44080D - Reeves

CAIVIA/ DREDGE & FILL
3ENERAL PERMIT Previous permit#
New _!Modification l 1Complete 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 I 5A NCAC )rl i1
. 2_ •
Rules attached.
t Name V1/L 1--L La is S Project Location: County 1, rJ- t re._
I6)D G q a._a 1. 0 i !S L.\JD- Street Address/State Road/Lot#(s)
PSA'i L- S-2. a.a L v. State N L ZIP_
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(C VI L1 " 6c+o `.\ Fax# ( ) Subdivision
ed Agent C.\•-t r- _ _C. ,..5i 5 1>> ANLZvJ City S 0 L 6 t' 1--\4 1 ZIP Z ,i-I
❑cw lx.EW L A ES ❑PTS Phone# ( ) `River Basic( ' N 2 C
❑OEA ❑HHF ❑IH = UBA ❑N/A Adj.Wtr. Body S.,�a i,L /S c.--- -',.,,'s- .L_ (eji
❑PWS: ❑FC:
yes /� PNA yes / Crit. Hab. yes / no Closest Maj.Wtr. Bode `�`^
'Project/Activity v.?k..- c_ t i 4 i� i E Y i 41-' - 1 i r',i2—z N—
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ier(s)
ngth
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J/Riprap length
distance offshore
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x distance offshore
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)ic yards t
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se/Boatlift 1,...
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JIldozing ._ 1
Length ..c<
not sure yes _
;: not sure yes .a►tr-
ium: n/a yes �TM3 r
yes
lttached: yes r
-
ig permit may be required by: 1'�>> L- c See note on back regarding River Basin ri

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Clements, rj e CoMstructfou IN^• animil
9107 2 v70-9110 AMC 4356789
57N9..1 9hway210 W 7803
.57stead,,70 28443
Date 'z O O 66-30/53!
Pay tot /? 36
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Dollars 8
FIRST CITIZENS 366
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Clements Marine Construction
NCDENR Letter of authorization of Agent
This letter is to concur that I do here by elect Mark Clements of Clements Marine
Construction to apply for all permit required thru the local and state agency required for
our building needs.
I do understand that by assigning Mr. Clements as our agent,that this will not release me
from any State and Local building codes and requirements.
Mark is a dependable builder, and I do trust he will obtain the necessary permits on our
behalf to complete our projects.
�PP(JCS date
3f�OJo4,
Print name
date 3/z%6
ignature
ffi0)a7q - 0/73
ontact numbers

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ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•
Name of Individual Applying For Permit: /AJI I ) eu-eS
Adcress of Property: 1 j/D Caro/Ira '17y1vc(
(Lot or Street #, Street or Road)
_ Toj91't eparli_ )NC- ,g)gi5 6Wider atm
(City and County)
I hereby certify that I own property adjacent to the.above-referenced_property. The indi
applying for this permit has described to me as shown on the attached drawing the developmei
are proposing. A description or drawing,with dimensions, should be provided with this let
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 910-39;
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift m
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.
A( /c)/i7/h
Name Date

•
ar 23 06 11 :39a Will Reeves 9102701055 p. 3
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ar 23 06 11 : 39a Will Reeves 9102701055 p. 2
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ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit tiJ ( ReQs1PS
Address of Property: Is-Jo Coral i(•cam RUd
(Lot or Street#, Street or Road)
y t c ALL (P8 e4j
(City and County)
I hereby certify that I own property adjacent to the•above-refeaerloe sj operty. The individual
applying for this permithas described to me as shown on the attached drawingthe development they
• are proposing. A description or drawing,with climes-Sims,should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection ii
you have been notified by Certified Mail.
•
WAIVER SECTION
I understand that a pier,dock, mooring pilings,breakwater,boat house or boat lift mast be
set bek a minimum distance of 15'from my area of riparian access-unless waived by me_ (II
you wish to waive the setback,you mast initial the appropriate blank below.)
I do wish to waive the 15' setback requirement •
I do not wish to waive the 15'setback requirement
�a .6 (t. 3-- 3 /2310,
40
Name Date