47466D - Simmon

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CAMA/ ❑DREDGE & FILL
iENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed 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 ,7/ /2 60
_ Lules attached.
f'Name f ,?,Q/ , ,i ors M /,/ Project Location: County eoZ frl co".r.r
249 b STC V'i p D/z , Street Address/State Road/Lot#(s) sG=9 /;2 G
Crt,v State t'C ZIP 2 f/b L
0/0) TY 2,rr-.3 Of% Fax#( ) Subdivision
:dAgent (hz5 /4`dCN City ZIP
❑CW OVA/'" Ls�.P1A 0E9- ❑PTS Phone# ( ) River Basin .,,,fi.,,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ PWS: ❑FC: Adj.Wtr. Body /tAt it /
es / no PNA yes /no, Crit. Hab. yes / no Closest Maj.Wtr. Body /Lv A✓
Project/Activity Red,e�c— C y If f/frf 1 n 171••f ✓,C k , i9 dd ,SV e b.p fit 6i f:
ix ! / QL/? TFG!?^, (Scale:/"_
<)length 4'.><i 17/,..f(' _
s)rx-sT,�f iU '.,Ci 1 I �__ # . '_- -
ir(s) I- '�_1 f - —'.— i , ,i1
_ ___. _
, , i gth — V
I
+ber i u r; i
Riprap length i ; J. 1 'S
distance offshore 4i 3t �'. r t
:distance offshore
inner 8
c yards �
.
p __ 1 .7_ Fc1_411-
G
e<batl / 'X. i31 + 1 � G `
Ildozing t —
72 04/ 14 '.)e k G i 1
l
Length :`
......_ .. -_.� i ..._._ -... _ ---- t .._._... 4 _ I ...-
notsure yes ns2
not sure yes no.)� .. ......0;
im: n/a yes ,r!.9
yes 01.0 '
ttached: yes . no l /-1 N e ,,�i/"4-; L(it .

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L rH�r.tv t lur, N rtcurhx 1 Y OWNER NO ICATION/WAWER FORM
3e of Individual Applying For Permit:
S% ✓h f l'►0v�
ress of Property: S
S vJ
(Lot or Street#, Street or Road)
(City and County)
certify 4 �Z— 3 C
reby rtify that I own property adjacent to the above-referenced^ ro e
Ping for this � P P rtY- The individu
permit has described to me as shown on the attached drawing the development thl
)roposing. A description or drawing,with dimensions, should be provided with this letter.
I have no objections to this proposal.
on have objections to what is being proposed, please write the Division'
kagement,_127 Cardinal Drive of Coast
atension, Wilmington, NC 28405 or call 910-395-391
tin 10 days of receipt of this notice. No response is considered the same as no objection
have been notified by Certified Mail.
O
derstand that a pier, dock,mooring
)ck a m pilings, breakwater,boat house or boat lift must
distance of 15' from my area of riparian-access-unless waived by me- ,
wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.fit. h-4,1-`F
I do not wish to waive the IS' setback requirement
Ye:AO
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