46210D - Upton

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6AMA/ -'DREDGE & FILL G
NeENERAL PERMIT Previous permit#
w ❑Modification LiComplete Reissue L Partial Reissue Date previous permit issued
ized 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 2 p. ) Led
LiAules attached.
:Name pk tidy (./, 71,AI Project Location: County EQ i/n..1'u//e Je
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e 6. .0'A '/5 fy Street Address/State Road/Lot#(s) 5-3 Gi,i,v,
)A y/ State/VC ZIP22117 .S'4, L01.5 .35V- 36
(9/9)7?y?277 Fax#( ) Subdivision
ed Agent Cityf7CQO/4 IsLP gfi,/[4 ZIP 2 Y/
CL Li
❑cw EW PTA B ❑PTS Phone# ( ) n River Basin ei-//34
❑OEA ElHHF ❑IH ❑UBA El N/A Adj.Wtr. Body Ci?,"A( vt 1162/A✓") (naG
❑PWS: ❑FC:
resero PNA yes I-no---, Crit.Hab. yes / no Closest Maj.Wtr. Body Mei/ 1.✓
Project/Activity �GZ 00 /f t•I2/l Jc,c 4
(Scale//-
:k)length b'x y ' /e'1qq' YQ /b x /
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er(s) ,- T t y , ,
igth ,
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V Riprap length f 1
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distance offshore i _._i"'r (./' 1 ld {,.. - . 4--
c distance offshore f —
annel
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is yards •
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p -
e/Boatlift, • TiiET _
is r- '- NMI
Ildozing ! ® I
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Length v , , - 1
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not sure yes 6o,-
: not sure yes C, - ,
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Jm: n/a yes {
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ttached: yes zi i
/ /7 /

1
IISecurity enhanced document. See hack for detaiis.® ._ ="z d'»iIE
UPTON & CO INC. 274�
P.O.BOX 4974
CARY, NC 27519 *� 66-1
a `DATE -( - - 6
PAY
TO THE
ORD R OF a 1� e
e0 6 0,
(too
OLLARS. d
BB&
BRANCH BANKING AND TRUST COMPANY
pCARY,'/
NORTH CAROLINA
FOR v` 'f .0,:)--/ � C,
116002 ? Si1B 1:053 /0LL2 Li: L32 /063523116
•

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Tu,,t, U PT,N
Address of Property: L.o`T' 3 S g 3 4 / AM L I ' 5rc"1to4 (3a (,
/
(Lot or Street #. Street or Road)
OcEA„J ISLE O EkGt-1) N. C. ,g 64s 1.v4cK Cowl"
(City and County)
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 description or drawing, with dimensions, should be provided with this lette
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift muse
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
17/ L( ) I do not wish to waive the 15' setback requirement.
/%'6 CI IC/i, r it rcc-1
sig7,1(17%/-4-4 i:! 4/)
n me Date
0/ ?-04, AA•

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: . L( UPTON
Address of Property: Lo'T 3 S g 3 6 CR4AL. e !
(Lot or Street #, Street or Road)
°C.eAtA LSLE EAc..N N . C. IS2uAiSw(c(( Co,.0
(City and County)
)
hereby certify that I own property adjacent to the above-referenced.property. The indivic
Lpplying for this pei iiiit has described to me as shown on the attached drawing the development t
Lre proposing. A description or drawing, with dimensions, should be provided with this letter
942, I have no objections to this proposal.
f you have objections to what is being proposed, please write the Division of Coa:
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3!
ithin 10 days of receipt of this notice. No response is considered the same as no objectio
ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
bck a minimum distance of 15` from my area of riparian access - unless waived by me.
)u 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.
ixp,m 40 7 -3/—cX
gn Name Date