44938D - Floyd

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LAMA/ DREDGE & FILL
GENERAL PERMIT Previouspermit#
'New Modification f IComplete Reissue Partial Reissue Date previous permit issued
•ized by the State of North Carolina,Department of Environment and Natural Resources J/ lZG�
.oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
I )-Rules attached.
t Name 1G ®2 A /LL ox J, 5 644/ Project Location: County ea r i`'SG✓iL/e
f �, �o,x /2 f Street Address/State Road/Lot#(s)6 2 ,/L pre.
State/4C ZIP2$J/0
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❑CW W L 'fi4 BeS'- ❑PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body ( 9, n( B'41//W (nat
❑ PWS: ❑FC:
yes o PNA yeC - 7 Crit. Hab. yes / no Closest Maj.Wtr. Body /P141/'y'
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x distance offshore
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not sure yes (/}6'
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cum: n/a yes
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ig permit may be required by: Q( pq r: ESL c 6vA c I See note on back regarding River Basin rt

SAMUEL A.FLOYD 3950
ELIZABETH P.FLOYD
4409 Sprague Rd.919-787-6319 66-162/531
Raleigh,NC 27613 "0 0 BRANCH 51010
Date
0/Pay to the /vC /3 f /1' 1bQ
Order of , Y
OAC !\GtnCJr."G/ GZ—(/' ! D� Dollars = E•:�:"�;y'"
WACHOVIA
Wachovia c Bank,N.A.
/ /�wachlovLia.com
For V'/ f C)31 Nr
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOF
Name of Individual Applying For Permit: 14oJer F Pg,d �� e
Address of Property: l ' 7 1 ►r Mon S 7F'
(Lot or Street#, Street or Road)
6Ce Lie erg As 6
t O4� ,
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The it
applying for this permit has described to me as shown on the attached drawing the developn
are proposing.. A description or drawing, with dimensions, should be provided with this
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-3
within 10 days of receipt of this notice. No response is considered the same as no obj
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift i
set bck a minimum distance of 15' from my area of riparian access- unless waived by
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.
Sim Name Date

•
U1V1NNUN OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONA\TAIVER FC
Name of Individual Applying For Permit: Roket F e
f
Address of Property: 6 F4► r Mon S
(Lot or Street #, Street or Road)
Cc Ae s , ^_s..ick 6
(City and County) 04^
I hereby certify that I own property adjacent to the above-referenced_ ro
applying for this permit has described to me as shown on the attached drawing the eveello i
are proposing.. A description or drawing, with dimensions, should be provided with this
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-:
within 10 days of receipt of this notice. No response is considered the same as no obj
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift
set bck a minimum distance of 15' from my area of riparian access- unless waived b
you wish to waive the setback, you must initial the appropriate blank below.) y
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
E-61.45tf-11 41rvre-e-(
Sim Name
1 Date