49242D - Carmen

LJCAMA / DREDGE & FILL
ENERAL PERMIT Previous permit#
New Modification Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina, Department of Environment and Natural Resources t j }
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC { rt• ,W
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Rules attached.
it Name Cf�i . l n Project Location: County -Th �(
iI 0A n `I t V ' I Street Address/State Road/Lot#(s)
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E OEA HHF ❑IH Cl UBA N/A Adj.Wtr. Body �,, n -. (n.t,
❑ PWS: LIFC:
yes /'no PNA yes / no� Crit.Hab. yes / no Closest Maj.Wtr. Body �/. 1 EI
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;s: not sure yes no F 1 17 t
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Attached: yes no
ing permit maybe required by:T i\ trk V\ Li See note on back regarding River Basin r
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ASSOCIATED CUSTOM BUILDERS
OWNER EUGENE B. CARMEN NCDL 3483527 66-7758/2531 16 6 3
p 141 COUNTRY HAVEN DR.
WILMINGTON,NC 28411 '4 07
- 910-452-3402 Date
. Pay to the A�/� /�l n p
•
Order of U l.� �J�G/U/C I $ j� pt�
.%)er.jeatakiel i. Y-'4!!!c:. -
t Dollars s�z,�=
e�.
EAST COAST CREDIT UNION
3815 PARK AVENUE WILMINGTON,NC 28403
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-Memo / ` L l E 4-F7-
1: 253 1775861: 135000047 16 10•
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C2006 image Checks 1.800.562-8768 www.imagecnecks.com E. ..,,ve
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
ime of Individual Applying For Permit: \,j t.L,iNpA
'dress of Property: 1214 CAQoL,KJA- & O.
(Lot or Street#, Street or Road)
� PSAll BE,FICN / (P€j..,o€ r rq
(City and County)
Zereby certify that I own property adjacent to the above-referenced property. The individual
plying for this permit has described to nv as shown on the attached drawing the development they
e proposing. A description or drawing, with dimensions, should be provided with this letter.
✓ I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coastal
[anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215
ithin 10 days of receipt of this notice. No response is considered the same as no objection if
)u have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set
:k a minimum distance of 15' from my area of riparian access - unless waived by me. (If you
ish 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.
/ZS /0'7
klar—me Date
WECICJ "F rint Name

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LJAOW c, L4Wk '07-735 7
DIVISION OF COASTAL MANAGEMENT
ADJAC IT 11PARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
ime of Individual Applying For Permit: \h LLB A M E., ALLER
idress of Property: 1224 CAieVL;NA &L+13,
(Lot or Street#, Street or Road)
ToP5 AIL BCac-H i IN)C 69F440E4 c0(4.rv)
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individual
)plying for this permit has described to me as shown on the attached drawing the development they
e proposing.. A description or drawing., with dimensions, should be provided with this letter.
V I have no objections to this proposal.
P P
' you have objections to what is being proposed, please write the Division of Coastal
[anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215
ithin 10 days of receipt of this notice. No response is considered the same as no objection if
DU have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set
ck a minimum distance of 15' from my area of riparian access - unless waived by me. (If you
'ish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
V I do not wish to waive the 15' setback requirement.
-.. 0/Za/a 7
>ig.n Name Date
)01.4>A1//;/&1/M/P
)rint Name A" ?.4•.

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