45879D Gussenhoven

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fCAMA/ I I DREDGE & FILL I. /
,EN ERAL PERMIT Previous permit#
New JModification L-,Complete Reissue —Partial Reissue Date previous permit issued
•ized by the State of North Carolina,Department of Environment and Natural Resources �r
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC r ., aim
/ ❑Rules attach
t Name j1lQA I LI/. 611445.5. .4i4/I/01 Project Location: County tt v /� G
1`` S/`/ntne,-"" (e • Street Address/State Road/Lot#(s)
f1 '(m-tih ,' State Ik ZIP 2 8 l(// i-tt
( e') v.47,35 Fax#( ) Subdivision r-i ' g 4x-5-
edAgent J/11 /'!/�/' City 14.1/4"/n� P'�/ ZIP 2/$'1,
-;Cw TA/ hA ❑ES ❑PTS Phone# ( ) js? / River Basin C Gi
LI OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body A e4eap mlei gnat I.
❑ PWS: ❑FC:
yes/ no PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body �����
Project,%/Activity is/s'7/it a//Iyi 2 -'1' oy'/� /l /h9.5
M ga...47 '//' / 2. (Scale: 9
:k)length
(s) 1 :-,- ki* .r eye rf,,,_
er(s) 7
igth pei'priks4k4fL__nber -•---� — _. __
i/Ri ra length Rip rap gt %`'I f'l tC2//V S3 —fir • Ak'/Sr
distance offshore � ..��� !
x distance offshore }Ar LrJ /
L /
sic yards 1
se/Boatlift
illdozing I ' 1
OGY/h
4 6 f',56 c?D , ,c/ii 6
/, i , •�,
Length jOd
not sure yes g)
c: not sure es .
um: n/a yes a I a i
yes _ ."_ :?-
dtached: yes g
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IARINE CONSTRUCTION
14228 1,
NCDL 3831595
IHTSVILLE AVE 910-256-6357
, 66-21/530
_MINGTON,NC 28403
BRANCH 50004 4 DATE 6/
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• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: , , _ „ITO'4-Ft) 60. 67/5: Ai 1-i L 6 /
Address of Property: Y Sfi44/1I&--, J,q- _
(Lot or Street 4, Street or Road)
Gv/LM (t)6-Tod / A) C N ;1(-/9/1/PdFte--
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The individ
applying for this permit has described to me as shown on the attached drawing the development ti
are proposing. A descri on or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3S
within 10 days of receipt of this notice. No response is considered the same as no objectio]
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to ive 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.
;r
Rid 0()/.06.
tgn Name Date
---ri ,--- I ► AMA

03 06 04:37p Gussenhover L -1-Liz-o14 i p.z:
•
pJVISiON OF COASTAL. MANAGE NT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFLC• +:,4IV'ER FORM
Name of Individual Applying For Permit: — ,sCE"1 4-(-e9V 4I
Address of Property: .WIIMINIIIMMEIMMOONENIDOI
(Lot or Street#, Street or Road)
C c7,41P 4472—
(City and County)
I hereby certify that I own property adjacent to the above-refeience&pr'r;}erty. The individual
applying forthis permithas describedto me as shown on the attar» d drawir.gthe deve1 pmentthey
are proposing. A description or drawing,with,dimensions, sho d be pro,ided with this letter.
✓ I have no objections to this proposal]
If you have objections to what is being proposed, please write th e Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 2840 or call 910-395-390C
within 10 days of receipt of this notice. No response is considered the mate as no objection is
you have been notified by Certified Mail.
WANtil SECTTTbN
I understand that a pier, dock, mooring pilings, breakwater, boat hot t.;e or boat lift must bl
set bck a minimum distance of 15'from my area of riparian access-n iless waived by me. (I
you wish to waive the setback,you must initial the appropriate blanl. below.)
do wish to waive the 15' setback requirement.
I do act wish to waive the 15' setback requirement
■
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Sign Date
• grA,C�'rc T Cri,�E go
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Print Name "r"'"
r,uctr rn

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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sig /
item 4 if Restricted Delivery is desired. X . ❑Agent
• Print your name and address on the reverse Azoil``Ill/ ❑Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece, L-
or on the front if space permits. f �4�"�'(v
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to:
If YES,enter delivery address below: 0 No
c 3. Service Type
0 Certified Mail D.Express Mail
0 Registered CJ Return Receipt for Merchandise
0 Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7005 1820 0006 2129 1259
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete A. Si!nature.,
item 4 if Restricted Delivery is desired. X 00 ,l c1 I
❑Agent
■ Print your name and address on the reverse 0 Addressee
so that we can return the card to you. B. Re -ived by(Printe•Name) CDte of Delivery
• Attach this card to the back of the mailpiece, /r7
or on the front if space permits.
D. Is delivery a••ress different from item 1? 107 es
1. Article Addressed to: If YES,enter delivery address below: ■ No
azz%7 c4,
y /v , 6> 6.
3. Service Type
dfaefral `t?' /I G ❑'Certified Mail 0 Express Mail
/ 0 Registered 0-Return Receipt for Merchandise
�� � ( [f ❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7005 1820 0006 2129 1266
(Transfer from service lat