49166D - Moore

IICAMA/ '•.I DREDGE & FILL
3ENERAL PERMIT Previous permit#
KNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 7/4 , //0 C)
Rules attached.
it Name CO r' 00 O(1 i✓ Project Location: County PEN.01.—
3s' g) V LX. Uollee 11 l2DU. Street Address/State Road/Lot#(s)
U,Iale6 v StateNC, ZIP Z84-ZS SI`l'1E
(9q ) Z3Z-1V 73 Fax#( ) Subdivision
:ed Agent City 6 L t/�m4.) ZIP 2,d'-i i
❑CW IW E1P OPTS❑ES PTS Phone# ( ) River Basin (fife
f e
I
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body /VcG C 1 f at a
❑ PWS: ❑FC:
yes /6) PNA yes /6Crit.Hab. yes / no Closest Maj.Wtr. Body �>
f Project/Activity Pf 6✓ii-rn ij J -A,e,
(Scale: I..
ock)length
i(s) __:_ . .._.—
pier(s) /`./#.0 L lam- t. c F !it-lac.ri --) d '17 Ls Lip(
:ngth iM LC- Nu r l N G ....._----' C.-N H-iJ
amber ✓roil,tr Z -
,d/Riprap length 20I reu a-3-r l , il"} . git.,e__ E,3j eSl
g distance offshore ' Je t V BE* ��u4{�
ix distance'pre rIN�'L . OF � r W
hannel 1.3, oe S
/4?NAy, c.yl STA i s By LY--tab
bic yards __, A LA GNh1 S HA Li_ 1
LXCt b AN >' n
np Nj , Vl Smr•Ice Ce
l� ° _ I rs ® I.2,10 . 1�' v/VA ill
use/Boatlift ? x��r
C
p
ulldozing a . \ -fit_ T7
_
e Length 5 v
not sure yes 15 _
I
s: not sure yes E9 —1 — -
1.> C.-K-
lum: n/a yes no _
yes I
Attached: yes
1211./ . _ ar cH V.
ng permit may be required by: lEM%32 I I See note on back regarding River Basin ri

7711
90-7680/3211 f
\'
MOORE $19
910-232�'" a.�! —(�7
IRC41 2 5 one
NC 28.425
eXf $ . /0 0 , ®0
i
ie Drive SI
ion,NC 28403
9reditunion.org
866 ,
7 5 200009900 L 3 30 7 7 L L

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permi
Address of Property: � L/
(Lot or Street 4, Street or Road)
cl?
(City and Coun )
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 desc-.ption or drawing, with dimensions, should be provided with this le ner
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 2S405 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
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
bck a minimum distance of 15' 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 '.valve the 15. setback requirement.
I do not wish to waive the 15' setback requirement.
10 1 b 101
Sign Nam Date
\PQELL _ .110CI.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: D—e- , (-i cr-i --e_�
Address of Property: gq c ()
, „ � z...e
(Lot or Street#, Street or Road)
e6 1-4-24tie- 2 --ee,i1("1/.e.A_ 00-1--i--,--J'ef-----
(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 attached drawing the development tl
are proposing. A description or drawing, with dimensions, should be provided with this letter.
.8 I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa5
Management, 127 Cardinal Drive Extension, Wilmington, NC 2S405 or call 910-796-7:
within 10 days of receipt of this notice. No response is considered the same as no objectio
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
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If:
wish to waive the setback, you must initial the appropriate blank below.)
ki
I do wish to waive the 1�' setback requirement.
I do not wish to waive the 15' setback requirement.
r
, (;) , ,i:
//),(-/X
Xl.,L. 'e/7/eNe) 7
Sign Nam Date
/4//M,4f L L . bu /41 L AV:II NA

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