44055D - Matthews

ye.O.,
C`AMA/ DREDGE & FILL '
3ENERAL PERMIT Previous permit#
41N7ew Modification [JComplete Reissue _ :Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources 'J
2oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC / . 1200
Pitares attached.
t Nameji)/t e f f /9, 741 p 4L 4 Project Location: Countyi€wA/S 14 C",�
/L/ 7 y9 c`j 7L /-j ' /C 1j Street Address/State Road/Lot#(s)j y 1 yqC l/
vIck, 0. 9C 4 StateA/C ZIP .24 ?
(9/0)2 e—Q6/4 Fax#(
) Subdivision
:edAgent LLUyd 4 ,s /7 City/ %tt ,,,✓ UO C 4 ZIP 2 Tyi
5-.1'CW ❑ENV [ las ❑PTS Phone# ( ) River Basin 1[✓
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❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ PWS: ❑FC: Adj.Wtr. Body /9 / L✓ Ai / AD/i
yes no PNA yes) Crit.Hab. yes / no Closest Maj.Wtr. Body L✓k"�
rProject/Activity Qmpitc /b x 7 ',/x£, P69/-tG' n t kr.00IAC£" iv'/ A
/ 'k Y / 6LDA/ # /6 ' X.7' R MP (Scale: 1 ''.
ck)length Ex(.1 r,.y 9 r1 'JC 6'
,(s)E7 ii7,,, /6'x 7 '
ier(s) ti_' 19 I ry
ngth
mber 1 (�,�-
d/Riprap length y OI A r �1 ,
distance offshore 51 1"/ '
ixdistance offshore r,, % 9
cannel
M
' ,` ri`qr.,s I.I. ,
)ic yards 11 I
p„J i Z9' i/
se/Boatlift + 1 ��Mv
ulldozing
f16 x i 29' 1 ' °�
9My /b'( I '
a Length /i20 "
not sure yes `ro� ___
s: not sure yes ® �O
cum: n/a yes
yj no Q I 4/7yy ci i �✓/3/ch L.
ktached: yes no 'J
ig permit may be required by: I/O LSP,-- 0o/,G 4 . See note on back regarding River Basin n
., . . ., _

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COASTAL DOCKS & BULKHEADS 67-7235/2532 1017
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LIC. 2353846 3558003328
•
2490 WHITEVILLE RD. NW y l i _f) •
z= ASH, NC 28420-3224 DATE;,_� ! �I
? PAY TO THE Ve ,1 / eORDER OF /(/
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•
' Cj\-,-4-___ )\„,_ ' 1 41- / CT.� DOLLARS 8
Coastal Federal
—Bank
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SHALLQ7C 28470
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DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ('RE t-- � 1 s
Address of Property: 4 g' /4 k-I-- VU 4 f Qk
(Lot or Strect#, Street or Road)
'AD ) FeAch �R t(c iu Scx�r L�
(City and County)
I hereby certify that I own property adjacent to the above-referenced. ro ertY• The indiv
P P
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 1ett(
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Ca
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 objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access-unless waived by me
you 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.
x1\ teh rtWekik._ 406
Sign Name Dat
1l✓i!h cL_-�--�
- 'd-e

DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 1R0f} �y1 i . W s
Address of Property: 1 4 8' /,q I&)4 tQk
(Lot or Streit#, Street or Road)
AD I Ev 1� ��h FR iv g ( L/C
(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 Cos
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 objecti4
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access-unless waived by me
you 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.
—3/7 /O 6
Sigri Name \_ Date
/7 !Ai / 4-'7/h A A