46157D - Furman

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,6AMA/ ❑DREDGE & FILL
3J.NERAL PERMIT Previous permit#
ew CModification ❑Complete Reissue EPartial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
2oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7A' f 2 t 0
Iles attached.
it Name //e1 ,14/ 1'u 2 m,q r! Project Location: County eR,i N 5 wi et
fa 6 6 aC 007 7 Street Address/State Road/Lot#(s) / Y I GJ, 7
1..O,.I(bstd State/'/C ZIP 2-7yt L 5 L 0/ T y
`(9'2)2$6-J621 Fax#( ) Subdivision 7,4 e /Q616a"9 / OC�9-1 T.1/e
:ed Agent ,e-is,e t /'7y oa_s/4 1A/(' City are9 Ile t vgc.4 ZIP 2 f%Li
❑CW C•.EW PTA QfS ❑PTS Phone# ( ) River Basin L1,,y 44
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body C1I c/ S,N,.d CI PeA
❑PWS: ❑FC: Q /
yes n.� PNA yes(h- Crit. Hab. yes / no Closest Maj.Wtr. Body !/ / A✓�
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g distance offshore obruaemet. —
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not sure yes n•
s: not sure yes
-cum: n/a yes n• 9 ' -- III 1--
yes
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4ttached: yes P I.. I U [ I-1, T 9/Z(1 _ _1 1 7

UUtAN ILL ACH, NG Z8469
[phone] 66-112/531 1/1012001
PAY
TO THE
ORDER OF DEHNR **100 00 •
• g
One Hundred and 00/100****** **************************************Mum
DEHNR
8 WILMINGTON REGIONAL OFFICE
DIVISION OF COASTAL MANAGEMENT
127 CARDINAL DRIVE EXTENSION
WILMINGTON, NC 28405-3845 AUTHOR SIGNATURE
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000 2116 211' 105 3 LO L L 2 Li: S 29 L L931,13 L
JESSIE & MYERS CONSTRUCTION B&
Branch B BanldnTg wad Trust Company 4387
P.O.BOX 5024
OCEAN ISLE BEACH,NC 28469
[phone] 66-112/531 11/30/201L
8
PAY
TO THE
ORDER OF DEHNR **300. 00
Three Hundred and 00/i00******************************************40MARS
DEHNR
WILMINGTON REGIONAL OFFICE 8
DIVISION OF COASTAL MANAGEMENT
127 CARDINAL DRIVE EXTENSION
WILMINGTON, NC 28405-3845 SIGNATURE
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: T11ru0-i- —1jrv1n2lk
Address of Property: i 40 w 7ti i rG, S'fret
(Lot or Street #, Street or Road)
13eacin - 6r s i i( C.1&.
(City and County)
[ hereby certify that I own property adjacent to the above-referenced_.property. The indivi,
applying for this permit has described to me as shown on the attached drawing the development
ire proposing. A description or drawing, with dimensions, should be provided with this letter
I have no objections to this proposal.
p posal.
f you have objections to what is being proposed, please write the Division of Coa:
4anagement,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3'
(ithin 10 days of receipt of this notice. No response is considered the same as no objectio
ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breaktivater, boat house or boat lift must
bck a minimum distance of 15' from my area of riparian access - unless waived by me.
)u 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.
n N e t
V1/vC,
.71-nco nl„ I•71 r.4-

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
.ame of Individual Applying For Permit: Tl Vkt.O �}rytr,
1
ddress of Property: ] 40 J 7t l Ir4i slreei
(Lot or Street #, Street or Road)
Oceavt 2c Ct 13eQcin - 6rvv s w(cJ&
(City and County)
lereby certify that I own property adjacent to the above-referenced.property. The individt
plying for this peiinit has described to me as shown on the attached drawing the development th
proposing. A description or drawing, with dimensions, should be provided with this letter.
X' I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coast
inagement,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39(
`hin 10 days of receipt of this notice. No response is considered the same as no objection
i have been notified by Certified Mail.
WAIVER SECTION
iderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (1
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
K I do not wish to waive the 15' setback requirement.
/q o�
i arn e
D to
SO
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