44021D - Thompson

,CAMA/ DREDGE & FILL
;ENERAL PERMIT Previous permit#
(New Modification -_Complete Reissue Partial Reissue Date previous permit issued
lzed by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC . 1 Z
Rules attached.
t Name -D.,N . p 5 ►✓ Project Location: County 0 PS w��
vE(Lsz 7I ',(L Street Address/State Road/Lot#(s)
)tam FG e-4-1 State NC- ZIP 7)3N1 ZSS ►2.1./E 4_
( ) Fax# ( ) Subdivision
ed Agent (' ;Mit.0.5 �1 t�ter^ PSG c-� City SiJel 0.oS F2 rt.iL .) ZIP 2-%q
❑CW �TA ❑ES ❑PTS Phone# ( )` River Basin AI-CE-
O OEA ❑HHF b IH ❑UBA ❑N/A Adj.Wtr. Body 1V G vJ Q.1 V ti at r
❑PWS: ❑FC:
yes ® PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body��1A1
Project/Activity 2. fi1,1-L, Icy l: k ZZ ''7 -}; 1\
/ (Scale: j
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er(s)
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nber
I/Riprap length
distance offshore
K distance offshore
annel
is yards C,
ip c/
;e/Boatlift
Noting
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Length ) sa 4-
not sure yes no
. not sure yes no
Jm: n/a yes S
yes
ttached: yes —
ig permit may be required by: �'j L 7 L Cja U See note on back regarding River Basin ru

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ROBERT MILLISAakk �, Hi�xmhogivcsnlcstrengt ,1215
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313 OLD FOLKSTONE R " y' ��
SNEADS FERRY, NC 284I atoN Date `oa 457
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Pay to the ��
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Order of
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FIRST CITIZENS qs,
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1
IO d C MANAGEMENT
�ACARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual pplying For Permit: De, n&,taL r Thor,p_s D f\
Address of Property: 2 5 S t(,! L) ,( 6 ( 6 r ,
Lot or Street#, Street or Road)
Sn& .S6 t , �r'1�lO1.J
(City and County)
I hereby certify that . own property adjacent to the above-referenced property. The individual
applying for th i s perm t has described to me as shown on the attached drawing the development they
are proposing. A des4rlption or drawing, with dimensions, should be provided with this letter.
;T I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
AMOMMW
Slim
" `"WAYVEIT SECTOR
1 understand that a pier, dock, mooring pilings. breakwater, heat house "r beat lift must be
set dick a minimum di Lance 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.)
1 Jo wish to waive the 15' setback requirement.
q meat.
I do not wish to waive the '.5' setback requirement.
w
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Si ame �/
�N Date
f J.71/ i L . /,�� or-
Aria
Print Name / /
q /o - _ i ; NCDER

J t'l l,1J.L✓_JV�i 11 YVfIII I1l.L:_I 11\ ✓V11V , .—. '-" .
a
pSIGN OF COASTAL,MANAGEMENT
�- DECENT R ARIAN PROPER TY OW R NOTIFICATION/WAI VER FORM
Name of Individual pplying For Permit: an/NJ F lid mp S or
Address of Property:
Lot or Street#, Street or Road)
(City and County)
I hereby certify that : own property adjacent to the above-referenced property. The individual
applying for this perm.t has described to me 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 objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified l by Certified Mail.
WA
I understand that a pier, dock, mooring pilings. breakwater, boat house or boat lift must be
set bck 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 o wish to waive the 15' setback requirement.
I o not wish to waive the 15'setback requirement.
.'r I
Sign a Date
i7 e- /�; S u./ r e�S AIW
Print e fi
5)„ - 3 .� _ ) ' 1.7 NCDE R