52059D - Cook

❑CAMA/ ❑DREDGE & FILL '
GENERAL PERMIT Previous permit#
1New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ,/i/,2 GO
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[J'Kules attached.
at Name 70 C t�(JQ Project Location: County_/?/Z Liras w C.' -t
P 0, 3 0X 7 t1 2 7' Street Address/State Road/Lot#(s) 72 //i 1.,,,,
,v y 2 e State/y C ZIP 2 Y/// s ! .
ii'(7051 3 G9—6,3 y3 Fax#( ) Subdivision
zed Agent 1�c9cy r/9/2, CA. CityOCAfI,-1 ic/.e d0,9cA ZIP 27/I
j ❑CW fl'EW ©PTA LIES" ❑PTS Phone# ( ) River Basin Lei,,,,,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj. 9 Z O61L,/41 (nat�
Ad'.Wtr. BodyC-,✓
❑ PWS: ❑FC:
yes e-rio. PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body 67/4/Al
if Project/Activity eg.FapLA c e / S< , 7 0 FL G Az 7 '� ,e,,i7 , p ,, l/s2, !..
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ength
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ling permit may be required by:OCOFR,Jr L. 5 P �io�c 4 , See note on back regarding River Basin
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=ARMER 3538
ERVICES
66-112/531
BRANCH 82401
4RDSW
28470-5657
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•
DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER.FORM
Name of Individual Applying For Permit: Jt)P
Address of Property: ( 1'Lt 10, S
T.
(Lot or Street #, Street or Road)
C)C Is iEW )U C OPJA vt k
(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 lette
Ul� (21
I have no objections to this proposal.
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 910-395-2
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 pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
y‘64.- iz - z-6?))
ii ,,n Name Date
A ire ,; ��: lv�� - r IA

Aro&
4
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
tee!F.Easiey,Governor Charles S.Jones,Director WiWar G.Ross Jr.,Sec
Authorized Agent Consent Agreement
89 is hereby authorized to act on my beha
Med Name of Agent)
lento obtain any CA permit(s)required for the property listed below. The authorization is limited to•
ific activities described in the attached sketch.
ATION OF PROJECT:
,) it)( I I -I�,,
Dc � Pe 1
Crob4,4i
IPERTY OWNER MAILING ADDRESS:
' (3?6' ��
ehro Q._ - 11 I PHONE NO. ?Cit-i- 309 -0343
HORIZED AGENT MAILING ADDRESS:
oT - C -,-
>ccV 13&.s
, 4-(I o b � PHONE NO. 7�G 7 q-3-77 l
nature of Property Owner:

DIVISION OF COASTAL MANAGEMENT
• ' ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: j0() Lk--
Address of Property: b-2 1.k)(l wl l k 5ThNr-‘ J 1 c��/ i
(Lot or Street #, Street or Road)
d IDS T4o ?>eArA-1 — Balocv.LL)tdc_
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The indiv:
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 lette
/ .
b1 C\l'a
" ►g I have no objections to this proposal.
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 910-395
within 10 days of receipt of this notice. No response is considered the same as no objecti(
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
'" I do not wish to waive the 15' setback requirement.
;ian Name Date
l
A A
Cc r le hie` li A.w