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Home My WebLink About45887D - Mason Vt) , tAMA/ DREDGE & FILL 1 4 •EN ERAL PERMIT Previous permit# New --'Modification ❑Complete Reissue Li 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 pi, ) r 00 Mules attached. Name - ) ( \PS-�rJ Project Location: County P-. - 06 E a_ (J j '2..._ L A K-E. v✓7,-> S b n- Street Address/State Road/Lot#(s) �%../.0-).t= vv-. State t3t ZIP 2-7/S-7 1_. Ldr IC-fLc+' or \c_. R.. 0 1°\) 2\`i- 3$(=J Fax#( ) Subdivision :dAgent C.G.6"t)1 c 1vTS Yr'1 AR1 Nt? City t-iaf"pS'r& a.D ZIP 20N1 E CW ❑EW ❑PTA _>ellrk, ❑PTS Phone# ( ) River Basin f Ate ) c ❑OEA ❑HHF El IH ❑UBA ❑N/A Adj.Wtr. Body i 0-?5!aZ L- k.,‘,...)_.) 'nat ❑PWS: ❑FC: _ ies o PNA yes® Grit.Hab. yes / no Closest Maj.Wtr. Body 1-� Project/Activity `71-011-ALt. \1'S o 3 • \\ - (Scale:\ 1 = Z k)length :r(s) i �- _ ' �gth - - _ fiber " ' 1 . ----- Riprap length 111s distance offshore c distance offshore .y.r i ........... i f.. P\t/IA/ — : - 4 . - annel 1 -_ . . t .. - ic yards ! _ e/Boadift 1 I , � I I I U L; } — T \ t XI i T illdozing �. ' I J ' ' I �_. I 1....... 1 i-- ! 1 f Length 1 ' 4i I ' I not sure yes n�! _ 1 : not sure yes ten 1 1 i - um: n/a yes '11 m � . T yes ? 1 1 I —.- ttached: yes no .a. t 1 i , zap IMMO a — ...._— I—-NMI AMR ' , •. , � .M=...C'_: 10.111 Clements✓Llari-e construction 7963 910 270-9110 Nene 4356789 577 NeJi/ghway 270 w 365 'v }bz�srpstead,,NC 28443 Date �'D—0 30i3 Pay to the /f/C'.&t.�� Order of I $1601, Dollars FIRST CITIZENS 365 BANKNK %,1,-g tizons Bank d Truat Comparry ZZ j�"��1� Hartpatoatl,N.C.28443 (SOS: www.firsteitizens.com FLIT YS 44-/, (, 7 � �J(2')( ' 'Mt//Gry -.JO A n Say - s 1:053 L003001:00353 �0 L L8030 7963 aRV ® MEN MIMI - liner • COASTAL VIEWS, • ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER 1-URM Name of Individual Applying For Permit: A/ /)q5o Al Address of Property: Lo / / L92 C 0)1 D 2 i e (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 attarhed 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 C( 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 mi set bck a minimum distance of 15' from my area of riparian access-unless waived by n 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 5/.2-c/a Si to ' . . Date .✓2c� o e� Sony AffligigrA Print Name NCDENR . DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: Do/0 M 45oi, Address of Property: L p 7- / 2ice4-r cV / j21 Lie (Lot or Street #, Street or Road) /4mP57 / 4/ G Zg 3 (City and County) I hereby certify that I own property adjacent to the above-referenced property. The individu applying-for this permit has described to me as shown on the attached drawing the development the are proposing. A description or drawing, with dimensions, should be provided with this letter. /\'d I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coast Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39( within 10 days of receipt of this notice. No response is considered the same as no objection you have been notified by Certified Mail. WAIVER SECTION [understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ifyc 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. r . ' / 2/g/os. - ;ign ame Date --e�h4 ' ee e /Clk, J , 1p2s ?to. - Don 1A5O'1 vcr 15 tr'r\