48311D - Edwards

`.LAMA I bREDGE & FILL 4
?EN ERAL PERMIT Previous permit#
Jew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources �
2oastal Resources Commission in an area of environmental concern pursuant to I5A NCAC `—I - 1 I (C).Q)
Rules attached.
it Name \%J b w C ►Jw a 2 05 Project Location: County PE.a`t,>✓ \U.
I Z-3 S. Lc #5 S r Street Address/State Road/Lot#(s)
:JP.<3,.e1,. State ZI 28 I -SE CAaL0L.3t c $.1...v.-.
( ) Fax#( ) Subdivision
:ed Agent 11)1 L(1-4."1:1-1' \Pi1'AQ,'-1,3,t City !p' L. E AC-t-} ZIP qt
❑CW X EW L,,,PTA ALES ❑PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑USA ❑N/A � ,`
Adj.Wtr. Body J'4-� 1.�CNt)C L Vt.
❑PWS: ❑FC: -----
yes /. PNA yes Crit.Hab. yes / no Closest Maj.Wtr. Body 1J?sf L ��'�`�
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ier(s) ' l `
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mber —,_
d/ftiprap length �� --1 _ _ ! 1-.
distance offshore .. T
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uc distance offshore _...... .._ _. . . j_ } _ -_ - l' ` 1- --
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ise/Boatlik ........7.....e
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s: not sure yes no } - fi 4 0L D A u
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yes no !
Attached: yes no 1 j. 1 � � 1 1 , }
--1,/ng permit may be required by: 1.y2 L.. -y' }� See note on back regarding River Basin r

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DAIL MERRITT-NCDL 3481068
PH. [phone]
P.O. BOX 528 8931 WILMINGTON HWY
FOW RIDGE,
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NC 28445 DATE 5
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Pender County Health Department Application No.
Environmental Health Section
P. O. Box 1209, Burgaw,NC 28425
910/259-1233
APPLICATION FOR INSPECTION OF EXISTING SANITARY SEWAGE SYSTEM
DATE 1 Z.- 4 -O to
Repair [ ] Mobile Home Relocation [ ] Building Addition [v] Other
Celt
ne of Applicant 7,,avoil (r-e e ea,,e Phone# (H)3 2$-I 38'(w)910-6a f q -i
tress Po goy 33Rt 1 psa,ii( $ecrG(
ner's Name 4 ew Edu ja,rat Phone# (H) (W)
tress 1236 Sou.fi.1 Le1vis S+. At., te(.w+ CA ZSD
SITE LOCATION
division 2nd 4061 i4t 1gm) 7-01, getil 1361e k Lot# /°1 Blk/Sec. 3 W
( 33g Carp (Cfic‘ 'ivo( Lot#
ving Directions to Property N IN 4 SD t, +a To p a i ( 8 eet eAA.
,c f t. •An derc a.t(sa) . e-►,. 4 vv%r41/1 ia. &IA CA✓o l►via
3 34r Dr►'t 61,14w.0l‘i d e
SYSTEM INFORMATION
I\ epa.kreat
ginal Permittee tAyt4c4eNe 4c! Year Installed w. vc A
ginal use:
Residence S #Bedrooms #Residents Business Type #Employees
plication For:
Residence L/ #Bedrooms #Residents Business Type #Employees
narks
;TEM LOCATION) 17 Front Back; Dates Tank Pumped: Major Repair Date l07 q 7
ter Supply: V Public Individual; WELL LOCATION: Front Back Left Righ
Paid: Receipt# By:
rtify that the above information is true to the best of my knowledge and belief. I authorize the Pender County

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SITE " 1
10.0' '. 120'/ 41. `r
•t SAT SUP o i1c i�..
w00D o K ?"
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117"
TOPSAIL SOUND ' ��''
� �
j N47'59'24"E VICINITY SKETCH
✓ (---6.7 3' NOT TO SCALE
N5317'22"E N51.21'03"E N52'21'17"E
1.56' 38.01' 3.70'
SEA Null ', APPROXIMATE MEAN
i
t'LOOD SOX" -�'LLY4TION 11'+1') : t � r HKIi WATER LliE
(L � i WALK DECKS • r S3J'4009'E
(9
APPRO7aUTE ROOD LIE 20.• . %' M. 512
I I SIR i.
r— ADJOP*P 3'
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FLOOD ZON" _ CV LfNo
SP7 RAILF FENCE
(147.11747I0N f2'+1') I\ 0114 PORCH
to
30.Er
BRICK �,
1 '`TWO`,AFIRE PLACE Ili
LOT 20 0 1-.1 111144 sa
° G a LOT 18 Ai'
0 op ON CONCRETE SLAB
o: a O Q•
10.7 16.6' _ © �'� LOT 19
°' aovE1� ' S� BLOCK 34
zs POROi - 4166 Sq. Ft.
aNE STORY 0.096 Acres,
EIP EIP u -• Drctv..- e(d
/W S5Y14'O21w 5o.or . _ 50.00'"' IP„ M+w9.Oi E 4ts6• P
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o POLEN .
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(CC) (CC) (CC) (C
CAROLINA AVENUE — N.C.S.R. 1555 — SIGN
(CAROLINA BOULEVARD — PLAT)
60' R/W (ASPHALT-PUBLIC)
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