43226D - Dieler

4'CAMA/ DREDGE & FILL 4
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
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7A, //jJ()
� ` / Rules attached.
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t Name e ,p✓ Project Location: County ,( vfriscd/CA
fig S, , , / Street Address/State Road/Lot#(s)
'4 - S�1u4/ StatePe ZIP70116,1 5i‘"11tr
` (lid) $ Y 3 -706"Fax#( ) Subdivision
.ed Agent jD,f,,.47 Av./ City - ZIP CW C (em TA s ❑PTS Phone# ( )_ River Basin e�
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body au;S ( e nQ/ (nat /i
❑PWS: ❑FC:
yes /® PNA �► no Crit. Hal,. e)/ no Closest Maj.Wtr. Body
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ittached: yes n _.—_
ig permit may be required by: $.V//0,14de, 6), See note on back regarding River Basin ri

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..._,,,. _... .._,...., . .. •-• --.5... ..--. 1:fjSecurtty enhanced document See back for detail. (211=1:1•11111=1 . ... m-,--r-tmotemerkimi
THE AMERICAN FISH CO. 75418 4
CHARLES H. OR KAREN Z. PERRY
ii
' P.O. BOX 11046
SOUTHPORT, NC 28461 66-30/531 11
DATE is-6 0 453
PAY
ORE OF 1•1 , eZ• . 1 $ i oo • c a ..
t I & V.L.A.4.464 86stax0, .=..- y,&,:stmla.. DOLLARS
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ir FIRST CITIZENS 453
i1 BANK =4`0=1-21,f6I''''''""Y
www.firstcitizens.com
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FOR t 1 7: VriA-). -- 9A- Am.
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American Fish Company
P.0, Box 11046 ,
Southport, North Carolina 28461
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D1V Sj :N.op BOAS 'pI� MANAGEMENT 39 5 - 3`lC o C,w
AC IA CENT RIPAI 1�`PR(Qpp 1Y O B i0N/WAIV�NOTI IC
-` �� E R F O Rlv1
ne of Individual Applying For Permit: . (� `�" ' A_)410_°L,
Tess of Property: i lc( S- ISM
(Lot or Street #, Street or Road)
Dak •
(City and County) •
reby certify that I own property .adjacent to the above-referenced property. The individua:
lying for this permit has described to me as shown on the attached drawing the development the
proposing, A description or drawing, with dimetasions, should be provided with this lever
I have no objections to this proposal.
ou have objections to what is being proposed, please write the Division of Coas.a1
nagement, 127 Cardinal •D'rive.Extenslon, Wilmington, NC 28405 or call 910-395-3900
,in 10 days of receipt oftbis oodce. No response Is considered tbe'same as no objection if
have been notified by Certified Mail.
WAIVER SECTION
derstand that a pier, dock, mooringpilings, breakwater, boat house or boat lift must be se:
a minimum distance of 15' from my area orriparlan access - unless waived by rue, (If you
to waive the setback, you must initial the appropriate blank below.)
/` a M I do wish;to:waive the 15' setback requirement,
___ I do nol wish"to waive the 15' setback requirement.
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617 92)C Cd/d?r / 2_ - 2:7 o
!game DateATTrA

DIVA :N OF COAS '�A _MANAOEMl1NT
ADJACENT RIPAR/* PXOPp TY OWNED NOTIFIC ION/WA
�T I vE R F O R1u1
Name of.1`ndiv:idual Applyiog For Permit; .
-),dcress or Property: I tC _ v=_ 1ST
(Lot or St-reet #, Street or Road)
we
( ity and County)
eicreby certify that I own property..adjacent to the above-referenced pro e
. The,plying for this permit has described tome as show t•on the attacheddrawing the de elopmdelntvl hdu ca.
c proposing. A description or drawing, wit,h.dimetssions, should be provided with this lener
I have no objections to this proposal,
you have objections to what is beiag proposed, please write the Division of Coastal
anagement, 127 Cardinal D'riva Extension, Wilmington; NC 28405 or call 910-395-3900
chin 10 days of receipt oftbis notice, No response is considered the same as no objection if
u have been notified by Certified Mail, •
WAIVER SECTION
Jderscaad that a pier, dock, mooring"plliugs, breakwater; boat house or boat lift rn ust be se(
a minimum distance.of Z5' from my area ofriparian access - unless waived by rue. (II you
h to waive the setback, you must initial the appropriate blank below,)
i
1L I do wish;to,waive the 15' setback requirement,
• I do not wish"to waive the 1 setback requirement.
" / ,--1 2403
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Name AT Tate �`� cirA
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