51954D - Batson

I CAMA/ El DREDGE & FILL
i EN ERAL PERMIT Previous permit#
flew DModification El Complete Reissue 17 Partial Reissue Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural Resources 1 ,
;oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
(-) ii.:ttules attached.
.
t Name L.pkrixit--) ) - ‘71 .0.7\*sc)"--) Project Location: County \A E t-.) CIS (\---
S,
Q0ib S Er-, rv-, ,-,N,:., -.:,c,--- Street Address/State Road/Lot#(s)
—
State C- ZIP Z' 9 L'I-3 -33:::-S -
( ) Fax#( ) Subdivision
ed Agent City 50 Q.._C Li.-1.—.1"‘) ZIP ZE.011
LI CW pEw fA.1)TA LIES 0 PTS Phone# ( ) River Basin e r
0 0EA LI HHF 0 IH 17 UBA O N/A
Adj.Wtr. Body v..-- l' S,... v-..-,b nat /r
O PWS: El FC:yes PNA no Crit.Hab. yes / ,------ - ---
Closest Maj.Wtr. Body._ ) -"' ..-- S
arilir Mb no
Project!Activity Activity ke,-71- Z. '_1-1:` it— '''') j )"3\A 2-C -1-- 1--v-0,
(Scale: 11 1.-=-
:k)length ( )( LL)
...1._ ,. 1 "
41 ,
llo
er(s)
i
2.oi
igth '01 k P—I !
nber
I/Riprap length
, 1 ,
distance offshore
,-
r . 4
, 1
x distance offshore .
1 ig 1 i
, I
annel ,
,
)ic yards I
7 —
1p .--- -
se/Boatlift i ., .„, ----1--7---II ci;
. .
1 .... , !
I 1 }
,
illdozing _ _,---
. --- -----1-- 1--- —
.
1
Length 2.4--C,"t` ;__,_ ME :
_
not sure yes ! 1 ,
>: not sure yes - , 1
i
iurn: n/a yes
yes .-) 1
, -.----, , :
--.
kttached: yes '
rig permit may be required by: .A 3..f r--T 1 . I I See note on back regarding River Basin ri

1315
66-1220/531
— --+() � Date
r
7/�'5 fir%
', . - Dollars t :,:': -
NK Classic Checking
(1"7— -P---51 -----/- '(-11:).. ." — wp
4i:0000L1967711' L3L5

r9 0 1 tile ka p/2,
p ‘ i
:11eA- e /7
,A0.4

• ' DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Z r
Address of Property:3 -5-e A gp ND h, 1 12;4j/`/e
(Lot or Street #, Street or Road) f
ai 5/5
7Z/c/a-A_
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lerte
I have no objections to this proposal.
>c,
If you have objections to what is being proposed, please write the Division of Coy
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pil ags, breakwater, boat house or boat lift must b
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 1 setback requirement.
�/ I do not wish to waive the 15' setback requirement.
ign Name/g,/e/A . X ,ilie a�
AV A