49144D - Kilian

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4tAMA/ ElDREDGE & FILL `/ 4
3ENERAL PERMIT Previous permit#
New El Modification ❑Complete Reissue El 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 I 5A NCAC 2� /2 e2 a
/ L 1es attached.
tNa c/mecTUA•✓ /<iL/A,i Project Location: County l!Ztiasw,Ck
24 4 4R C iv, d I%'a/c Ca c/e Street Address/State Road/Lot#(s) /// ('1.9a ,
6211 i.J.hti2Z State.t/ C ZIP 2 T07) _S 7-
1-
(2_Y) 9_,S3•4ark Fax# ( ) Subdivision
:ed Agent City /1/LCId,-/ 8 etCi; ZIP 21 L/
❑CW L.EW C7.PTA ❑!S ❑PTS Phone# ( ) River Basin L(j,,i
❑OEA ❑HHF ❑IH ❑UBA El N/A
Adj.Wtr. Body CO^I9 L O, /yit✓1-/ (nat
❑ PWS: ❑FC:
yes / no PNA yes Crit.Hab. yes / no Closest Maj.Wtr. Body ��wl�
f Project/Activity /9 ei d 1?0 97 Li C?/ T o CX '.t T'") '2i v fr T • " ":3+pit
Le1c •fry (Scale:/ '_
ck)length L�l►p,p��'Q C t ' _ _.- _
,(s) EX '1 , .5 /(9 a i + _i
ier(s) I
ngth I r
mber --
I i
d/Riprap length ' O I 4'1
// Ad/0 L;distance offshore
j
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ix distance offshore ❑__
cannel I- I ,
bic yards yt
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e19
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�oatlift �G h'l ' �. /
r ;
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ulldozing /L-
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e Length /fLp I'4,�
not sure yes no [wa„i
s: not sure yes no i A.., L.,f-�
ium: n/a yes no
yes c
4ttached?�' ►no r (� , ,1 �� I,,I G/, qT--,,,,a,
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ng permit may be required by: )"(/`/on-- a,,�C !j 1 I See note on back regarding River Basin n

LAKEFRONT REAL ESTATE CO. 430 y
305 BADIN VIEW DRIVE
NEW LONDON,NC 28127
66-73/531
DATE 1//b A 7
I PAY
' TO THE W G D (_-A /2 00
NORDER OF /J
•
DOLLARS
F��ture.
8 Sig"e on
FIRST CHARTER BANK
•
CHARLOTTE,NC 28237
f
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FOR �/' "% If � ��/�i.
II'00043 OH' 1:0531007371: L70162044,y t
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
ame of Individual Applying For Permit: ..l bhn/ C//',4/
Address of Property: // y C h i r /o i'-/c, S f
(Lot or Street#, Street or Road)
"la /cJ, i 3-Cp ,. i, ervkiSw, L `1
. (City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivic
applying for this permit has described to me as shown on the attached drawing the development t
are proposing. A descrip i 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 Coa
Management, 127 Cardinal Drive Extension, Wilmington. NC 28405 or call 910-796-7
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION t
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bi
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If
wish to waive th setback, you must initial the appropriate blank below.)
ASr�V I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
,, . / /
lifi1/4___ 9 - Ce) "6 2
i--e-491-E)C., 7-Zi ° 7
Si°_ i Name . bE-/� Date
Co r e r4 /A/PE/L Al-'4IA

his form was sent to you by the following individual or company designated by the applicant as an
uthorized agent: 76 89 Oceh4r i%'i: e irc (�
-D h,J 1<,1
/4✓ /101-,e1 bOr ivc 2 k07
uthori Agent's Signature Date
T`
ame of Individual Applying For Permit: .JonN /�i 1 jqn/ 7b y 9S6--60e‘
ddress of Property: /1 y
(Lot or Street/ #. Street or //Road) by
lb/de'✓ 6 �' Gt )o-d 445441 C A
(City and County)
iereby certify that 1 own property adjacent to the above-referenced property. The individual applying for this permi
LS described to me as shown on the attached drawing the development they are proposing. A description or drawing
ith dimensions, should e provided with this letter.
1 have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coastal Management. 12'
ardinal Drive Extension,Wilmington,NC 28405 or call 910-796-7215 within 10 days of receipt of this notice
D response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set back
inintum distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive tin
tback, you must initial the appropriate blank below.)
x1 do wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement.
A
/b/2//12
gn N me Date NCDENR
/� /� �/� NORTH NT AND A ZUPIJ,TNENT OF
J( � (/f/1-y� ENVIRONMENT AND NRLP4L RESOURCES
int ilsL3me
o/ s-43
;lephone Number with Area Code