43961D - Skinner

JCAMA / '_I DREDGE & FILL /`_ 41-
3ENERAL PERMIT Previous permit#
New _Modification ii 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 . 1 j 0
Lit Rules attached.
it Name Al, �, 3 it., ,,,f...4. Project Location: County Pt r.rD e et--
5-4 6A LL p.s7 2 Street Address/State Road/Lot#(s)
kr...PSitoD State 0lL. ZIP YbS Lzf 1I 5441?yto* b w
(So)4"1.• 1,3 0 Fax#( _) Subdivision
:edAgent Act 1 i►IA A(. I) City 4ittr"PS1ZAb ZIP ZSyy
Cw ❑EW ❑PTA NES ❑PTS Phone# ( ) River Basin I Q
OEA ❑HHF ❑IH ❑UBA El N/A ...••^
PWS: ❑FC: Adj.Wtr. Body �16AI L J."r ) na i
yes PNA yes Crit.Hab. yes / no Closest Maj.Wtr. Body A "'�'�1
f Project/Activity Ip i .-L Z.Z.(o' Li.>r--c`\,L pa c_a- r� ►c A w)%vo bA t. ) I
Al ' (Scale:/'., V(
ck)length
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i(s) /'! 7 Al r\I
ier(s)
ngth
mber y w
N01 ✓
d/ltiprap length 26 V/
i 4, 0 W
distance offshore 0 'L Nti t4" '1/ �/'
ix distance offshore V �S y J/ 'Y IL
cannel - -
bic yards y
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np _
ise/Boadift t I
ulidozing yg
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p Li : _ -_-
f - .
e Length f50 k , : 4411414141144... ,
not sure yes I
I
s: not sure yes , t
cum: n/a yes ® �} .
yes r
\ttached: yes 3 y i _ I
ng permit may be required by: Pe ✓L- (�J I I See note on back regarding River Basin n

...
, i--
1p
ANTHONY P MORRIS
1378
A&T MARINE CONSTRUCTION
,p 131 Roberts Road
67-29/539
lo Hampstead,NC 28443 ,....2) i e? 0 6
BRANCH 01411
'+.
DATE
? ...,
. PAY TO THE
ORDER -.._ I $ GIL
c•-• •0 74,______N.,..)-•\_._ '''v • ,-,...__________----_______
,c, ••. _ ...
DOLLARS 12.1
I i
I!!
CAROLINA FIRST
.
HAMPSTEAD NC 28443 ."
... , ,
FOR 4::;;il (71;. :5614::,Li (.4.)Kk--4,-) I -
r..
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.11 1:0 5390 219 71: 7 100 5 1114 7 11. 1378 6/0 Y 39 ec?/

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO F CATION/WAIVER FORM
Name of Individual Applying For Permit:
p D
Address of Property: ' f � i-2 # 8
(Lot df Stget #, Street or Road)
/210.-,44
(City and Canty)
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 attached drawing the development
are proposing. A d:3ription or drawing, with dimensions; should be provided with this lett(
A I have no objections to this proposal.
Ifyou have objectins to what is being proposed, please write the Divisionof
J being P � Co
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 objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must h
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (II
wish to waive t e setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
not wish to waive the 15' setback requirement.
Sim ame Date
not Na P �' A�A

' DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
1 e F
Name of Individual Applying For Permit: �.,Q,N
Address of Property: ,�j �� //
(Lo or Staet #, Street or Road)
City and ounty)
I hereby certify that I own property adjacent to the above-referenced property. The indivi
applying for this permit has described to me as shown on the attached drawing_the development
are proposing. A d:,ription or drawing, with dimensions, should be provided with this lette
INA I have no objections to this proposal.
Ifyou have objec to what is proposed, please write the Division of Co:
J being P P �
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 objectil
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (If
wish to waiv he setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
C not wish to waive the 15' setback requirement.
Q2/04'
Sign a Date
F(L-
Print Na Ave

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