44011D - Colclouch

�f-CAMA/ ' DREDGE & FILL 4126 i
3 N E RAL PERMIT Previous permit#
.New Modification i 'Complete Reissue E 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 ,7N, //Q 0 0' 7/%, /2a,
Ii.Rnles attached.
t Name .D.-'Os PP /1 C o L C lAec 4 Project Location: County EE„1 a•j IN)C/'
/S 4 6-0 .pP,.if ii q b S Street Address/State Road/Lot#(s) /SO Gr2 oe
I�d P,d 6,424( ti State/1/C_ ZIP 2- f y6l_
(?14621 .25799 Fax#( ) Subdivision
ed Agent e"92/, 5,/P ...I4A, '- City/712Ld,i,.i ao4[ A ZIP 2Yy
❑CW 1,1.EW t:.Pr PM ❑PTS Phone# ( ) River Basin 1.4./.+,
OEA II HHF =IH E UBA N/A
❑Pws: CI FC: Adj.Wtr. Body C/2.1/J d Ff
CIEl /A/h/ (nat 4
yes / PNA yes / - Crit.Hab. yes / no Closest Maj.Wtr. Body /�y L✓
no
f Project/Activity/p r 4,cc-t en i S),) .3ci Lkyti4..p/ A P/yi a v e 6 ',4 11. e c/i•", i'C A
'/ri1 v c b ,4 10 $ c 4v* o f PC.971 GLM Tfr jrN ci // So9i L, (/. (Scale:l L
ck)length A/9't'P /y'X J' )1O/LPA0e,✓
1(s)/0'z b't/IS7ir5 4o'P07A,41
4
ier(s)
ngth `
Tiber
Vtiprap length S2
I ,
:distance offshore /.-x distance offshore S' AI
;annel
ac yards „/ Q
s /Boatlift JZ 1 ` r- -
JIldozing �� Q -":—' -_
.....
ciofti /3 a( y
/5 G
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QPnj,1,.✓ . fo , , ,
- .tor, ' ,4., s - 5 !' lk
Length ..S 2 1 ) - /
,c S rY — _
yes5U, ,,,,i,P5 ge,<KhP4d_ i, _ _.
not sure o -� L
not sure yes n h 14 C h f/
io S
um: n/a yes ? L u i /}0 6iL 0P,',SAeaO -STr
N�A4S no V
ktached: es no
ig permit may be required by: /rpLc I°-, 6.09 C 4' See note on back regarding River Basin ri

DIVISION OF C'O&STAT.M 4N&GFMFRT
Arum-FAT RIP4RIAN PROPF.RTY OWNER NOTIFICATION/WAIVF.R FORM
Name Of Individual Applying For Permit SOE C 1 J C L O e f/
Address Of Property: /,Q
,/G 0.2 b'YQ z &4# dAi -c/(
(Lot or Street#, Street or Road, City &County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the development
they are pr ing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If ynu have to what is M
m8 imposed write the Divicion of C'nactal
Management 127 North Cardinal Driv Wilminb on North C'aroli a 2R:,M or call 91tt 39l
1900 within 10 days of receipt alibis notice No response is cnnsjcle td the same as no objection
if ynu have been notified by f_ertifird Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags
set back a minimum distance of ' from myarea of must bu
riparian access unless waived by me. (If you
wish to waive the setback, y must initial the appropriate blank below.)
nS
I do wish to waive the 15' setback requirement.
f
I da.ot wish to waive the 15' setback requirement.
_w is o� ATIPIPA
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TAP"IS 14185

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse X //I�y�,(�_❑Agent
so that we can return the card to you. / �� ❑Addressee
• Attach this card to the back of the mailpiece, B. Received by(Printed Name) I C. Date of Delivery
or on the front if space permits. JI
1. Article Addressed to: D. Is delivery address- . . 1? El Yes
If YES,enter d: ery a.. 1 (,r; 0 No
1X-sL L-2- •►
'gym mu�1 L Uc °v
91/ 7 �iPE Mc/91, azd� 0 ~ ,c ...1-1
8k6rlTixo1), 'TA/ 3 70,2 7
3. Service Type &7C66_L2
R Certified Mail ■ - Mail
O Registered 'Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee)
0 Yes
2. Article Number
(Transfer from service label) 7004 1350 0004 4538 6947
PS Form 381 1, February 2004 Domestic Return Receipt
102595-02-M-1540