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3ENERAL PERMIT Previous permit#
1Clew Modification _--Complete Reissue Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 212120 0
_ ? f L-Rules attached.
it Name e.--... /? Si'/,✓ U ley,,• / Project Location: County, ,,t,/5tAb c x
.32 4'},.,CP,9 c4 Pi 71" Street Address/State Road/Lot#(s), s$�/�32 Y
witty State/IC- ZIP
E( G)2$4-4,026Fax#( ) Subdivision A/cs ,,,„ram,✓ Z,�,,Gacy/
red Agent /I/,// ( c/�A,tC✓fe,J City Su%ety ZIP 2iY4
❑CW 7;4!W E P1A DES ❑PTS Phone#
I
( ) River Basin l/iy 4
❑OEA ❑HHF ElIH ❑UBA ❑N/A Adj.Wtr. Body /9/ I✓/✓ (Hall/
❑PWS: ❑FC:
yes /4j PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body /�'✓�
F Project/Activity foz i v 4 lt` be p 2tDGC�
(Scale:/
ock)length 90 'x / Q/9.nte p."- I — —
n(s)/V '..e /2 ' co7.1 PA 'd . —r-.--,p ` `-f`"
iier(s)
t
;ngt � { ,
mber — —t } i i)1 —
d/Riprap length I,/ �,.._._ _.
g distance offshore • '
ix distance offshore ' k F
hannel ——+--
bic yards
ripatlift / I t
y X„
is o '
ulldozing T
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>fZ4n/ /o X7 / r
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ir
e Length
not sure yes no * f
s: not sure yes no ,, r _..
•ium: n/a yes no
yes no 1. — G......
4ttached: yes no S`fA. 0,,,
PHYLLIS RICHARDSON ,
i
WILL RICHARDSON 1367
,!I3235 SEACREST AVE.SW J� ,
S.ilUPPLY, NC28462 Date 6! -7�0-( j ss-t215/53I
•
`' Pay to the eao
Order of /��?� � $ /�) G�
640'6141_44
nlC / CMG i
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W WACCAMAW ''
��BANK ^/ Regal Advantage
I I Supji}NC 28462 G/����� 54�,1
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For �'Sc�C7�J�JC�L'tL�fd4Aj ,---\\ , ,._.. c.c44_,........„_
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K: 1:0531L2L521:8000 290 3 2300L367
GUAM:MANR.SAFETY BLUE ESBL
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual App:ying For Permit: p5 rc 13 10 {.t►c-f-
Address of Property: 3-2 .15 Sea.c.Ye$- -
, (Lot or Street#, Street or Road)
r. nswtct
(City and County)
)
I hereby certify that I own property adjacent to the above-referenced:property. The individua
applying for this permit has described to me as shown on the attached drawing the development the)
are proposing. A description or drawing, with dimensions, should be provided with this letter.
•
X yam ` I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management,, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION -
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat Iift must be
set bcka minimum distance of 15'from my area of riparian access- unless waived by me. (If
you wish to waive the setback,you must initial the appropriate blank below.)
>C �I I do wish to waive the 1. setback requirement.
I do not wish to waive the 15' setback requirement.
Sign Name Date
Al
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOIL''[
Name of Indi v iduai Applyin 2 For Permit: g u vv.+
Address of Property: ,3a q c ce.A_c;,e5-f'
(Lot or Street 4, Street or Road)
sU pp) 5�� � c
(City and County)
I hereby certify that I own property adjacent to the above-referenced..property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing, with dimensions, should be provided with this letter.
X LCS I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management.. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
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
set bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If
you wish to waive the setback,you must initial the appropriate blank below.)
74. 4. (' S • I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sign Name Date
)c 4 Ai' t e
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PHYSICAL SURVEY AM TES'I. IriGaPc`re7y ./s TN A Flo--
v FOR //Az., Aae6A.
kt CHARLES S. CURRIN 2. sue' '- etyvsvArc 4,
c • pw. a/3/ AI0
AND WIFE
�,firr'ii ewy it. - c..vo?r'(.
ARLENE G. CURRIN
OF - _ _._
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