51325D - Kriech

Y
I CAMA/Z DREDGE & FILL
JENERAL PERMIT Previous permit#
'New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural Resources u , O O
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ( 1
Rules attached.
t Name F*0L41.. fit— ` . SL c Project Location: County PiG J E rz--
z.'c( LtA 5-T 1~ I2--- \- ``a- Street Address/State Road/Lot#(s)
QJ(,,SI'c v State` ` ZIP q4.° 2_ 1 37__S (iaiL,t-SJa \UJ1)
( ) Fax#( ) Subdivision
edAgent i""\I-1— Cityi )?SA1-` C3 144...\1 ZIP/1 1&I
E CW FEW .i i.PTA 3fES ❑PTS Phone# ( ) River Basin,. -;'
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body AoJ K e__A"OK/*.L nat
❑ PWS: ❑FC:
yes no PNA yes / (ID, Crit.Hab. yes / no Closest Maj.Wtr. Body c"P5►X't.4--- .5oti"`J
Project/Activity - 1 L .L.— N JL i/✓ i3\iN1--.\LNAE A 1.\/17— .✓y L 2 ' ti\J
X 7-51Z r) Cs \"/ P.►J- (Scale: � —
ck)length
(s) i
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ier(s) l I i
tuber I i
d/Riprap length ZO/ i II I I I j ,► i _ I'
distance offshore Z M
a distance offshore 1- 11111=001MMENEWigial IIIIE 1u` ��`��
i q % I III I ♦ t
cannel
bic yards
np
ise/Boatlift i
ulldozing � _
MI III
mmraiM .■■ .; II •�, ,11,
II MI
ie Length © ._..... i : , Ill II0ki _'1 1
not sure yes (DI
s: not sure yes W 2 1 IN I rium: n/a yes H1IIIIi
yes 8 . 1 .
i Ill I I
Attached: yes
ing permit may be required by: \ 0c -L- l 12:-...1..•L. % I I See note on back regarding River Basin

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co-so 011 `S!UOIOVUJ.NOO 3NRIVW 03111V 4

AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor James H. Gregson, Director William G. Ross Jr.,Secretary
Date
.-.7
Applicant Name A Pf t) i< -)1 1 e,c k
Mailing Address a<D (P G U 5`-- .e..6 Pt-v
AoUtPqS"�c) W1-- (Ala `i �f 5c 2
I
I certify that I have authorized (agent) Ha I t
(e,,t,A 9l(ie /76rike. to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) b J I [L 1,12 4 ,
at(location) /3 0Z 8 (4_ J o Cr ku, 6 ( 4f6e.
This certification is valid thru (date) I L l 3 (/0
Signature 04-v• PO • ' > 1

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO I WICATIONJWAIVER FORM
tame of Individual Applying For Permit: F K r"e t
Lddress of Property: / 3 Z g C . (, c L I ✓c.
(Lot or Street#, Street or Road)
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individual
pplying for this permit has described to me as shown on the attached drawing the development they
re proposing_ A de -ption or drawing,with dimensions, should be provided with this letter.
I have no objections to this proposal.
E you have objections to what is being proposed, please write the Division of Coastal
lanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
ithin 10 days of receipt of this notice. No response is considered the same as no objection if
uu have been notified by Certified Mail.
W V R SECTION
understand that a pier, dock, mooring pilings, breakwater, boat horse or boat lift must be
t bck a minimum distance of 15'from my area of riparian access-unless waived by me. (If
ru 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.
_01�r �� -- c'
ame Date
1'141 y., s r co; f r>2 R
nt Name Atilli?FreA
��
�� �� NCDENR
1 - Win..r---...
Ew�wi..err"re Nmwr

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION!WAIVER FORM
Name of Individual Applying For Permit: Fir .� I K r , e c (�
Address of Property: /3,2 g (Gz ry i r k A. 8 I vcQ.
(Lot or Street#. Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A descjiption or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
P F
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
set bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If
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.
ame / Date
///0 fil A , 1-/6,k13 , ,iii
'rut Name
q/y-— ��2- �� �, NCDENR