46176D - Gilchrist

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G`AMA/ 1 DREDGE & FILL
GENERAL PERMIT Previous permit#
N ew Modification !Complete Reissue CPartial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natural Resources ��jj
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC /ii, /2 UU
7� C�Rfifes attached.
it Name R , C x> �/J C �/I,s Project Location: County & ci ,i Gil/C.,
S g O/ o C)� Sea yi ce g c f Street Address/State Road/Lot#(s)3 ",,f6,,,,
RI ,; p State/YC ZIP Z77'3
(26)) 7 2y.. 2c-pf Fax//��#( ) Subdivision L
ted Agent 061,,.$", ,L/IC/C....s�e/�'� 4p:5 CityO('P/9"d �S 2? /5OAC? ZIP—2 Fyn
i ❑Cw [€W CJP'f�1 P+ES- ❑PTS Phone# ( ) River Basin 6 jr p r
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❑ PWS: ❑FC:
yes�-'fib PNA yes(trio' Crit.Hab. yes / no Closest Maj.Wtr. Body �/kilt/
f Project/Activity R P lAC Q Z,x 1 s 7/•i) f L On//I zy Ct !1;e<L.
(Scale:
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id/Riprap length
g distance offshore '--- "� /2 r/ ( ,-
ax distance offshore ;. j i I
hannel
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ie Length S
not sure yes r ,,i, 1 �._..
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rium: n/a yes
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Attached � no - - --- - Q ^j 7 :

•
13020
DATT 2. r ,-. b(Q 67-7235/2532
Gre-S t- adaiIII/L- ‘. 1'--- 011
2011' is 253 27 23551: L 2 51300 59090

Owen ,MC 28405
(910)575-52/1
I [phone]- fax
1
E5 X 30 Dock 0!
o a „--:._ 0 o
1 i 1
I 13X16Ramp .
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40Ae utSi. IlldryGi1 'c
• re Amos St 1
i Aunt/ a ip 016,roc s 1 �s Anton St
Se Oak Creak Lane
iiwalemo ,NC 287391204 Apache O.
58tii Rock Untod. eta is
Aoex.NC 27502

Name of Iizdivktual Applying For Permit:
Address of Property:� 3& -Ah.s6,, S-}ree
(Lot or Street#, Street or Road) --- _�
I\(C -gL41. Co
(City and County)
I hereby certify that I own property adjacent to the above-referenced rpp e
P rtY. The i.Zdividt
applying for this permit has lest ri bed to me as shown on the attached drawing the development tb
are proposing. A , 'ption or drawing, with dimensions,should be provided with this letter.
I have no objections to this proposal.
If you ha jections to what is being proposed, please write the
t
Management,.127 Cardinal Drtve Extension, `PVtlteain Di 05 or ajj 9 of 95-3Coa 1
within XO days of receipt of this notice. No response is ccons'id€redthe same as no objection
you have been notified by Certified Mail.
1.
.$49A-firerit
manorN
I understand that a pie; dock, mooring pilings,breakwater, boat house or boat lift must b
set bck a minimum distance of 151 from my area of riparian access-nnies waived by me. (i
yo t waive the setback,you mast initial the appropriate blank below.)
;- I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
•
Sign N e Date •
7 1‘i/(f "(ram�_ y ArcirldiAA,Print Name _ .,.,
NCDENR
fwrwOrrwr wro Arum"fitaas.en
Telephone Number with Are Code
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�c 0c het ivid,c, Itpetyiel coo FCrMII . 1 (.k_,41 13-1 OariC�
(Mre ss of R PW 3$ s S �e }
or Street 4, Street or Road)
o 113 KC as4t,q grttivwm'c inn,
(City and County)
I hereby certify that I own property adjacent to the above-r ference&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 witch this late
I have no objections to this proposal_
•
If you have objections to what is being proposed, please write the Division of CO2
Management,. 127 Cardinal Drive Extension, Wntnington, NC Z8405 or call 914-395-;
within 10 days of receipt of this notice. No response is considered the same as no objectit
you have been notified by Certified Mail.
I. understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bcka minirnutu 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.)
I do wish to waive the 15' setback requirement,
I do nQt wish to waive the 15'setback requirement,
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Sign Name Date
p, L. 0 .1t.' 1L. 5 5 6 t"\) AVAPrint Name ..o....
(7/9), - / 4a 9- NCDENR
MINIM/J1Mwer4T M.O wODn+R F<esrl
aa.entct
`telephone Number with Are/Code
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