52070D - Held

LAMA/ ❑DREDGE & FILL i ` ,,
GENERAL PERMIT Previous permit#
E3New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
iorized by the State of North Carolina,Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC _7 IA • i 2-(.30
XRules attached.
utt Name A L1 j ft-1_0 Project Location: County E✓ L
s 3( 01 D My< t-(C,ciA tcD• Street Address/State Road/Lot#(s)
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#(910) 53 -s KL1-Fax#( ) Subdivision iTh0((O A,' i-{ —t,5
ized Agent City A-7 K a NSON ZIP C7 St-}
d E CW GEW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin i`r
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❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body P—Likt k %C(W)'� e• ❑ PWS: ❑FC:
yes /in6 PNA yes / rio Crit.Hab. yes / no Closest Maj.Wtr. Body PA -C U- t� l U C1L
a Project/Activity Vii. U Alt y,L-
(Scale: 11=
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pier(s) I
length
lumber I .
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gad/Riprap length � l /AL gi kt —
mg distance offshore i ___
nax distance offshore
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ine Length 71 t ;
not sure yes �>� „_, L f g *..t
sgs: not sure yes no ; I 1
orium: n/a yes
s: Yes
r Attached: yes no
ding permit may be required by: F'\:Ij7}L I 1 See note on back regarding River Basin
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66-85/531 _ r�
ALAN J. HELD 0276175995 2 76 3
OLD MYRTLE GROVE RD. 910-392-3461 </,3 0, c
WILMINGTON, NC 28409 DATE
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ,/q L A9U /-115-1;f)
Address of Property: / 3 ES'
(Lot or Street#, Street or Road)
AY*/'Li 5 0 ry De.Al 06,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 28403 or call 910-796-'
within ib 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, break-water, boat house or boat lift must t
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (I:
wish to waive the setback, you must initial the appropriate blank below_)
I do wish to waive the 151 setback requirement.
I do not wish to waive the 1 S setback requirement_
Sign Name .Date
o. VP -sec -�
Print Name A,�A

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROP
E�TY OWNER NOTIFICATION/WAIVER FORK
Name of Individual Applying For Permit: /)Lf'V 1/ r--(-l1
Address of Property: ?I �S 141- F
(Lot or Street#, Street or Road)
k�rvs• sv
(City and County)
a
I hereby certify that I own property adjacent to the above-referenced property. The ind
applying for this permit has described to.me as shown on the attached drawing the developme
are proposing. A description or drawing,with dimensions, should be provided With this le
I have no objections to this pr
oposal.
p oposal.
If yop have objections to what is being proposed, please write the Division of (
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-79
within lb days of receipt of this notice. No response is considered the same as no obje
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock, mooring pilings,breakwater,boat house or boat lift mu!
bck a minimum distance of 15' from my area of riparian access-unless waived by me.
wish to waive die 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_
a NW, C nlk
Sign Name Date
\AVt\ C 0 Q
Print Name AGDA
:-. . -