51908D - Drish

CAMA/ ❑DREDGE & FILL
IENERAL PERMIT Previouspermit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources
pasta)Resources Commission in an area of environmental concern pursuant to 15A NCAC / L
O'
,, Rules attached.
Name IC 11 A L , ';>CL '� I f Project Location: County E-t' '`t7 :-t<..
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❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body NiN61 C C r F/
❑ PWS: ❑FC: C.,es PNA yes 6 Crit.Hab. yes / no Closest Maj.Wtr. Body C r I -,
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ig permit may be required by: . I See note on back regarding River Basin
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNS NOTIFIC TION/W VER FORM
t
Name of Individual Applying For Permit: ,f� i..
Address of Property: lvi ' 02 74/ Hi/I
(Lot or Street#, Street or Road)
-Pe i r-
Ttkr-9 4 v)
- (C-ity.an Coun )
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
(..Z
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co
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 object
you have been notified by Certified Mail.
WA VER SECTIONAL
I understand that a pier, doc moori b pilings,breakwater,boat house or boat lift must
bck a minimum dist nce of ' from y area of •arian access - unless waived by me. (
wish to waive the back, ou mus initial th ap;ropriate blank below.)
I o N, ish to N ive the I et.ac requirement.
I do not wi to waive he 15' setback requirement.
tD $OLO, 2c/ MIA— SC—/q '--off T/0 — G 7 s

•
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. ❑Agent
• Print your name and address on the reverse X .0% ,. ■ Addressee
so that we can return the card to you. B. Received by(Printed Name) C. D e of pelivery
• Attach this card to the back of the mailpiece,
or on the front if space permits. 1�
1. Article Addressed to:
D. Is delivery address different from item 1? Yes
If YES,enter delivery address below: ❑ No
vy bel),,, cPoc,,ck
an3 43eepAes`J- -,-4; I
P Ie 1 n k roc " 76c13 3. Se e Type
1 Cid ertifiech$y1ail ❑ Express Mail
❑ RegistOr0 ❑ Return Receipt for Merchandise
C},Insur:: ail ❑ C.O.D.
4. Restricte. Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7008 _O $15.I ; 2 9189 2136
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540