49108D - Johnson

D CAMA/ ❑DREDGE & FILLV .. .
3ENERAL PERMIT Previous permit# 5a$
]New ❑Modification ELComplete Reissue ❑Partial Reissue Date previous permit issued tO • 1
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 —1 N. . '7$:
Jules attached.
It Name 'Ir-\Q_L,es �N o S Q.tJ Project Location: County O T)$L 0 dV
/ 0 I I+C riiM G t C Street Address/State Road/Lot#(s)
p u Ylmy ae State' 6- ZIP ZF'14 Zc Z5-9 \A/�T cy,,P.`1
I \o) Fax Fax#( ) Subdivision
:edAgent City �jr. L ci- -4. ' ZIP L1s I
❑CW EW bitTA ❑ES ❑PTS Phone# ( ) River BasinV Ki l f
❑OEA ❑HHF ❑IH ❑USA ❑WA Adj.Wtr. Body_‘5Th.,-,P C 3 v...10 /
❑PWS: IIFC: ',�/
)/ no PNA yes Crit.Hab. yes / no Closest Maj.Wtr. Body �� Na y`�
F Project/Activity Z14SS'74. -L 18 x 1 to ..-1. - \-\E,A\ cJ/ lc. S.ji lc1�t \"1 O ti
.b PAC L C� /( (Scale: ' I'-
ck)length
i(s) j
I
ik)iier(s)
:ngth
mber i - . . -
d/Riprap length j j - '.. i6 -. 14
g distance offshore / /
ix distance offshore ' IS
cannel
? 1.
bic yards r
np
ise/Boatlift
ulldozing t w J
v
e Length 7 �, - J-',
not sure yek no �1 64 GE Ur
s: not sure yes �no _ -- Y,J - *
7um: n/a yes p
f p
4ttached: ( no j '
ng permit may be required by:0(v.S L.... See note on back regarding River Basin r

CERTIFIED MAIL—RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: Wll/> ,5"
w; SQ l'\----
Address of property: � ) /.4 .
(Lot or streAt#,str2/1-Mirk
oad)
__S .0 (-4-.) Fr'k A/ 1-7- _-•
(City&County)y
I hereby certify the 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 whit this letter.
h I have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management,400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of the notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or
sandbags must be set back a minimum distance of 15' From my area of riparian
access unless waived by me. (If you wish to waive the setback,you must initial the
appropriate blank below.)
6ijk do wish to waive the 15' setback requirement
I do not wish to waive the 15"setback requirements
,(),A,,,,, 77„76„,..
Signatre Date

CERTIFIED MAIL- RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: ( 4-- r 5 ali a.A
Address of property: 72stfa I 6}X
(Lot or eet#,street of road)
5- ride)/ E,
(City&Conn
4
I hereby certify the 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 whit this letter.
0A-0 I have no objections to this proposal
If you have objections to what is being proposed,please write the Division of Coastal
Management,400 Commerce Ave.,Morehead City, NC 28557 or call [phone]
within 10 days of receipt of the notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock,mooring pilings, breakwater,boathouse, lift or
sandbags must be set back a minimum distance of 15' From my area of riparian
access unless waived by me. (If you wish to waive the setback,you must initial the
appropriate blank below.)
j2,1-0, I do wish to waive the 15' setback requirement
I do not wish to waive the 15" setback requirements
Det4 ,d` r
�3oa7
Signature Date