42879D - Thomas

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'_'LAMA/ DREDGE & FILL
?EN ERAL PERMIT Previous permit#
New Modification Complete Reissue Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources /J
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7/t,
P'Kules attached.
it Name /v0% / h.0 r7t Q 7 Project Location: County 6,1)45 a„
/02 5e Z.7 .spiel 11" _ Street Address/State Road/Lot#(s)
3 k 1:514,401 State 4'� ZIP G" ,fir
E( ) 279-3027 Fax# ( ) - Subdivision
:ed Agent City
❑CW101C- PP-TA VES ❑PTS Phone# ( ) • River Basin 1.l1.
❑OEA ❑HHF ❑IH UBA ❑N/A /
Adj.Wtr. Body /64/'3"��►,t�(nat,i
❑ PWS: ❑FC: i/ l
yes /5, PNAoi)/ no Crit.Hab. 60/ no Closest Maj.Wtr. Body !K/
F Project/Activity fr 't .€f /✓G/4 ei'C /�
(Scale:
ock)length
n(s)
Aer(s) a 141
;ngth /
amber 6h 4`
d/)Riprap length in
g distance offshore
ix distance offshore
hannel f�
bic yards (/
ise/Boatlift
V
iulldozing
'/
ie Length v0
not sure yes n�g
;s: not sure yes (}yEd
-ium: n/a yes
yes
Attached: yes / /
Ing permit may be required by: �E/�I�tyi(ii� L//( z/i�t . See note on back regarding River Basin r
/ /

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BRINE CONSTRUCTION 67-7235/2532 2 9 8 8
a P R EVATTE 3258000872
. Box 10671 Si
'ORT, NC 28461 DATE //J 216 '
I $ 00,0
/,o 4_ ��G L./1 t S DOLLARS L*!
i/
ORT.NC 28461
�: 3 2 5800 8 ? � 2 988

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DIVISION OF COASTAL MAN4OEAFRT
ADIACE T RIP 4RIAN PROPERTY OWNER NOTTFICATTONIWAI ER FORM
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Name Of Individual Applying For Permit: I v O1 \ T.-i o 11-\Es
Address Of Property: O SE c i Y
F\k_ _isL-196N N C 16721-t. ISu.J (e_A
(Lot or Street#, Street or Road, City &County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter,
! ,
I have no objections to this proposal.
If you have ohjefiiiims to what is Lei g c t t tease mite the Division of Coastal
Mar,aoemrnt 127 North Cardinal Drive, Wilmir gjnn North Carolina 28405 or call 910 395-
390,7 within 10 days of receipt of this notice No response is ronsidrred the carve as no objection
if you have keen notified by Cm-rifle/1 M.761
WATYFR SECTION
I understand thcr a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement_
I tlo not wish to waive the 15' setback requirement.
4161111;leilligehrA
Sig �yGG "--i�di`GA

DIVISION OF COASTAI_MA_N&GEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTTFTC-ATiON(WAn,TR FORM
Name Of Individual Applying For Permit iv ORA 1 H d IV\ EA
Address Of Property: 10 Se c i �—�-
OAK- Tsi-PAN) i3 C > i NSW (c N
(Lot or Street#, Street or Road, City &County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described toi5e as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter_
•` I have no objections to this proposal.
If ynu have objections to wh.2r is being propose/I., please. write the Division of Coastal
Manaarment 127 North Cardinal Drive, Wllmin ton, North Carolina_28405 nr call 910 395-
39(xl within 1Cl a�S of rerrmr of this rxitirr No rrr) once is cnnsidPrex' rho can
inn
if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian arress unless waived by me. (If 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.
0
S kna e t s n C _ Rate . MY