50393D - Frederick

JCAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized 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 2/4/. /260
_ .illRiiles attached.
nt Name 1249V C /RC)Ca /c i( Project Location: County Bil y,v�z✓,ck
s f 7 O 7 GQR EI Z,4,-,,,, Rd, Street Address/State Road/Lot#(s) S0::3i22 L-
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#(W )2419-J'/7 2 Fax#( ) Subdivision
ized Agent City ZIP
d ❑CW EEW El PTA ES ❑PTS Phone# ( ) River Basin L 49,11
❑OEA E HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body - 6.47 CIZ e /C (nat
❑ PWS: ❑FC:
yes no PNA es no Crit.Hab. yes / no Closest Maj.Wtr. Body P/ I') A/
>f Project/Activity fiZ, U 0. -' (! ; 0 2 /a/c /e
(Scale;/
ock)length .52 A. `f „Ii 1
1 4- .4.- g- tee y 1 I
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length : ; %'�
umber I I.
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ad/Riprap length Lwir ter'
vg distance offshore 11 211;'1 /I ABM
iax distance offshore `�'� �i, J 4.b �� U� !
channel I Y ' ' % 1
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ubic yards V '[ ,
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ne Length /52 ` t� . `' a t
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igs: not sure yes (n9
>rium: n/a yes ijio l 1
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•Attached. no
ling permit may be required by:peg(,i 15 44/C/e /e�v Gz,�.Jy I I See note on back regarding River Basin
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1707 GORES LAND NG RD SW PH.910-754-9192 66-112/531
OCEAN ISLE BEAT.9,NC 28469-6347
5139/08
DATE
PAY TO THE I 1L. $ 4'
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: AWE f IZEI l,C.
Address of Property: 17c 7 L 5��j/ot/4 .
(Lot or Street #, Street or Road)
64,7,ZZ -;
(City and Count
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
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 objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bl
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If
wish to l e the setback, you must initial the appropriate blank below.)
I✓ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
af 441,1` /425
Sign Name ate
�;� Al_ _ _

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO 11PICATION/WAIVER FORM
Name of Individual Applying For Permit: tic- cz 1C k
Address of Property: at) Ner- 4'4 4
(Lot or Street #, Street or Road)
• eaeitii,,Z5e/_de_trAISIt-'2e-e,
(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
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 910-395-:
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 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.)
J I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
P0t1L±Jk
Ie
l8
Sign Name ate /