48302D - King

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CAMA/ ❑DREDGE & FILL
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.ENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Resources;Pasta'Resources Commission in an area of environmental concern pursuant to I 5A NCAC ��/2e.o
14.RtTes attached.
t Name D ti d/ e/ Al/ ,,, Project Location: County Pie cif^yf�i C/(
y2 9 -C/ P/1 e /.., p �n . Street Address/State Road/Lot#(s) y2 9 ._s-A ,
J,.S P l /0Ch State r/C ZIP in , /• 11 T
( ) Fax#( ) Subdivision
edAgent ..Si9ln/22 / v /1,v9r.7 City IuAvs'•e•/j340,'c 1 ZIP 2,1/4
Elf CW ClVW C�P1A 'rS ❑PTS Phone# ( ) River Basin 144/704
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Q
❑PWS: ❑FC. Adj.Wtr. Body /T f !'✓l✓ j/r
yes PNA Cip/ no Crit.Hab. yes / no Closest Maj.Wtr. Body /9! 0/1✓
Project/Activity ,f2, v a 7 t , e 01. /1c,0. 4'•-, _Pock' 0 et,✓eoz e / ea' 9 de
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igth -
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1/Riprap lengthI f .'w
distance offshore
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x distance offshore _____ _ 4—__4_ __ iglir lir ' �I.
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: not sure yes aloe — r + — _. 1
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urn: n/a yes
yes rC�
ttached: yes c5)_ , 1 i i
ig permit may be required by: sif ✓.f 4•9/ 6 O,,C 4 See note on back regarding River Basin ru

VARNAMS DOCKS & BULKHEADS INC
N 1574 MONSTER BUCK ESTATES 4937
SUPPLY,NC 28462 66-112/531
is 910-755-6861 BRANCH 62101 +
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Cud let.' K ( 3
Address of Property: i c?T 1
5L,'i d " fSeC(ch I\JC
(Lot or Street#, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individi.
applying for this permit has described to me as shown on the attached drawing the development th
are proposing.. A description or drawing, with dimensions, should be provided with this letter.
C/" I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-391
within 10 days of receipt of this notice. No response is considered the same as no objection
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 s
bck a minimum distance of 15' from my area of riparian access -unless waived by me. (If yc
wish 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.
Si mn Name Date
t/ C T
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: .%c1l•ey KI nj
Address of Property: 16+ 1 Suit &l- (3ec(Ch AJC
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development till
are proposing. A description or drawing, with dimensions, should be provided with this letter.
X _
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39(
within 10 days of receipt of this notice. No response is considered the same as no objection
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 si
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (If yo
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
_______x____
I do not wish to waive the 15' setback requirement.
•
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