44960D - Wilson

CAMA/ 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 ���
..oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
E Rules attached.
t Name (2jo39),-, WZ S,j.J Project Location: County PE.►J 1 G i L
S (Z LsT Le 41 SST->w-• 0.-2 Street Address/State Road/Lot#(s)
,A cA.. CiT'("'/ State tJ G ZIP LB1 y. 3 l Ll i/-i-- ICJ os j J 12_.
( ) Fax#( ) Subdivision
H
ed Agent Li& -f rl, \As e 111 1 A 11-2 0 5- City.c4►._c' eiZ"r-‘I ZIP 7i20N4'
❑CW EW J PTA ❑ES ❑PTS Phone # ( ) River Basir -'&-
El❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑PWS: ❑FC: Adj.Wtr. Body oO.SAlC- "�15 d_
yes iGi) PNA ®/ no Crit.Hab. yes / no
Closest Maj.Wtr. Body ► -4 v./
ooject/Activity Z rJ i A1- L-- CD Xc 1 (e- B(L. \ D S Y I(o r'i G+a"
f> Z X 1 (6 S 1 G ,I (.J v...) (Scale: I "=
:k)length (p X I Co � i
(s) J o X Ce
er(s) / - H..L i.... 0 LA._ ts-i .__._
rigth
nber
' j _
I/Riprap length L'
distance offshore
x distance offshore _
cannel t!
)ic yards
ip --
se/Boatlift
illdozing ___
Ci
I Length 5.5
not su yes no - _ -.
, ,* ., i
. , .
not sure yes
um: n/a yes p( Q ` L..,
yes iff)
,ttached: yes no ! _ ..
ig permit may be required by: S C/1(Le c !l N) . See note on back regarding River Basin ri

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DIVISION OF COASTAL MA.NAOEI✓tENT
ADJACENT RIPARIAN PROPERTY OWNERNOTTFICATION/WAIVER FQgm
Name of Individual Applying For Permit: ]6 lob
Rk 17. (� ,}-bolo
Address of Property: A 1 p L
(Lot or Street#, Stree or Road)
ripei) ae,K. erz./ __-
(City and Coun ty)
I hereby certify that I own property adjacent to the above-referenced property. The individ
applying for this permit has described to me as shown on the attached drawing the development t1
are proposing. A description or drawing, with dimensions, should be provided with this letter.
*/ / I have no objections to this proposal.
I If you have objections to what is being proposed, please write the Division of Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
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.)
/AV)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
eN
d&L //t(26 Z77 s6 so
Sign Name Date •
, 6,5,
"Print Name i gam__

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY O NERNOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 6511, -LT € {-h i(fie —)" ,I"o i
Address of Property: A 1 Q l t f-1)e ,`,0�---o 1\}
(Lot or Street#, Stree or Road)
LtSP i\s ti14
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individ
applying for this permit has described to me as shown on the attached drawing the development tt
are proposing. A description or drawing, with dimensions, should be provided with this letter.
y 7 I have no objections to this proposal.
If you have objections to what is being proposed, Division write the
please of Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
within 10 days of receipt of this notice. No response is considered the same as no objectiot
you have been notified by Certified Mail.
RIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
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.)
4 ' �7� I do wish to waive the 15' setback requirement.
I coo not wish to waive the 15' setback requirement.
Sign'Iame Date
�os�P SES1e`
...� . N �. 'MAN�"i ���