44838D - Bundy

.I CAMA/ DREDGE & FILL
3ENERAL PERMIT Previous permit#
New !Modification []Complete Reissue Partial Reissue Date previous permit issued
,rized by the State of North Carolina, Department of Environment and Natural Resources
Eoastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC di•I Z-0-'
)T Rules attached.
it Name 'GI-6.P t•.., U� t7 Y ___ Project Location: County
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vttached: yes (-) — '
ng permit may be required by: �eio 1'ii a-- CAIlo 'H See note on back regarding River Basin ri

- __ (] Security enhanced document. See back for details.® m®'T s-,wm"-T-.mocamm -s ter'
6534
DELTA DOCK & BOAT LIFT
402 AQUARIUS DR. 910-686-9700
WILMINGTON,NC 28405 66-30/531
Q 365
DATE AY iffp �1r, ,
TPO THE ( '2 L 'O O 4
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3Oi FIRST CITIZENS365
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www.firstcitizens.com 6,0%/yo F
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II'006534i1' 1:053 L003001.00353 L99 L50411
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4.CJ T R.re&R1AN P1 OmBTY OWNER NOTIFICAT?ON WATE .R FQRM
Name Of Individual Applying For Permit ,`:- (I. !
Address Of Property: lZ C.,ham -/
14 .YL . 2 1-4
;Lot or treet #, S eet or Road, City & County)
i hereay certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to the as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
lee:. l
I have no objections to this proposal. ,
If you have Qbjfutinnv t0 i3lhltt Ming ptopnsad, r wrirr, t .� nivi_ pn of Coastal
1 �� • o
3 w ii1L10 c} yc of*rrrpt of thl ffi r►n i No rf port is ^r+neiar_�°r�! thr � i ac nn chi rr on
if yr n 1 ve_5-rn nntifir l h3' Certified MIR
HMR SECTION
I understand at a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum disuw a 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.)
I dO wish to waive the 15' setback requirement.
I dams wish to waive the 15' setback requirement.
---T _, _ _/ /75/_ . a

DNIS 1)N nF C,C)4 CT e rT. �-r> >
T ,
Name Of Individual Applying For Permit:
Address Of Property: (2
(Lot or treet #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property.
applying for this permit has described to-Me as shown on the attached drawing The e elopmui n
they are proposing. A description or drawing, with dimensions, should be provided with thisletter.
tsu
-_ Baal
I have no objections to this proposal. 3,` " 62 �.-
/
P
v 7
i
ifvou have h�Pn n� ifi by C ertified ?tail
manmitsEcnoN
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags
set back a minimum distance of 15' from my area of access ass must u
wish to waive the setback, you mist initial the appropriate blan b owl waived by me. (If you
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.