43919D - Shrum

:.cdAMA/ DREDGE & FILL
3 E N E RAL PERMIT Previous permit#
'New Modification .Complete Reissue _Partial Reissue Date previous permit issued
Irized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC —14.1 'l
LN Rules attached.
it Name Nzc, Project Location: County 3►J•S
r\ S 1 Street Address/State Road/Lot#(s)
�n CL G'L T State I) 4- ZIP Z� �4 S �,/ 5 [e ' d S
E( ) Fax#( ) Subdivision
:ed Agent ZIP '-I
❑cw TA ,ES ❑PTS Phone# ( ) • River Basirr
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. LS'ftA r (oat(
❑ PWS: ❑FC:
yes /67 PNA yes /430 Crit.Hab. yes / no Closest Maj.Wtr. Body-
f Project/Activity —1.—¢a 5 4).L-L- 1 i X Z y�\►�'` �— ' �� c^ �'�t 1'A
i J yv 1 ► (r• YV A L.L, !.I v✓xr; +v 0.t I r- ti x S-7 1 si lr },�� (Scale:
Lck)length
n(s) 1 I
>ier(s)
•ngth i _ \ j I L.
imber
_ . u °
Ld/Riprap length
g distance offshore
ax distance offshore 2_
hannel
bic yards
lip
Z�
Jse/Boatlift
lulldozing
ie Length 5 ` c X1y1Tw
7
not sure yes t ._
i
;s: not sure yes / c�i
rium: n/a yes ra
yes
Attached: yes
ing permit may be required by:i � ,,L i _i 1 _j See note on back regarding River Basin r

•
ANTHONY P MORRIS
1324
A&T MARINE CONSTRUCTION
131 Roberts Road
67-219/539
Hampstead,NC 28443
BRANCH 01411
DATE
PAY TO THE
ORDER OF
•
DOLLARS el
CAROLINA FIRST
NAMP5TEAD.NC 28443 .
FOR C (S/i/vrn
4053902197i: 7100E / 4 E II' 1324
....... ..........
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.•

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: A /c A ' 5 HG/,,,7
Address of Property: ‘o5-7 1j 74cf7
(Lot or Street 4, reet or Road)
„la, '1 y Ai-
(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.
XI have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
1MTanage rent, 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. (If yc
wish to waive the setback, you must initial the appropriate blank below.)
XI do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sib Name 013/5
//V ,/ vim

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: A// -k'
Address of Property: ��,s/ 471,‘
(Lot or Street #, Street or Road)
(City and County) V' /
T 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 thf
are proposing. A description or drawing, with dimensions, should be provided with this letter.
XI have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Manage: Rent, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39I
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,clock, mooring pilings,breakwater, boat house or boat lift must be s
bck a mi,lrnum distance of 15' from my area of riparian access -unless waived by me. (Ify(
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.
S igra4ame Date