44930D - Smith

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]CAMA/ - DREDGE & FILL
3 E N E RAL PERMIT Previous permit#
New Modification Complete Reissue 7-Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
2oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 , 2-C 0 C)
[Rules attached.
It Name STEP E 5 M I'fl_i _ Project Location: County rel..)
0<
2.U0 1' M L (zQ. Street Address/State Road/Lot#(s)
A y E T .-11 LA.e State,J C ZIP 2-8 30S cj 1 0 S. A N 0 t--)
(h cj Si C I Fax#( ) Subdivision 5 , 6-v 4 V I L.1 - 3 ( M/kk
:ed Agent VA A N 1 City 1175A 1 (, E ZIP__$
Cw 146W Q'OTA ❑ES Eln
PTS Phone# ( ) River Basin C� �1_E
L OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body 6A-4N114-S C t trk-r-1N0 ai/
L PWS: FC:
yes /,no PNA yes / Crit. Hab. yes / no Closest Maj.Wtr. Body w‘A/
F Project/Activity (N_c:-t ALLbc,A-n--i "
(Scale:
:ck)length
'(s) jA `ram BLS C i
iier(s)
:ngth
mber
d/Riprap length
g distance offshore
ix distance offshore I
hannel I
bic r 1
yards r {_ i
r (N1 S)
Tip 0
nelf atl i (3 1 j'
ulldozing -- _
e Length loch
}
not sure yes <nv
s: not sure yes
turn n/a yes
yes 69
4ttached: yes no
ng permit may be required by: I L)l- 4 I 1 See note on back regarding River Basin r

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elements Marine Construction 7885
910 270-911O Nene 4356789
577,N9Jighwar/210 W �('�
_Hampstead,,NC 28443 Date-)"l�-1'76- ss-3oi36
365
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FIRST CITIZENS 365 C
mps . -BA K FrasC¢ NBCM644st Company
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www.firsteitizens.eorn _
Ford', V`133r .'1»e e ��-�-�
:0 5 3 100 300':0035320 L L8030 07885
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COASTAL PEWS'

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO 1 WICATIONIWAIVER FORK
Name of Individual Applying For Permit: iieve .54 i*
9/0 9 7 '7 5/4i
Address of Property: �l� L
7
(Lot or Street #, Street or Road)
/, ',14/;74--/,)-64e1 ,/e,;pra .
(City and County)
I hereby certify that I own property adjacent to the-above-referescedproperty. The inc
applying for this permit has described to me as shown on the attached drawing the developmi
are proposing. A description or drawing,with dimensions, should be provided with this l�
( < I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of I
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-35
within 10 days of receipt of this notice. No response is considered the same as no obje
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat Iift
set bck a minimum distance of 15' from my area of riparian access-unless waived by
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
-CI\LS- 9-
Si ame Date
T Dco