48313D - Harper

(CAMA/ ❑DREDGE & FILL
3ENERAL PERMIT Previous permit #
kNew Modification Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC /ZOO
`, X]Rules attached.
T\
it Name L aEbj; `A�Q Project Location: County DIJSL
3 _ NA/MN a c A V. Street Address/State Road/Lot#(s)
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414444okerksr State r ZIP 1')q PT.IJE ST
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UCW ❑EW XjyTA DES EPTS Phone# ( ) - River Basin4kft->c
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yes PNA 'Ye-Di no Crit.Hab. yes / no Closest Maj.Wtr. Body �E At Kid% (L
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distance offshore
1
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l 10iOGTN60/v
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11151
bic yards 1I
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e Length 1 k-.)v -r
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attached: yes no7
ng permit may be required by: wSUC)iAI.-) n See note on back regarding River Basin ri

LOEDE HARPER SF NCDL 2148697 66-7704/2531 1 1 0 3
PH 919-778-2214 08615925241
322 WHITE OAK RD. DATE —721C197
GOLDSBORO,NC 27534
ggg§ PAY TO /�/ N•`P
THE ORD OF - - I
State Employees' Credit Unions
Wilmington,North Carolina
-11141411r9
MEMO
253L77191_�1, 91:086L592524L11' LL03
SPECIALTY WV,

C: 04 20Bb 12:01 From: To:91032-2387 . •
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ii.0�j R. / AZ
Address of Property: 10 g �lt/L- Sj
(Lot or Street 4, Street or Road)
4'E, vS JIELi Q/✓SLo c,)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individ
applying for this permit has described to me as shown on the ached drawing the development tl
are proposing. A descript.on or drawing, with dimensions, should be provided with this ierter
i
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coas
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 objeetioi
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
bet:a minimum distance of 1.5' from my area of riparian access - unless waived by me. (If).
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement
l do not wish to waive the l 5' setback requirement.
6 - 5-0.7
Si Nam Date
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Print Name46,47A

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A/7A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
chael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr.,
Authorized Agent Consent Agreement
Pi M u EQE1_ is hereby authorized to act on my bel
(Printed Name of Agent)
rder to obtain any CAMA permit(s) required for the property listed below. The authorization is limited tl
cific activities described in the attached sketch.
;ATION OF PROJECT:
' ot t?iNE- Si
•
SN��4DS r'ekY ,J C_ 2$yK,.0
)PERTY OWNER MAILING ADDRESS:
>�Z /A,H/7 04-Id- fD
oLp56ol "c. 27s 3V
PHONE NO. 2S2 "S31 - 10/9
'HORIZED AGENT MAILING ADDRESS:
F t1-L,9-e-/ Pe-
y,o -
PHONE NO. -3$ 9'6
ature of Property Owner /' �XIO®f/. ���___

SNEADS FERRY MPO
SNEADS FERRY, North Carolina
284606624
3613950460 -0098 U.S. Postal Service,.
;,16/2007 [phone] 12:23:48 PM m
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�GdL DNA(// e_
Paid by: f`' street, t.No.;
Cash $20.00 or PO Box No. 1 4,2 (1 M/4tQjok/ ff Nc
Change Due: -$17 City.State, R
142 r L 7,C— 1
0c9gT
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