45916D - Golanoski

`CAMA/ -DREDGE & FILL i
3ENERAL PERMIT Previous permit#
;New El Modification JComplete Reissue LPartial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources 9
2oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC /.#7 1Z1Q
ul
1 L es attached.
It Name/4O/V,J tT h epGf31 r✓aS.�C , Project Location: County iyezM,Jsct//ek
P d 0_ I O L 6 Street Address/State Road/Lot#(s) 90 y
911d',f t Stater"C ZIP2 er/5 9 o'' C X U
(74') 22 y•109y Fax#( ) Subdivision 61 V et z A L l j
:ed Agent ‘,1;0,t?7, �7 City 5%a 1 i ail/-e ZIP 2- may.
❑CW W D6PTA B'ES`-- ❑PTS Phone# ( ) River Basin LQQm ,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ Pws: ❑FC: Adj.Wtr. Body..S/ .L 1a1iii e �i vr... siSI
Closest Maj.Wtr. Body "52' I ✓frt/
yes J--t—o7 PNAcaV no Crit.Hab. yes / no F Project/Activity A, t/ t ,r4„./2)v C //
/,
(Scale: /
;ck)length /12 ix S.,
i(s) 12 / x (1 T_/ i , -s - "'1,- ', b�
17- 04/
:ngth .____ l ' 'r l t
mber .,� j t- ,
d/Riprap length -1. 1 '
g distance offshore s,'
ix distance offshore i
hannel 4-- _--- r— 4 I l
bic yards u > — ....., 1
np Y �!'
ise/BoadffC U,`
0
Bulldozing i- - y i $ —_ 1 I a s
C
e Length ! (0Z . - '?
not sure es Q.,;.. 1
y I �`
: not sure yes no ....
f .. .; i
s . .01...._
lum: n/a yes - f -_:.
yer �: 1
Attached: yes ,. 0 g 4 r .i .S: 44 I , 1

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DIVISION OF COASTAL MANAGEMENT
c; .
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: A. cl& A /,coo
Address of Property: q‘v 4_ / d , /lJ
(Lot or Street #, Street or Road)
// gie(m,Ctejf / � - 6 b'7
(City and County) 7
[ hereby certify that I own property adjacent to the above-referenced property. The individum
applying for this permit has described to me as shown on the attached drawing the development the
ire proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
[f you have objections to what is being proposed, please write the Division of Coasta
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3901
within 10 days of receipt of this notice. No response is considered the same as no objection i
you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be se
)ck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ifyot
vish 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.
ls` p, - le) 3ro baov 236 4z
, -TI-e b - G' 7 0 6 0 Oc.->2302 1)
>ign Name Date

Brunswick County Parcels
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y of real property found within this jurisdiction, and is compiled from recorded deeds, plats and other public
ire hereby notified that the aforementioned public primary information sources should be consulted for
d on this map, The County assumes no legal responsibility for the information contained on this map.The
ffective date is: June 1, 2006

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• Notice Left,July 14, 2006, 12:17 pm, SHALLOTTE, NC 28470
• Acceptance,July 13,2006, 1:57 pm, SHALLOTTE, NC 28470
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