44970D - Malloy

xtAMA/ _-DREDGE & FILL
GENERAL PERMIT Previous permit#
New I_(Modification Complete Reissue Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7{-t , I ZQ(U'
LHules attached.
-it Name Sit M e...S MA L1—J�1 Project Location: County PJ12V(JSW/ICA(
2.53 30I-11-1 AV E Street Address/State Road/Lot#(s) 2S3g ict
vrt, -y State(NIL ZIP 2—S1-1-(,2.
(90) D 4'(O- 3 34 Fax#( ) Subdivision €5tJU 4N1t: f( ILLS
zed Agent City SviPLy ZIP ?gam}-jr
i cw ,c EW VIPTA VES ❑PTS Phone# ( ) River Basin WAN
OEA HHF E IH ❑UBA ❑N/A Adj.Wtr. Body A iv.,W na ,
PWS: ❑FC:
yes /-fia;' PNA yes /' Crit. Hab. yes / no Closest Maj.Wtr. Body i VVW
If Project/Activity C,17N;1120 c-i p(E. W i -f NL Trowenn/ ACCESS LANJO11.J(a, 1 P,
a oATI lJ(& DOr K- Sj er-,Arha}sc W i T1-1 BnAT LI FT (Scale: V" ,
)ck)length 12.0,
,
n(s) I Z x 121
pier(s) -1. f I r ,RN'•-
ength
amber ybefi t
10)ATi40IN.(t�I ; �--- 2C1KIy-'
ad/Riprap length F3Gn T 1-1-c115t
'g distance offshore w/ LA r r
ax distance offshore
hannel
,2Y,Z1
ibic yards PLArFDK
mp
use B,oadift LL' k 14 i
2i)' F I --12-
Cd tdeaed
lulldozing
l
I(o *$' OAS'
x3' LAµo►ua
re Length 711 I i if
not sure yes & : ----- ,-
;s: not sure yes f:% >t'L n
rium: n/a yes 2535 70 ft-N AVE , f L
yes o
Attached: yes o ---_
ing permit may be required by: EJ 1\r--1n1 I(.IC. Co . I See note on back regarding River Basin r
- - - - " -

LOY, JR. 9867
LLOY PH.846-3334
04296 y mate _! _ `�/ 66-f 1 z/531
4�(P
62101
G , A I $ x(
BB&T
KING AND TRUST COMPANY
,NORTH CAROU
I2L1: 5LL6L97L4811609867

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: c�Ani E5 m V
Address of Property: 25.38 070 h & t4{6=
(Lot or Street#, Street or Road)
5 PL 10 c. 2 N 7--
(City and County
I hereby certify that I own property adjacent to the above-referenced property. The
individual applying for this permit has described to me as shown on the attached drawing
the development they 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 call Debbie Wilson with the
Division of Coastal Management, 127 Cardinal Drive Extension,Wilmington,NC
28405 or call 910-796-7215 within 10 days of the receipt of this notice. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, moorings pilings,breakwater, boat house or boat lift
must be set back a minimum distance of 15' from my area of riparian access-unless
waived by me. (If you wish to waive the setback,you must initial the appropriate
blank below.)
61/ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
C';,-. AT e Tl ro