44943D - Tucker

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4CAMA / DREDGE & FILL "/ -
3ENERAL PERMIT Previous permit#
?New Modification (Complete Reissue '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 I 5A NCAC 7 14 , lin
ules attached.
it Name 1(VA / N E TVC Ka r Project Location: County RV NSW IC-4L
17 0 SA i L ri 5 N OR . ___ _ Street Address/State Road/Lot#(s) 17 0 S4 /L Fi,
Dl_( J (6tA-{' IA State NC., ZIP Z 8 9 L.,„2,
`(3a.) Li 03-5' ' Fax#( ) Subdivision
:ed Agent 1 a M/A y ptj City T izav 6anC N ZIP 2 F'4
❑CW I/EW [ TA 4iftS ❑PTS Phone# ( ) River Basin IA i
❑OEA ❑HHF ❑IH -UBA ❑N/A Adj.Wtr. Body CAA L OFf A IWtAl (nat 1
❑PWS: ❑FC:
yes /6) PNA yes (Ito Crit.Hab. yes / no Closest Maj.Wtr. Body !win,/
I Project/Activity {NSTA w Rnn-TU FT TO EX LST 1 Li& F1.0A i 1 U(' Doty_
(Scale:I'= Z
ck)length
1(s)
ier(s)
ngth 1 —r I '— -
mber L_... .-._1- ____ _.._-;--� ---- _
N C A ti A L •ti
d/Riprap length f '
distance offshore
ix distance offshore
cannel 1Z jhw�i
,ic yards
nP 4! tXlSt KJ(%,
se/Eoatlift I L's 1221_2.1...
P 1
ulldozing 1 f7i( L
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—
mLength S L.x1= t)t.'0°\�'`'LY�tG'+ f
not sure yes no
s: not sure yes OP I2
ium: n/a yes I l�(, 3A I L jr-1 S j L.
Yes
atached: es no '__ �- I __ _
ig permit may be required by: VA 0 L1 E..3 f2tAr tl . 7 See note on back regarding River Basin rt

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I — 0Security enhanced document. See back for detaiis.!'i f_ ,...- --_..�„m - -
THE AMERICAN FISH CO. 75781 11
CHARLES H. OR KAREN Z. PERRY
P.O. BOX 11046 !4
SOUTHPORT, NC 28461 qr 66-30/531
DATE 5— l 0 "• 4�
PAY
111 ORTHE V� C T i1 g
ORDER OF \ k= 11A I $ 10
0
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I'ti �...,w.� Aw DOLLARS n b....� :
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1 FIRST CITIZENS 453
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ft BANK FrstCitizone Bank&Trust Company
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Southport,N.C.28461 _
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I-r7l..R nriK 1 ! 7722343152
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AD1AC NT RIP Rh, ; 3c} S ' `BOO CuJ kr\ 0
/WAIV r RM
'dame o('h d vidual Applying For Permit; . C ee,
Abcress orProperry: 6 s'M1L . IS
•
(Lot or Strcct #, Street or Road)
(City and County) •
• rule' . ck
Hereby certify that I own properry.adjacent to the above-rcferer,ced proper .r
=pp!y:r.6 for[his permit has described to me as ahowrt•on the attached,drewin g che de elopment�tnca,
arc proposing. A description or drawing, with'dimmaions, should be provided with this iener
I have no objections to this proposal.
f you have objections n J s to what is being proposed, please write the Division of Coast;:
Yianagement, 127 Cardinal •D'rive•Extensioa, Wilmington; NC 28405 or call 9 0-395-39Jc
+ ilhin 10 days of receipt of this notice, No response is considered these as no objection
cu have been notified by Certified Mali,
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• WAIVER SECTION
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cdersrand that a pier, dock, mooringpilings, breakwater; boat house or boat lift m ust be se:
ck a cnicimum distance.of 15' from my area ofriparlan access • unless waived by me, (Ii yogi
.ish to waive the setback, you must initial the appropriate blank below.)
•
I do wish'to;waive the i 5' setback requirement.
• 1 do not wisfi't6 waive 6ie 15' setback requirement..
00/11.145g_, • 17/0
�.� iNsn)c Date
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r.t Name 1.>I�In�-1 in

---- ----• •••a rn�.K MMKI 7722343152 p. 2
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• V. N "� "3 �OO `aD.lAC T RCPARr* Cif
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,Lme or-l.ndi:v:idual Applying For Permit: . �jdE_ s c,4/ -_
Y J�f/� hit
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�cress or Nroperty: ! / 0' 54/L -!
(Lot or Street #, Street or Road)
t I •
(City and County)
ncety certify that I own property.adjacent to the above-referenced properly. The iadiv!eua
Dp:yiS!8, for this permit has described to me as shown.on the attached drawing the developmer.t
c proposing_ A d/escription or drawing, with dime�si.ons, Should be provided with !his latter
t/ I have no objections to this propose1SC—
you have objectio
ns to what is being proposed, please write the Division of Coas:a
anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-39S-390C
:thin 10 days of receipt oithis notice. No response is considered the same as no objection i
:u have been notified by Certified Mail.
WAIVER SECTION
uderstaod that pier, dock, mooring'piiings,breakwater; boat house Cr boat lift must be se:
s: a micimum distance.of 15' from my area ofriparlan access - unless waived by rae. (if you
sh to/waive the setback, you must initial the appropriate blank below,)
•
v I do wish;to:waive the 15' setback requirement.
I do not wisfi'to-waive the 15' setback requirement.
\Y\ ty\,A t ..200(._
Date ArCiljAi 1 vt/A ..0 3eu
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