43290D - Rosen

---/
l_16.____,
i'CAMA / DREDGE & FILL L�
NERAL PERMIT Previous permit#
New '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 7A. 2/,04
l ittTes attached.
t Name_EU"t /Z 0g'11/ Project Location: County 73,e w,Ij/.✓ic
67/9 i-uc L,1. Street Address/State Road/Lot#(s) L f, / "
cLE,9v / StateV/7 ZIP 22/D/ fl2f2 / e4J iJ
(202)70 r• O 759 Fax# ( ) Subdivision S3. .,7i,,1�1'?4..✓79 ✓Ti,.
X23Z-
ed Agent 70CL }/LI9SJ City,S 1IAisit ZIP_Z d`Y�
Li CW LAW I PTA ES r PTS Phone# ( ) River Basin 4 ynj,I,
OEA ❑HHF il IH 7 UBA 1 N/A Adj.Wtr. Body /9/ kil ✓ Dat /r
❑ PWS: n FC: �/ �_
yes 40. PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body /�/
'Project/Activity /'2'3,zc A E y 1/057.✓CtiV cA/7 Se(,.9/C' 97r(-4_
ti
(Scale:
:k)length
i(s) / ..�.`'--� —
ier(s) L (�/
ngth e4
nber
J/Riprap length
I distance offshore
x distance offshore
cannel .-^-
eZrr
)ic yards 5l�' '�t!/ �'J
yel.
se/Boatlift U '- - O 0 0 tI O � 0 o'
JIldozing -___.."�- .-_
PA�'r✓Pf�r� /GD SC Oaf" CNT AiNr-✓ --'_
y�,>',L.
Length /OW
not sure yes .6
s: not sure yes l 1 L. 't. 9
cum: n/a yes �'( e
yes g
atached: yes or
ig permit may be required by:e/L N to S go ci? CGN f.� See note on back regarding River Basin rt
, 1 n /_ •

BURT E ROSEN 08/2002
6719 LUCY LN 227
MC LEAN,VA 22101-1516
/ 65-270/550
Date
Ord err of e / `JK $ l ✓CJ to ZeJ6Led Dollars 19 s..°,.,.
RT;°•°^
SUNTRUST
SunTrust Bank ACH RT 061000104
For pi►.yw 944
- Hr
1:0 5 500 2 ? 71: L0000Q 5 4 LE 2300 0 2 2 7
p Lit 3a-dull
®HARLAND 2004

(le2-)S-7--025 e
x 2 2 Z_
DIVISION OF 4OA.S1-.A.L NANAkiravir,IN t
DJACENT RIPAKIA.,. _OW NF_;',:-NO i eF't A .t 2'. <I =
i Lndii,riduz. i'ANY"J""b - ^ --- - J
2.
ofPioperty: Aill.. Nay.; nv-iJ rY -.-- ----------
(Lot or Street#, Street or Road)
n� .--, CT'_ _'ice —c_J---_ nl_f r21.. ti ro_i
(C- )- --
l%Gxiif tiat-i'own pr pettj-adj�rc t_ . ,j.t. 3 'thnve-r'a4ce.11<f.:es PXOPI atY_= _i c ..1
ya al.,�-.
v for this permit has described to me as shoes n-on eaiinL .1-dra, 2 2F.Y��►pius%u :thev--- --
posing_ A deseriptto., or,dra with d ruensikiaa-, sit u i be'proinoc i:ra::;-tzah,-1 .1._ti ___ •.._
- ----
lorffiP.--- I have ricrobjcotions to this proposA'
have objections-tom-what-is-be1g-plroposedrnlease_writ the_ ravis:v-. ii _>::. t4
•
Bement, 127 Car-171 ._= '_5 =- . if itw...1. __y- ��415:o�__.41`_io_-zc ,s-:3900` --
10 days of receipt:,x this. ..etics No rec _ge_k_eonsigezM.�s%w�'�sant.e a ^s,obie�inn_it-__.
�L1J Mviwv v.
Lye been notified by Certified Mail.
WAIVER SECTION
:ratan d-t�. g-Y' r-eakwate oo hauce or bolt lift mnct he
�4 a�Fo:T,�,...t`�-`ZssTts:rit� �•�gSw.b �'.,ht -
k a minimum distane=cr,c!=rg=-mvarez. !it-you-it's:.Scx s=u -w .atilt l"sN=m4--:�:s=_-.
ish to waive the setback yen-nu idol= #o-a rapr at baulk below)__ -
7 • -
I do wish to waive the-15_setba k.reauiurement.
•
I do not wish to waive the 15' setback re4uy,nvrit.---------
`� ,tea 0 ' 3/0 -
1.ame Date
1. L , OA-::,L v„„, ATM
-
��►
Name \f eilmr\;n

DIVISION OF CVA sifiL MANA
.DJACENT RIPARIAN:PROPERTY fS X F IZ:NQTSiIrATI iJ; A _;r ; ^K;rO :k it _'_-.....
ii iixua auuua 1 AYY'J..,b- --- — -• - s— .
s rtY=_
ufPiuP er - - . Aid;ri<ii i- ter - . .. -.-- - - -
191
(Lot or Street#, Street or Road)J
�f/�`•g—�"' (ci'.• -�l.- Vic_J... n tf_ - = r_�-r 0-i-
•r__ �_t t • 4 `- r- ..t.. Th di irluwl
y C%Gauly titer.-t'vw4a�.wv�a:�-adjacent-t^the:AhnV_P�)"�J�{�Ilf:�uJ�v�lax= _a.u�. :i.... u.w.r.-
1 Q fir this permit has described to me as sho. 'en heaiche swing ipreorg`c hev--- -
posing_ A descriAtion or•drawiap_with dimensions;Si out. fie-7;.o•v14acu-wa;:;-enL`, r•►V- --.. ....
;y I have objcotion3 to this propos,A
r1
have objections-t --wkat-s-being-proposedrplea.e_writ. the. Division ar_;:;o; •.o:
•
;ement, 127 Car-- ;,w= -_sue-E gmr_:4,L __v a j_Ik^,,._ 4t15zo�_. ..iL-`�iO :3900- --
of ti is notice. No reQ Q tinn.i.L._
10 days ofreceipt .,.,�,�.......... nsiVst._�Ifi C9llSi�:.��^,J..�_•�� d��t�J.-�Jh7,er r-- -
Ne been notified by Certified Mail.
AIVER SEC ON
•
Intand-Claret:-,p-ie:td�^t- ' tiring !ili gs*.bre-ahwater mat house or hoe lift must he
c a minimum distance.C.15: am-mR ea- >i a s-i-seezas=.aass-wabet"li =ors::
ish to waive the setback,y c:t-tn inifial:ft =a r.,st4 'ant below 1-_
•- I do
wish to waive thel5 sttbaek.requirement.
I do not wish to waive the 15' setbaclrr..q .mtt„t.----..---
`� "�w / ` /3/0 G - • •
Tame Date
.v;a g F
1. L. iV \"ek LNAAvv, AlfA
mlae ,�.�""
16Iehirkl .

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: /3 q/4,77
Address of Property: / `ig, /A/ ' s- L 7 l)/
(Lot or Street #, Street or Road)
___51/1LUIFI2g/- CST'gym s /1/
(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 thl
are proposing. &hi/6
A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
[f 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—,-t , breakwater, must L
et bck a minimum distance of 15' from my area of riparian access- unless waived by me. (]
Toil wish to waive the setback, you must initial the appropriate blank below.)
OI do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
ign Name Date
�ft0PCA7.17 it/6/ A-6Stec nAi ©uhu E..12) Ar'4A,•.. A