44079D - Bradshaw

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-
,67
(CAMA/ F; DREDGE & FILL
3ENERAL PERMIT Previous permit#
NNew .]Modification —Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
;oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC —) . j 100
[Rules attached.
t Name Du(),,,J Jo D 6(Z.At,5r\avv' Project Location: County 13t N D g_
1-1-11 IC S i t G- LAr,>1 •t NJ(' (Z a Street Address/State Road/Lot#(s)
►mPSjb 617) StatetU C. ZIP Z349 I1-) -) 4,2N6-5 LAr,i)I N(7 LA
(s\,) fl- )73J Fax#( ) Subdivision
ed Agent N= 1 t'c\A►2I N E. City AJAN.PST C Alb ZIP z,81.1 L
❑CW C5ikW q)RTA 1AS ❑PTS Phone# ( ) River Basin CAQ E
oEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body� PSAZ t SJ LA H 0 �i
PWS: ❑FC: AT
yes / no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body L w v\I
'Project/Activity INSTALL 744‹ Li Ni-raR Ft i ii. A - QN. AVU S
Ili ATE rt w-p►r-D (Scale: 11 I
ck)length
I
i(s) j �^ '
ier(s) 1- 1 V V v ,
ngth r }} • 111 . .
'TiberI
i
J/FZprap length
distance offshore
x distance offshore 2
cannel W6f I
1
tic yards
j
I .
se/Boatlift
zc ikV I i i
ulldozing I`Q/ ,
- -
a Length -..L I V
not sure yes ( no
i_....7 3l ,,,..._.
s: not sure yes _
cum: n/a yes o
yes (M i'I` a' c
\ttached: ye no
ng permit may be required by: eE,1..)1N t . c.",, -J See note on back regarding River Basin r

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NAME
A & T Marine Construction
tAG
I1F1 ACCOUNT NO. 7100514476 Hamp411 /pdp4112 67-219/539
• 0 (C BRANCH 01411
DATE
10ARYDTECIO E $ 07
Socur.ry "
roatures '
DOLL.\RS
14
CAROUNARRST
,f. HAMPSTEAD.NC 28443
FOR Prrid,-slurt; c3P qL(6
5 390 2 L9 ?I:
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: !) , Jc2I T a,gaL5hh'9
Address of Property: /777 / ' / 7.,f4 /4/7
(Lot or Street#, Street or Road)
// / ,f./'ic5
(City aJ County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions; should be provided with this lette
i' I have no objections to this proposal.
P P
If you have objections to what is being proposed, please write the Division of Coy
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-2
within 10 days of receipt of this notice. No response is considered the same as no objecti4
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bi
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 waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
—Gl7
Sign Na Date
�©F PAti%
Print Name �.I

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Oa Audcr_f f ge,qc-i57.7jg
Address of Property: /1M7 s/mil/61j�y' AcJ.
(Lot or Street#,'treet or Road)
77/4 f , raj 4/,C_, 3'//-
(City arfd County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lett(
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co;
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 objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,boat house or boat lift must L
bck a minimum distance of 15' from my area of riparian access -unless waived by me. (I:
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.
inn Name Date
c/, 1/, 7/ ,D Z2uuu -�
Print Name A r