43986D - Jones

ECAMA/ DREDGE & FILL
iENERAL 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 I 5A NCAC J • �O
❑Rules attached.
t Name i\i,Z Nc.E Project Location: County ►DS t...�.,.�
613 Lc) c‘-< Street Address/State Road/Lot#(s)
v\,1-4 lit- 1- � State 04-- ZIP L LI LI C1 oLc1
( ) Fax#( ) Subdivision D.- ►-S ' `fi
ed Agent -51 ..�Ts. City u c liiT`1 ZIP Z.$L'f L
❑CW ❑PTA ❑PTS Phone# ( ) River Basin (�A P
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑PWS: ❑FC: Adj.Wtr. Body`-i Tv m e zzau J7 L( (nag!(nag!•+ N (n
yes / o�J PNA yes /� Crit.Hab. yes / no Closest Maj.Wtr. Body ��•'�
Project/Activity -t- W L L cJ L L A . - I
'(v, %-N (Scale: / i 2
:k)length
(s)
er(s)
igth
nber
tiprap length SS
distance offshore
x distance offshore
annel
iic yards
ip
se/Boatlift
illdozing
ILength 5'7) ' g
not sure yes
not sure yes ono
urn: n/a yes
yes (
attached: yes
ig permit may be required by: S V\Q,c ('L `, See note on back regarding River Basin rn

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1 ANTHONY P MORRIS 1413 l'
II A&T MARINE CONSTRUCTION
131 Roberts Road
IA \ \ 67-219/539
Hampstead,NC 28443 2
1
BRANCH 01411 0
' 1DATE
PAY TO T11E C.52 , I ‘
11 ORDER OF --1"-"-"*.."-T--A--.' 1\...)L—""‘••••••'IZ.ki i 1 I $ Stib
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DOLLARS 8 ..
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1A1 CAROUNA FIRST
i HAMPSTEAD.NC 28443 0
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Cc �� ,Y. -cS�nb► ��C't"i b . CM,.
Y
Address of Property: (10 2 q".
(Lot or Street #, Street or Road)
&LOC CJA--1
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indiN
applying for this permit has described to me as shown on the attached drawing the developmen
are proposing. A description or drawing, with dimensions, should be provided with this lett
I
no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cc
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must l
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (I
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 1 5' setback requirement.
I do not wish to waive the 15' setback requirement.
detAl, 41. e01At-t-4-,
Sign Name Date
/.1 1 A //''s AWA

• .
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 1!t
...c li`77 l 0,1 t:.
Address of Property: 2e� � k"
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indiv
applying for this permit has described to me as shown on the attached drawing the developmen
are proposing. A description or drawing, with dimensions, should be provided with this lett
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-
within 10 days of receipt of this notice. No response is considered the same as no object.
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must 1
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (I
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.
Sign Name ( / Date