46125D - Byrd

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CAMA / ❑DREDGE & FILL I 4
IENERAL PERMIT Previous permit# L-16°18
New 'Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 10. 1'L
ized by the State of North Carolina,Department of Environment and Natural Resources ,.._) i i `,
oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC / Rules attached.
Name--1 ro L . f 1 <r 0-1-3�
Project Location: County YR 1,7 i) E )1.--
_/ vStreet Address/State Road/Lot#(s)
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ed Agent 1"\L�. _c- � t"r1►\L'S. City PS► 1L e=Ac.t1 ZIP liL‘_'
❑CW (SEW L,eTA [DES ❑PTS Phone# ( ) River BasinL.AQ1 C.
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❑PWS: ❑FC: L �/{�
Closest Maj.Wtr. Body
yes /::_no) PNA yes iCi Crit.Hab. yes / no /
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>g distance offshore L
lax distance offshore L •--.. , i
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ine Length 2.k 0 i I 1....... i
not sure yes t,4 • i _..._.....__.- —
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:r Attached: yes 'yto �„ —

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
e of Individual Applying For Permit: e y rd
dress of Property: 1 / ( %r-a
(Lot or Street#, Street or Road)
(City and County)
ereby certify that I own property adjacent to the above-referenced property. The individual
plying for this permit has described to me as shown on the attached drawing the development they
- proposing. A description or drawing,with dimensions, should be provided with this letter.
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coastal
anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390C
ithin 10 days of receipt of this notice. No response is considered the same as no objection ii
uu have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
t bok a minimum distance of 15' from my area of riparian access-unless waived by me. (II
)u 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.
an Name Date

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
ame of Individual Applying For Permit: A 11 i 6 h Byc47 22
ddress of Property: 1l( ( fYZ
(Lot or Street#, Street or Road)
f of5 (7 944G'
(City and County)
Zereby certify that I own property adjacent to the above-referenced property. The individual
plying for this permit has described to me as shown on the attached drawing the development they
e proposing. A description or drawing, with dimensions, should be provided with this letter.
X I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coastal
:anagement, 127. Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
[thin 10 days of receipt of this notice. No response is considered the same as no objection if
,u have been notified by Certified Mail.
WAIVER SECTION
mderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
t bek a minimum distance of 15' from my area of riparian access-unless waived by me. (If
u 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.
e Date
�� /7_ Je /? - - IC' R-1 1/ i, 1 .4.-P7t ' •_ A