r I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-gia-"i,
within 10 days of receipt Otitis notice. Nu response is considered the same as no objection if
you have been notified by Certified Maid.
WAJVER sEC2iCN --�
I understand that a pier, dock, mooring pilings, breakwater, boathouse or boat lift must be
set bck 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 black below.)
I do wish to waive the.15'setback re
I do not wish to waive the 15' setback requirement.
46,
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Prrat Name .
"Ano►in

:/ , 1/cv'.ro ia.ao ran a it'cUUuo a nnun l�V:'�/l'UZ
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7V1SI^N OF_ C()�57,4:.', M ? AS�7-T ?v'T
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� E Fµb, :22PEI'7`' OWN-ERN DT.FICATION,''W,t,WER FORM,
Name 0.7Icividual i 1 � _ & lrr
- - — — '__ ,,1m �'� . '.ar ?'e�:�t: __ Uu ;11, a , (r,( J�•-
Add:ess of'Property: 31 ra4ply 44_4_4
(Lot or Street w, Steer or Road)
,ilue-I . Cf:e4t, • i°erteler• •
(City and County) j — -
I hereby certify that I own property adjacent to the above-referenced property. The individua
applying for this permit has described to rye as shown on the a-tached drawing the development they
are proposing. A description or drawing, withd.imensions;, should be provided with this letter.
(/ I have.no objectons to this proposal..
If you have objections to what is being proposed, please write the Division of Coastal
Ma.iagemcnt, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910.7 1..g.-71m
within 10 days of receipt of this notice. Nc response is considered the same as no objection if
you have been noted by Certified Mail.
- WAIVER SITTi 'f
I understand that a pier,.dock, mooring pilings, breakwater, boathouse or boat lift must be
set bek a miniJxtum distance of 15' from my area of riparian,access- unless waived by me. (If
you wish,to wave the setback,you must initial the appropriate blank below.).
94 t I do wish to waive the-15' setback reTuirement. -
•
I do no:wish tc waive the :5' ,setback requirement.
V /s/,;
Si Name J
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To te! rvGnS L • ATP:A
Print'Nai ne
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•
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LIGHTHOUSE MARINE CONSTRUCTION 3391
P.O. BOX 2532 '�f Og
� 66-19/530 NCSURF CITY,NC 28445-0028DATE lv'7 1 WI
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