43998D - Klapproth

)CAMA/ DREDGE & FILL /L(eff----
3 E N E RAL PERMIT Previous permit#
'lew Modification 'Complete Reissue Partial Reissue Date previous permit issued
rized 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 - 12-3
Rules attached.
t Name -p.sM 5 V—L A??O.Zi \ Project Location: County ?E b t-- t i_
\\ 4 6.-12-A*'t Pc . sc Street Address/State Road/Lot#(s)
c'S r n State N I- ZIP '2... t-1 t-I 3 11 le (s-O a b,,c P'Z -r c.
(A\,) Lc,0 - `-1 3J Fax#( ) Subdivision On ALL-Ps►t l' 1.1 A`-)
ed Agent 4 - \\ iNiN i\1.itvt. City },A^^f'STLim7 ZIP ZaA-I
❑CW )W JTA ❑ES ❑PTS Phone# ( ) River Basin C_II Q L
❑OEA ❑HHF LI IH ❑UBA ❑N/A ,P • ,Adj.Wtr. Body 1A'P'' il&-
❑ PWS: ❑FC:
yes /big) PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body {2\ w`�`�
'Project/Activity It Y C. '/ ,''' N 1.-- ,..^'i 5 5i-e P oV✓ N.)
(Scale: /l;
ck)length (G-/ L
i(s) 3x R'
ier(s)
ngth
mber
d/Riprap length
distance offshore
ix distance offshore
cannel ___-.
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)ic yards
np
se/Boatlift I {1 I
ulldozing _
p 'S0
e Length 1 -,1')
not sure yes (�
s: not sure yes 4
cum: n/a yes do
yes * Q _ /,'
kttached: yes
ng permit may be required by: \ t Iv'b C n t— I" _ See note on back regarding River Basin r

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1413
ANTHONY P MORRIS
A&T MARINE CONSTRUCTION 67-219/539
H er Road 2.\1 Z 1 b l., BRANCH OI4I I
Haa mppststeadd,NC 28443 t DATE
ORDER TI OFIE � Chi 1v`J Ui
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1 CAROLINA FIRST
HAMPSTEAD,NC 28443
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ,1 4 5 •z-A-/ r/C t(G,g PPR
Address of Property: )](Q CR&A' PO IN%C
(Lot or Street #, Street or Road)
H-PrMPsTa D, ag-yy 3 PfA/DER CT)/
(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 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.
o - -
Sian Name Date
_� ,�r �cC. QsA w2iiN AMA

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete .I.ture
item 4 if Restricted Delivery is desired. 'i
• Print your name and address on the reverse �` f� i ;gent
so that we can return the card to you. °t ssee
• Attach this card to the back of the mailpiece, eived by(Printed Name) C. Date of Delivery
or on the front if space permits. n�-iNc.,, �tS,,..c-j-„2,-j
1. Article Addressed to: D. Is delivery address different from item 1? El Yes
If YES,enter delivery address below: No
l or t IISwL\
0 C(fi c k i71\ i1(46
n
�}. �, Q;� I 3. Service Type
/� �� ! �J N4.3
+ • m-Certified Mail ❑ Express Mail
�i ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Number 7003 3110 0005 3532 0546
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540