44995D - Jourdan

..rCAMA I DREDGE & FILL
3ENERAL PERMIT Previouspermit#
'Kew Modification Complete Reissue —Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
2oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 3A NN.S 4 I 1 Cit
E 4tles attached.
t Name LPoii. f�c'it 1P•i Project Location: County 'l4'1000
63 000 sv/V Al pit_C A,/JSP 2 ? , Street Address/State Road/Lot#(s) y,6 QCeo.0
i j/e#iso Pt State AlC ZIP 2 r„..?// 3 L UC►. Ii✓t5r
604) (/0-,$kd Fax#( ) Subdivision
:ed Agent 7D 4A y Pr/Z R/ City/Q l do,/ C Pea ZIP
❑CW 61,EVr Bf1A g ❑PTS Phone# ( /) River Basin L kelf 104
El ❑ ,OEA ❑HHF IH ❑UBA ❑N/A Adj.Wtr. Body`9,J/¢I fJ 6i 1✓V (nata
❑PWS: ❑FC:
Al
yes no PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body �'✓
f Project/Activity add I3697'L 1 c/ 10 tA'IiIf4 ,Arck ee. 4tC LiC,-71e
.1/+f Q• d $Hari i e.✓ f L o, 1 /D /O ''[ f 2 ' 6,1/9 S-f 6 'X/0 2 (Scaled
ck)le h
'(s)E i5A,, /! .')C111
ier(s)
ngth
mber
d/Riprap length
distance offshore C i7 ) I) L__ _________
uc distance offshore
iannel
bic yards
np
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ulldozing / '2 ; ,iii)) c-1
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e Length so L____ I ! ,�el
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not sure yes
s: not sure yes f~f i
lum: n/a yes n (,�
4ttached yes 1 t 7 6 D E 41 1-
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ng permit may be required by: r 6 l/9 G. ___ See note on back regarding River Basin r

--. E3 S e c u r i t y . See b a c k for
s-�ssi.
THE AMERICAN FISH CO. 75941if
CHARLES H. OR KAREN Z. PERRY
P.O. BOX 11046
SOUTHPORT, NC 28461 (',, / 66-30/531 1
nI ��((\\ �/\/\ DATE `— `-� 453
O THE I Y� c- E i& . ` .. 4.
)RDER OF v YYYY
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~ei' `' "' DOLLARS w --.
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FYRST CITIZENS BANK
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OR GPYt. NIGU�den I 'p
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ii'0 ? 594 Ln' 1:0 5 3 3,00 300I:004 S 3 L 2099 2 21' I

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p1V1 1 Q:N.QF.COASTA1 jvi:ANAQEMENT
ADJACENT RIPARl' 1q YROpERTY OTNEI NOTIFIC ON/WA1v
�lTL I~R FOPm
N.Jme ortridiv:idual Applyiog For Permit: Lev/6 -ou.
.
- cress or Property: (t 6 Dc e&r gILVD
(Lot or Street #, Street or Road)
lden r, .s4,,C,k
(City and County) •
nurc'by certify that 1 own property adjacent to the above-referenced property. The indivicua:
•_pp!ying for ibis permit has described to me as shown on the attached.drawing the development the.:
Ire proposing. A description or drawing, with dlmensions, should be provided with this lerter
fle,•4c , I have no objections to this proposal,
if you have objections to what is being proposed, please write the Division of Coast:1
Management, 127 Cardinal •D'Hve 'Extension, Wilmington; NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the.same as no objection
,,ou have been notified by Certified Mail,
WAIVER SECTION
I uuder-staod tbat a pier, dock, mooring'pilings, breakwater, boat house or boat lift must be se
DCk a minimum distance;of 15' from nay area ofriparian access - unless waived by rue, (11 yo_
wish to waive the setback, you must initial the appropriate blank below.)
I do wish;to:waive the 15' setback requirement.
•
I do not wfsh16-waive the 15' setback requirement.
•
� t Name Date AA

• D(VJ t .N.OF QOAST, ME AD_FMENT •
ADJACENT RIPAR0' t P.N.
O E NQTIF ION/WAIv
� � ��' E R F 0 R/A
Name o1Indiv:idual Applyiog For Permit: . LLe ' u ,
LvO
Aocress or Property: (-1 C,—1 6 O O0.r\ �
(Lot or Street , Stre6t or Road)
F40[deµ _ck. Qr0.r\s icAc
(City and County) •
ncret,y certify that I own property•,adjacent to the above-referenced property. The individua.:
_pp!ying for Ibis permit has described to me as shown.on the attached.drawing the development the.:
Ire proposing. A description or drawing, with'dlmetsslons, should be provided with this levier
, I have no objections to this proposal,
If you have objections to what is being proposed, please write the Division oC Coasts
'vtdnagement, 127 Cardinal •D'Mve Extension, Wilmington; NC 28405 or call 910-395-3900
wichin 10 days of receipt of this oodce, No response is considered floe same as no objection if
ton have been ootifled by Certified Mail.
•
•
WAIVER SECTION
I uuderstaod that a pier, dock, mooring"pilings, b,reakwateri boat bouse or boat lift must be se
ock a tnioimum distance,of frorn my area of.riparlan access - unless waived by rue. (II you
wish to waive the setback, you must initial the appropriate blank below,)
•
13 L I do wish;to,waive the 15' setback requirement.
I do not wisfi"to waive the 15' setback requirement.
_ X,4). . c,/g � (. .
ate

•
American .Fish Company
• RO. Box 11046
f `` "' '� .Southport, North Carolina 28461 INVOICE NO. #_
-:-N±ont Email;:AFC03600®aol,com
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,�,; American .Fish Company
`'� ` ' ' . P 0. Box 11046
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" '= Southport, North Carolina 28461
• p INVOICE NO. #_
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