52067D - Jones

�CAMA/ ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
New ❑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 I 5A NCAC 7 , iL(.
l0Kules attached.
it Name \1 Lt I P'YV1 3I:1Qtr .,`_--, Project Location: County hiz Ll kiStA))G it-
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0(1iC ) L-i`'3 f 'r;, ?k- Fax#( ) Subdivision
zed Agent City .`�..o Fieb 121 ZIP Z S 4 c
i ❑CW ❑1EW pPTA ES ❑PTS Phone# ( ) #r16- River Basin ( NI.
❑OEA ❑HHF ❑IH L UBA ❑N/A Adj.Wtr. Body \N A L-O .•J C (Las"— a i
❑ PWS: ❑FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body CA t'� r--oi-►'-
of Project/Activity l;
(Scale: 1'.
ock)length .Te. ` `45,-
m(s) 17,6' )c IS ' 1 1. 1 j 1 ! {
pier(s) ` I
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ad/Riprap length 1 1 I l^ I
ig distance offshore , '.- 1.,
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rium: n/a yes C
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Attached: yes ns:oi 1 I
ing permit may be required by: .�r ❑See note on back regarding River Basin r

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11 WILLIAM T JONES NCDL 2543659
1212
1 PHYLLIS D JONES NCDL 693916
6518 WALDEN POND LANE,SE �
SOUTHPORT,NC 28461 Date 4— a �
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-2008 20:43 From: To:910 457 9548 P. 10
pIVISION OF COASTAL MANAGEMENT
ADJACi✓� RIP AN 0 TY OWNS NOTI IC T1ON/WAIVE FO N
Name of Individual Applying For Permit: 4211i14 07 I . IA 14
Address of Property: 6/� 1sr�s�N,g /.� „s:- _
(Lot or Street#, Street or Road)
(City and ounty) PhaA . 457- 9374
I hereby certify that I own property adjacent to the above referenced property. The ind.i'
applying for this permit has described to me as shown on the attached drawing the developmei
are proposing. A description or drawing, with dimensions, should be provided with this let
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-79(
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
bck a minimum distance of 15' from my area of riparian access - unless waived by me.
wish to waive the setback, you must initial the appropriate blank below.)
to waive the 15' quirement.
of wish to waive the 15' setbac - requirement.
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Sign Name Date

-2ooe 20:43 From: To:910 45i 9548 P,9'
DIVISION OF COASTAL NIANAGEN NT
ADJACENT RIPAF.IA.N P.ROtERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For. Permit --�v ,;>© L_�
Address of Propertyja
(Lot or Street#, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above•referenced property. The inch
applying for this permit has described to me as shown on the attached drawing the developmer
are proposing A description or drawing, with dimensions, should be provided with this let
ave no objections to this proposal:
If you have objections to what is being proposed, please write the Division of C
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-79(
within 10 dais of receipt of this notice, No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mug'
bck a minimum distance of from my area of riparian access • unless waived by me,
wish ro Ns Give 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.
D?//40),4-'
Si m Nanm.e Date

William T, Jones
6518 Walden Pond Lane, SE
Southport, NC 28461
Phone: [phone]
City Manager
City of Southport
201 East Moore Street
Southport, NC 28461
Phone: [phone]
February 14, 2008
Dear City of Southport:
My name is William Jones. I live at 6518 Walden Pond Lane, S E; address and phone
number on this letterhead.
Under CAMA Rules and Regulations I am notifying you that I am applying for a permit
to build a dock on my property at 6518 Walden Pond Lane, S E.
If you have any questions you can contact me at 6518 Walden Pond Lane, S E,
Southport, NC 28461 /telephone: [phone].
Thank you for your time in this matter.
Sincerely,
Wi iam . Jones
6518 Walden Pon:
144ft
Southport NC 28461

SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Si...ture
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse X /, I Addre
so that we can return the card to you. ❑Addssee
• Attach this card to the back of the mailpiece, B. Received by(Prin���Name)
or on the front if space permits. C. Date of Delivery
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
�, If YES,enter delivery address below: ❑ No
C.Z.1 OF els`c k-1C`Zi
40 k l.+l5 1 j 4N-re_c t 3. Service Type
'Certified Mail ❑ Express Mail
Jd L'l.TI-t PG fZ'� ❑ Registered ❑Return Receipt for Merchandise
` ❑ Insured Mail ❑C.O.D.
` f3 4 l 4. Restricted Deliver
y?(Extra Fee) ❑Yes
2. Article Number
(riansferfromservicelabel) 7007 2680 0003 0927 5358
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-W 1540
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