45897D - Clark

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kCAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
KrNewModification JComplete Reissue (Partial Reissue Date previous permit issued
>rized by the State of North Carolina, Department of Environment and Natural Resources ' 1 I��©
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC t�
Rules attached.
it Name �Pvi- . G L ASV... Project Location: County �� 0 D>C ►L..
i1 21 S 5 N . 1' ►'l,. Street Address/State Road/Lot#(s)
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❑PWS: ❑FC: Y----'''
Closest Maj.Wtr. Body )yes /�0, PNA yes / no Crit.Hab. yes / no
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Yes
Attached: yes o 1
i

r CAROUNAFIRST
A & T MARINE CONTRACTORS
14254 NC HIGHWAY 50/210
SURF CITY, NC 28445 67-219/539
[phone]
N c 0 E 0 R- $ (ccoc
,,,_„...__L_____________________________------r,„,
O'A-Q h' t.t e- \ e.
kt % 3 /' (AUTHORIZED SIGNATURE
II10030490 1:05390 2 L971: 7 L005 L44760
fil]Srrarlty enh•netdTocr mrnt.---See 1P_Ncp 1 or drlails (]
MERRITT MARINE CONSTRUCTION, INC. 610
\.' DAIL MERRITT-NCDL 3481068
PH. [phone]
P.O. BOX 528L 8931 NC 28445 HWY 6 ♦ �� OO / 66
RIDGE,HOLLY/ � NC 28445 DATE 6
IF N C b
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V�- OL v..0Li DOLLARS 12
FIRST CITIZENS 457
BANFirst-Citizons Bank 8 Trust Company Act....:K Snoada Forry N.C.28460
irstcitizens. m
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116006 L0911' 1:053 L003001:00457 la L5 23 LII'
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R. PAUL CLARK 207
7°
2721 S SHORE DR
SURF CITY,NC 28445 66-112/531
'Zinc Z7 200 BRANCH 02501
i Kir D704,.....) of a�1 �_/�G $ �._
filir.�de r7�„�,,. / �''f� ��

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: fR eµ.( ?AA 642k,
Address of Property: eD0ROThy Sec_ DRwVe
(Lot or Street#, Street or Road)
J i
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indi`
applying for this permit has described to me as shown on the attached drawing the developmen
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 Ca
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-7/Gi
within 10 days of receipt of this notice. No response is considered the same as no object.
you have been notified by Certified Mail.
WAIVER SECTION
•
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu
set bck a minimum distance of 15' from my area of riparian access- unless waived by m(
you 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.
a*. arL,-
Name Date
aarles L49-5<'1,1 ,� /,

DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WATVER FORM
Name of Individual Applying For Permit: 1Ren, I PQ 0 1 C(qvk
Address of Property: 'Dp✓t a.TNNY 1 . Sc)C .DA\vC
(Lot or Street#, Street or Road)
50014 C1 ( ?evvde.- CCVYA .,
(City and County)C
I hereby certify that I own property adjacent to the above-referenced property. The indi}
applying for this permit has described to me as shown on the attached drawing the developmen
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 Ca
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-779
within 10 clays of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu
set bck a minimum distance of 15' from my area of riparian access-unless waived by mi
you 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.
cG.tt�w\ �ok 6I��f o6
Sign Name 6 ), J _, k �a Date
4i
�k 50� , Ike) �s�Y0A0 V 0 S% 1c '