44868D - Jones

ICAMA/ DREDGE & FILL
1
BEN ERAL PERMIT Previous permit#
New Modification Complete Reissue `;Partial Reissue Date previous permit issued
•ized 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 ) 1, • \ \ O \ LSO
❑Rules attached.
t Name (Zos C; G o Project Location: County 40
C10 3 O Street Address/State Road/Lot#(s)
L L i 1 State0 C ZIP La.L$ i S- C\O '`
( ) Fax#( ) Subdivision
ed Agent City LA(Lc- C.-TT `I ZIP Z,S Li
❑CW 'EW ;PTA S I PTS Phone# ( ) River Basin,flc 1R'P
❑OEA ❑HHF ❑IH UBA -N/A
❑ PWS: ❑FC: Adj.Wtr. Body Site trQ1? 5 (nat
yes PNA yes /® Crit.Hab. yes / no Closest Maj.Wtr. Body ' v
no
Project/Activity -INJS I iL L. (DC Lt e-A i. `F V • Z--' JAI"
%xt51'1. \-\- X ' \A/P\L-K-vv a`I : L (Scale: 1"
:k)length
(s) (° X 45, .
er(s)
Igth
nber
I/Riprap length kfl t 4 I
distance offshore 2
K distance offshore 2- 1 '
annel j
is yards
illdozing
•
•
Lt
Length ' _
not sure yes ( D •
i i
not sure yes
urn: n/a yes C) P L OL.0 _:.I
yes ^ L
ttached: AgErw no
ig permit may be required by:Sv. See note on back regarding River Basin n.

3DL 1987772
46495 6364
328-1532
t 66-19/530 NC
Date ""���1Y`A _ 2105
Dollars n .�,
0002L33262970 6364

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO 1 I1,ICATION/WAIVER FORM
Name of Individual Applying For Permit: / d se J/1e5
Address of Property: 9so 30 ,v /t /-/I •
(Lot or Street#, Street or Road)
iM' ( IV& 0./ /ate (a _
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi
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 lette
\/ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of CM
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-2
within 10 days of receipt of this notice. No response is considered the same as no ob jecti<
you have been notified by Certified Mail.
WAIVER SECTION •
I understand that a pier,dock, mooring pilings,breakwater,boat house or boat lift must bi
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If
wisp to w ve 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.
44: kdv1A-)
Sign Name Date
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Print Name
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• •

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: '195C._ ( LJa'1e$
Address of Property: 9D32 kii1 �7
(Lot or Street#, Street or Road)
cikA /V‘i d f �S' 675/660 (
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi,
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 letter
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. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bE
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (If
wish 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.
/ -�s �<
Sign ame Date
a/404,PY<d/A /4/4
Print Name 1 �

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