45881D - Bonitz

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A CAMA DREDGE & FILL
GENERAL PERMIT Previous permit#
ANew Modification Complete Reissue -Partial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1 H . I/0`
❑Rules attached.
it Name .S3 e\w► o Z T Z.. Project Location: County PE Ob E fl..
I y(4 &IL P T O P tL- i1 Street Address/State Road/Lot#(s)
f'tm e SS t tib State L ZIP Z�443 { W(, G 2t ,>T ANL- ;I—
li(q iJ )(-2 D-°I S-35 Fax#( ) Subdivision 1)E EI(1-(=Z r.L b
zed Agent C,.L E. r-. 1---. c,,j ) I/) t>itrNc City )-\t�t-,'NQS1t. A i ZIP ZSLI L
i
El ❑❑CW E EW ❑PTA VS E PTS Phone# ( ) River Basin WH t T E
OEA ❑HHF IH ,❑ BA ❑N/A
❑PWS: ❑Fc: Adj.Wtr. Body /oP_5► S L. S�h a 73 , atJ
yes no PNA ye / no Crit. Hab. yes / no Closest Maj.Wtr. Body PI_ �nl>n/
if Project/Activity N sr t= : - D( B. \A - A Sc !E G L., !� LA®I.
I t_ A o.>A 5
(Scale: 1"
)ck)length
n(s)
>ier(s) _ _
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on�h _ .— � -�- —. � Y`JJ YY w - . —
ember t r. .__.._-; �_
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id/Riprap length /$t0
g distance offshore ' i }
ax distance offshore 0 i.
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:hannel L
ibic yards I 1 _mp ,
use/Boatlift a P _
Bulldozing \ \\X_ ' NCNN —__ _
it -roe.. ='( 3C.ARPr•G�T , ?
ie Length 5 c
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not sure yes ( r• t { I I f . L Lr f.t
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Af to s: not sure yes no — . ......} .
rium: n/a yes 0'o
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yes --4-- i LI iT Crime ra►_ 0 p w...; -b
Attached: yes ® ,I i 1 , i . i I 11 1 !

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Clements jlarINe Construction 7936
910 270-9110,NCV.0 4356789
577,NC}lighway210 W 6 ss 3oissl
.Jfampstead,,NC 28443 Date � 3s5
Pay to the e,WA-iiC 1 $ G v
_Order o
Dollars 8
O.
FIRST CITIZENS 36s
BANK Fir.tLitimrn Bank&Truff Comparry
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BANK K Hampstoatl,N.C. ita �..,.�w 0
www.firstcitizens.com { f:' J
G 5�s For ,�%Zr1../l _ �� - �, U
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1:0 5 3 /00 300i:0035320 L /803u' 07936
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COASTAL VIEWS

ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ,ah n )cn , It
Address of Property: )(-k
(Lot or Street #, Street or Road)
� 1
(City an County)
I hereby certify that I own property adjacent to the_above-referenced_property. The indi
applying for this permit has described to me as shown on the attached drawing the developme:
are proposing. A description or drawing, with dimensions, should be provided with this lei
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-39`_
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat Iift m
set bck a minimum distance of 15' from my area of riparian access-unless waived by n
you 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.
?(, At' 1Skr\ (1,„.5i., ttp,, _ (p/AV C,
Sign Name Date ��

ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: -13./7n 7_
Address of Property: I L4- . De-
(Lot or Street #, Street or Road)
(City ad County)
I hereby certify that I own property adjacent to the.above-referenced.property. The indi,
applying for this permit has described to me as shown on the attached drawing the developmer
are proposing. A description or drawing, with dimensions, should be provided with this let
VI have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift m
set bck a minimum distance of 15' from my area of riparian access-unless waived by n
you 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.
Sig.Name Date
chae I VI Ward • Av. FA

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