46194D - Gomez

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�CAMA/ DREDGE & FILL
3ENERAL PERMIT Previous permit#
New .-Modification ;Complete Reissue 'Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources �7 h
,-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1)i gQO r /A'/2U4
/ 51 e� y attached.
it Name Piz 'J {T4/7CX o WvdriAeld Project Location: County 3,ec/,vfw/CJ
9 1 yC /Dy/1�A,,v Ii/ii C,e?rJe Street Address/State Road/Lot#(s) yJ Q sa,z1
ex,,, _ State nK ZIP 27j"//
( S 722 2//9 Fax#( ) Subdivision
ted Agent /U eM ,ii 4 r.fG,✓ City5 i,✓fp)II-,c A ZIP 2 75'
I ❑CW L W ErPYA i rES--.. ❑PTS Phone# ( ) River Basin 1.-¢,7e
❑OEA ❑HHF ❑IH ❑UBA ❑N/A / Q Adj.Wtr. Body NA C r/62/G✓Al (natz
❑PWS: ❑FC:
yes no PNA yes Crit.Hab. yes / no Closest Maj.Wtr. Body ����
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Attached ✓_ ..yes no

CUSTOM DESIGN MARINE,INC 67-7194/2592
2910 Whooping Crane Dr 1185
North Myrtle Beach,SC '_9582 u _
33ate
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Bnllacs 8• First Federal
N.MYRTLE BEACH,SC 29582 n- 60/71(4 ( P Lavlql lJ
°r 0001iaSe i: 25327L9451: 25060 2 5 26Lil'

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2/06/2006 13:16 8432492732 TC1 JOHNSON PAGE 02
k i fit EffarLQUJ.:PalliteriaCarisz
Name of Individual Applying For - it. 77c4c9,4
Address of Property: l O /L 5W
(Lot or Street . Street os Road)
54,45e:_r 36/4e..1/ 416 Ciee4hact4/LaX
(City and Co _,)
1 bereby certify that I own properly, adjacent to the above-referenced property. nio individw�
applying for this permit has describer; tome ss shows or,the attached drawing the development they
are proposing. A description or drawing,with dimes, should be provided with this letter,
�a•!.�r'r� i have tt�►objection:to this �C rr J'4 '(�7.�1 '
� pt�asal, ld4tA4fr-74.D +f
If you have objections to abet is be proposed, Asc,� 0.04s'r*/e.-r, j
tag please write the DtvWo• of Coastal
Mrwage aset„ 127 Cardteoi Drive Extuullou, WItmtngtoe, NC 28405 or call 910.395-3900
within 1g days of receipt of this sotto. No response is considered the same as no objection If
you have been *Wiled by Cart Mall.
- ..,.,
WAIVER SECTION
I understsad that a pier,deck,mooing pifI,9Qs,breakwater,bunt bowie or boat lin must be set
bek a Waimea distnsce of IS'from ray erea of riparian MUM. tudssr waived by me. (If you
wish to waive the setback,yea mug initial the appropriate blank.below.)
I do wish to wetre the i f' setback requi ement,
..-•-�.. _...,..,r I dnwovept wish to wove the 15' setback requirement.
Sign Name Date

Val.tJt) 1-i. a 7 0,4.3L434' I La1.1 J'_'Pl 17VI1 :4-
1;�v1S1Q QF (QA5LAj,.NIANA.Ij,;,, fENT
,Wye N T B3 Pkill/it:12.1WMIX o R I TEEI ATIOallkiA FQ►a n
Name of Individual Appiying For Permit. 1 g€Sr4 Jl'{ _ ------
Address of Property:zeoc.)
(Let or Street e, Street Of Road)
alikeixiski ed0A-M0
{city and Counts)
I hereby edify that I own property Adjacent to the above.-rderenced prcperh The individual
applying for this permit has described to me as shown on the attached drawing the development the;
are proposing. A description of drawing. with dimensions. should be provided with this letter.
,e cPmck-i- cgar
7- have tic objections to this proposal. 2 y i 4 b *,'
..Z4d Glo4.1s Ti14.1aTioAl
If you hive objections to what is being propovrd. please write the Division of Coastal
Marisa net * 121 Ca+rdiusi Dries Extension, Wilmington, NC 28405 or call 910-39f-3900
within 14 dori of receipt of this notice- No response Is considered the seise as ao objection if
you have been notified by Certified Milli.
�.».,.
WAIVER SECTION
1 understand thata pier.dock,mooring pilings,brsakMater,boat boast or boat lift roust be sat
lick a minimum distaste of IS.from my area of riparian access unless waived by me. (If you
wish to with*the cutback you coast iiitfsl the appropriate blank below.)
qhfii;71.). I do wish to waive the 154 setback requirement. ca "f`7,j(
lig jaw wish to waive the IS' setback requirement.
Ss Name Date
ilik44411P46
Prtrt Nth Vir
edy ripe .,.°' "llte
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