46187D - Davis

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JCAMA/ _DREDGE & FILL IN
3ENERAL PERMIT Previous permit#
New .JModification I_'Complete Reissue EPartial Reissue Date previous permit issued
Irized by the State of North Carolina, Department of Environment and Natural Resources H • �7bG Zoastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rul ttached.
it Name jAt t I S Project Location: County /� 'Y / PA/4°
120 al'y� 41' e , ' i I Street Address/State Road/Lot#(s) 5,t tie'
Vi ►'V AM / State Nc ZIP 2�t Y03
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ted Agent 1,M th t,/ /�et 7% City S -1{ ZIP r 'y'
iL?rA ❑ES ❑PTS Phone# ( ) ,fit- t*i River Basin C.
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❑ PWS: ❑FC:
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9 5NSTRUCTION 14635
910-256-6357 66-21/530
28403
� BRANCH 50004
DATE i„._ 3 D
DOLLARS LI 17gyi�o
�Z22
� 3
I. 1:0530002191: 2086L70 89V‘e
_....+_....�,.-..r.....e........€rv........t_a^,-;'............»_ �...n �....-..z.,..w... �- _ro+.rti...._..-.-�-m."- _�..,...-€}'-......_«..,.�o.�w.y_-tea- v-�.•�,-{ :-. - _ -

E R2'Zy..t.;:�.*� r';\ .1'� :i\',�.,. L���, li��i i .l',� �� r� ,'A \.ER 1.0K\.
Name of n•:_ivdue? App,y:ni _
/11}1.i.
Address of Properry: y==7�/_ _4l!/�-�..
(Lot or Street#, Street or Road)
1.20/ f xr, _ c:.7 ,5P-- 0.3
(City and County)
hereby certify that I own property adjacent to the above-referenced..prope:ry. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A dcsoriptian or drawing, with dimensions. should be provided with this ;ever.
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 nail 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.
wA' R SZctiar?
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
set bek 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.)
"4/ri I do v4sh to waive the 13' setback requirement,
I do not wish TO waive the 15' setback requirement,

FaRN1
.� :\ L .tom .—'.s � .. •�. :_a..� .. _�.... �._.3�.._�.i�----•��
Name of:nditi'.dufll App>:g Fur P= ,(324V .�.,
Address cf property: ('2 -t)
(Lot or Street w, Street or Road)
(City an Co °j
I hereby certify that I own property adjacent to the above-referenced-property. The individue
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.
``2 I have no objections to this proposal,
If you have objections to what is being proposed, please write the Division of Coasta
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395.390i
within 10 days of receipt of this notice. No response is considered the same as no objection i
you have been notified by Certified Mail.
WZMIt
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
set bck a minimum distance of 15' from my arse of riparian access-unless waived by me. (1
you wish to waive the setback,you must initial the appropriate blank below.)
do wish to waive the 13' setback requirement.
I do 10,1 wish to waive the 1 f' setback requirement,
( ' -

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