466141D - Gill

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-CAMA/ ZDREDGE & FILL /
i.ENERAL PERMIT Previous permit#
LINew ❑Modification Li Complete Reissue HPartial 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 15A NCAC f/ 0 //&.2
❑Rules attached.
it Name SIG' 6/iI Project Location: County Na44d .r/vY'I'
5 S€ac t S T. e t i" I Street Address/State Road/Lot#(s)
/ /N4iy /► State Ale ZIP 2 8 gi SQe/ e L
I(9/P) . ( 351 Fax#( ,yam) Subdivision (eh*,'' . Aj/`(G,
:ed Agent �'0t►Ay 4/Qy7%� City ' t0' ZIP /ark'
❑CW Cl EW /❑PTA [V£S ❑PTS Phone# ( ) ,f'Q�t, River Basin C 1,i
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body /t/VV$V /,
❑PWS: ❑FC: n,�
(xes / no PNA ye / no Crit. Hab. yes I no Closest Maj.Wtr. Body / '''usUr'►I L D S?��
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COASTAL MARINE CONSTRUCTION
NCDL 3831595 14588 1$
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6314 WRIGHTSVILLE AVE 910-256-6357 66-21/530
3 WILMINGTON,NC 28403 • BRANCH 50004
Idil '
DATE
t 1 TO HE ---De /Q a__ :
:il ORDER OF I $
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1!I • WACHOVIA.
Wachovia Bank,NA. I'
41 wachovie.corn
i!I FOR 0/ qt - GI7/ 2 c__ ,....z.„,
li 11.0 L 4 51380 10 53000 2 L91: 2086 170 89-2
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Name of India dua! App >ing Fir Pf:rm t: � Zc �. /l
Address of Property: - f •
(Lot or Street 4, Street or Road)
(City an County)
I hereby certify that I own property adjacent to the above-referenceci.property" The indiv
applying for this permit has described to me as shown on the attached drawing the development•
are proposing. A description or drawing, with dimensions, should be provided with this iette
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395.3
within 10 days of receipt of this notice, Na response is considered the same as no objectio
you have been notified by Certified Mail.
WAIVER SECTIdR*"'.-.""'.'..
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set hck a minimum distance of 15' from my area of riparian access - unless waived by me,
you wish to waive the setback, you must initial the appropriate blank below.)
: do w'�sh.to waive the 15' setback requirement,
i ioo w:sh to waive the 15' setback requirement,
ose
iign .'ame Date

.�1 "p. j " I � .L...r ,Q,..; tZ n— :._.tom: 2.A:LlL' AKA 'O M
Name of App;y',nQ Fa P;1rmt: 2bajj,;_ati /
Address of Property: - _
(Lot or Street 4, Street or Road)
(City an County]
I hereby certify that I own property adjacent to the above•referenced..property. The indiv
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this Iette
I have no objections to this proposal.
If you have objections to what Is being proposed, please write the Division of Cos
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910.395.3
within 10 days of receipt of this notice, No response is considered the same as no objectic
you have been notified by Certified :'Null.
*Aiwa gte
wRgtC GI
I understand that a pier, dock, mooring pilings, breakwater, boat haute or boat lift muss
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to waive the setback, you must Initial the appropriate blank below.)
F'l�nr�
do wish to waive the 1 5 setback requirement,
i Rio la; wish to waive the 13' setback requirement,
A-7
/0/1/0-6;,
Sign Name Date

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