52023D - Stone

IJEAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
Dfclew ❑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 ,//, /, G
Rft rTes attached.
nt Name C Z.1-0 c.,/ -C://6'i✓ G Project Location: County je? t,v'Sw'(/e
s 12 3 2 A,._1 _cc f G ors .� i y t Street Address/State Road/Lot#(s)3 S"2 y Al,,
`A' tC//e stag/2 ZIP L,9.✓ e —1 /.
o(2,29 6 j -f 76Fax#( ) Subdivision
zed Agent 042, G / 4"," City swcf y ZIP .2!, 9
❑CW ❑EW ❑.PTA ❑ES ❑PTS Phone# ( ) River Basin Ly,
❑OEA H HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body-Co/9 7/G 177P ki v (n-t ,
❑ PWS: ❑FC:
yes /€. ) PNA yes/ n�J Crit.Hab. yes / no Closest Maj.Wtr. Body /
if Project/Activity A"pei e--e ex ,1 -s /2</-7}
(Scale: _
ock)lengthy ,[/S >i,,.t /`'.,,e 6 ' `l A7,, l6'� ' _ ,
m(s) t I
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pier(s) j I
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ength I d/ � / C -�
umber I
ad/Riprap length j I
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+g distance offshore
j 1 i
iax distance offshore ,(�'
:hannel I /�' �"✓
ibic yards 1 t A.11vP-- 71'497
unp ! I /6 I
use/Boatlift
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ne Length r I
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not sure yes '
gs: not sure yes 02
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wium: n/a yes ai►
yes gpf
Attached: yesii, I
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ling permit may be required by: 2D'tiv f l✓i C,( rji4,- , See note on back regarding River Basin 1

IILLIGAN 66-7143/2531 4 912
,LIGAN 0620007752
299734 /
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DAT Eci..))_,,c)S.....IL: f
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
4ichael F.Easley,Governor Charles S.Jones,Director William G. Ross Jr.,
Authorized Agent Consent Agreement
1kAI\ O.Y\ is hereby authorized to act on my be
(Printed e of Agent)
Drder to obtain any CAMA permit(s) required for the property listed below. The authorization is limited t
.cific activities described in the attached sketch.
(CATION OF PROJECT:
57c6 Kbc 1
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;OPERTY OWNER MAILING ADDRESS:
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16 L rY,c:. zda z._I 1
( PHONE NO. 76 q- C9- 7
THORIZED AGENT MAILING ADDRESS:
C (r)(
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PHONE NO. 7 6/— cLry�'

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E9-18-20NM 15:16 From: To:9107549345 P. i
PIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PR.O3'ERTY OVER$OTIICATIONAVATVEll FARM
Name of individual Applying For permit:, ` +-?'fl-C
Address of Property: 3,51/./S_ IYO(F)'14n LCZf1 J VV
(Lot Cr Street#, Street or Road)
ytc
_taciu'lAkd<
(City an can �)
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 description or drawing, with dimensions, should be provided with this letter
a I have no objections to this proposal.
If you have objections to what is being proposed: please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 cr 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
1 understand that a pier,dock, mooring pilings, breakwater,boat house or boat lift must be set
belt a minimum distance of l5' from my area of riparian access-unless waived by me. (Ifyou
wish to AvaIve the setback,you must initial the appropriate blank below.)
I do wish to waive the IS' setback requirement.
I do not wish to waive the 15'setback requirement,
4. d Z�
Sign Name Dare
Print Name