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CAMA/ C DREDGE & FILL "i
GENERAL PERMIT Previous permit#
lew ❑Modification CComplete Reissue CPartial Reissue Date previous permit issued_
ithorized by the State of North Carolina,Department of Environment and Natural Resources �� �
he Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC7 r
!' - n•.ules atta hed.
icant Name LEE K. . SAS I t Project Location: County �s y /�d
-ess LJ 3g f sill ('YIe/ Street Address/State Road/Lot#(s)
jai'f , + h State_a_ZIP 2V?
)le#( 341 042A Fax#( ) ----- • Subdivision ;/-;%19b" C ////
iorized Agent City �Y 4-44.1e ZIP $
P"EW i 9.PTA DES ❑PTS Phone# ( ) c *tf River Basin re
cted OEA ❑HHF ❑IH ❑UBA ❑N/A
:(s): Adj.Wtr. Body Het-Ake /Lei-
❑ PWS: ❑FC: /
r . Closest Maj.Wtr. Body 141V
yes
V: yes no PNA , no Crit.Hab. yes / no �9
ie of Project/Activity ra tl";,/ i? / ,v,1 j% 0'd r' ✓P ��
}� ,,'' ,�,.�-► 4' o9if'''.r.
, / it aloi l ,y ' (Scale. i
;r� ck)length )..5 41 l
1,
1 -
aform(s l
>ger piers) > c1_
oin length i_ _-- _. c .1 i. }._ C-c<e _.._ . 1-H.
L?"
number ' r -r i
ilkhead/Riprap length
}f
avg distance offshore + w s
I
f
max distance offshore i! -, v r � `� --
sin,channel 1P ,. K.l_ , :. •
,�44,,.> ��'�. �__ '
•
J.
cubic yards ��!' 1,,, _
it
>at ramp L ( . _ ,
>athouse/Boatlift / \ !
1 y, 1�
t
;ach Bulldozing ` ` - - - y�, J �
ther �rp� e
I "1". , \ \ \
ioreline Length / I t ;Ar
f ;
1V. not sure yes _... _...r ..._.._ . __ _
ndbags: not sure yes on ti."
oratoum: n/a yes n �r
iotos: yes f' �j f �,'
Waiver Attached: yes no '. __...-. --.. .. .___ _ ._ ,a. .
building permit may be required by: A hi Ci , . I I See note on back regarding River II. ,- . . .. .... D ,, I ei 0 _ t LJ t 7 %!,,J n _,, . A . . C iN,- _4. a ....--1 . ,
'1 CAMA I DREDGE & FILL
3ENERAL PERMIT Previous permit#
iNew Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
,rized by the State of North Carolina, Department of Environment and Natural Resources - 7 ���
'Coastal
Resources Commission in an area of environmental concern pursuant to I SA NCAC �f i
,'/Rules attached.
it Name Lee 12 , aos 1 .1 Project Location: County /vGvy ,tC�.y/i4/,
(J 3$ / 1`11 bf/ (Pee-4 G-v7 . Street Address/State Road/Lot#(s)
I
/4// y7.P �h State k/ y/I C ZIP 2�
E(� 34�. ( b/ Fax# ( _) Subdivision / >2 //'/" ( ./l/�j
:ed Agent City ‘ Y.vt-nK ZIP sec,
r^
P' V &OA' 3,PTA _ ES PTS Phone # ( _ ) 5 (t River Basin G
❑OEA ❑HHF ❑IHTUBA N/A Adj.Wtr. Body /JOwt /C e i nat (i
❑ PWS: IIFC: _�
y1 yes no PNA no Crit.Hab. yes / no Closest Maj.Wtr. Body iW ly
f Project/Activity rofrh 5 t''b G jIa$ 42/ Qt//E re ,/,,r' z 1/0 4//rin
`, (J (Scale* f d
•
length ,�). ik £1 ce ' v ,
Piers) /IplyG
:ngth r • C /CC �j�
mber J �!' ---
d/Riprap length 11/ (�
g distance offshore
ix distance offshore 4 k _
cannel 1/ • ��' r i'
,� \ i VI , ,
bic yards - — f�7(. 4 l�
np q // 1. ;/,
ise/Boatlift �1/ -
tirlulldozing / /
.- ;-
,�k
�rdpos�c�
7
,ar a-,i
e Length +'2 v'
not sure yes o .-
4
s: not sure es o 5f r' Y 1
Turn: n/a yes n �( V. ^ .
yes •{ Qp51-_ + ,' `( ^` �/1'�r]�'rl y
4ttached: yes no L j fL
ng permit may be required by: N g CO, I See note on back regarding River Basin ri
LEE R BOST III 1156 f
DONNA DAVIS BOST 67-219/539
Ph 910-367-0926 <,:;,,;. BRANCH 01402
6138 Timber Creek Ln x x .; ",, 1.
Wilmington,NC 28411-7459 ., 3//?.�?DATE ;
' --- --
PAY T /' //O THE / L o e�
ORDER OF VVV Cr�i 1 $ r
Z1 ,-----------"--
/Pf/O 1,0447 /�� DOLLARS LJ e:<., 0
t C
AROLINA FIRST i
ILMINGTON,NC 28405 i, OP��°R /4/� . /"l wi'
053902L971:8 10L42862Lio LL
2,HARLAND/LINERIY
�`. DIVISION OF COASTAL MANAGEMENT
' ' ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
c-Thlime of Individual Applying For Permit: 4ZC,e , /806/'
Address of Property: m S 7z G am'
(Lot or Street Street or Road)
W/Z/0/4/4rifrp/t/ /1/ed e/ //if 19.
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. Tne individu
applying for this permit has described tome as shown on the attached drawing the development irD
are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington. NC 28405 or call 910-796-72
within 10 days of receipt of this notice. No response is considered the same as no objection
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
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If v
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 1 setbackse:back requirement.
I do not wish to waive the 15' setback requirement.
Sign Name Dare
kale
A •Print _rame1�
r.
DIVISION OF COASTAL MANAGEMENT
- ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
7-11.11rame of Individual Applying For Permit: L Tc R. /3as 7-
Address of Property: 103g i;i0 gi g,e � L�
(Lot or Street Street or Road)
W lmiiu 4/ 4/C %t' I' /,4yv /Z
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individL
applying. for this permit has described tome as shown on the attached drawing the development th
are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coasi
Management, 127 Cardinal Drive Extension, Wilmington. NC 23405 or call 910-796-72
within 10 days of receipt of this notice. No response is considered the same as no objection
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
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If y
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback reauireme- ..
I do not wish to waive the 15' setback requirement.
iart. SKA o 7
an Name Date
Print Name 44�1:f
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