42322D - Anderson

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L vAMA / DREDGE & FILL < ,r4..`
IENERAL PERMIT Previous permit#
Kew iiModification Complete Reissue LPartial Reissue Date previous permit issued
zed 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 Wit, /ZOO
1 C�Kles attached. //
Name �1t m /�lflevisOr Project Location: County IJ.1Jy s cs•%rk Gc
'51$ ; I e fA 1J/, Street Address/State Road/Lot#(s)
i lr.4' State IX ZIP Z�'Y6
(q_gi Zia--7G47 Fax#( ) Subdivision
d Agent City _ ZIP
❑CW LLf i�il L P1A Cif( ❑PTS Phone# ( ) River Basin ''re
❑OEA ElHHF ❑IH [:UBA -N/A
Adj.Wtr. Body (nat /rr
❑ PWS: ❑FC: Deed
f K
'es / PNA yes I Crit.Hab. yes / Closest Maj.Wtr. Body
Project/Activity / I'o/20 Sri[ / le/ ¢ 4' Al ezri iv. h 5 Aer9 doz..40't ,
2li, (Scale: � fie
%fl�r j
k)length 1 A k
s) /Y-')'/G' i
gth - ', -._._- -- ..._a—
fiber /Z.X /G T
I Riprap length (�y S 7i e'er
distance offshore - — ----may / A�,
:distance offshore '.--til _ .�- �'
innel _
ir
is yards k r X ,
P
e/Boatlift _ V ,j/
Ildozing (/
t >
Length G►'(/ /I yl
not sure yes no , /' 7k �/L p
not sure yes no
Jm: n/a yes no
yes no
ttached: yes
g permit may be required by: 2f# ...„1-4/11 /l See note on back regarding River Basin ru

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DIVISION OF C OAST&T.M&N&GF_MFNI'
AIIIArF.N'T_tIP4RIAN PROPERTY OWNER NOTIFICATION/WArvER FORM
•
Name Of Individual Applying For Permit: K. i 1 /9y1 ei 2(SO vl
Address Of Property:
a rj /1JL 62896 i (6ru�
(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 to itie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
( C I have no objections to this proposal.
I.ynu have nhjertionc to what is heing prnposrrl, please write the Division of Coastal
Mango ment 127 Nnrth C'�r.ti�„1 n,;� Wilmino���jr t arni�n���Rdnc or call 910 395-
'1900 within 10 days of nmeipt of this notice No response is ron.ide I the can as no nhjertion
if you have been notified by Certified Mail
•
WAIVF,1t 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 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 do-not wish to waive the 15' setback requirement.
677/1:241/44.37./
Signature Date •
✓1. /1 L. `.�/ei- h ram✓ _`___ -

DIVISION OF CO4STAL M4N4GEMENT
AILIA('F\T RIP4RiAN PROPFRTY OWNFR 11OT iFICATi(1 •
•
Name Of Individual Applying For Permit f l , yYl 4j jI p r i
Address Of Property: n ) a Za,fj e f/ n9
,CJ/•
J c )Al&.Ale (etc) 6-s. G1i �
(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 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 ohjerrions to what is being propnserl, please write the, Division of Coastal
Management, 127 North Cardinal lDiat, Wilmington North_Carolina,284Q5_or tall 910 395-
3900 within 10 days of rerript of this noire No response is rnnsiclfred the same as no nbjertion
if you have been notified by Certified Mail
WAPTER 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 ar7rss 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 requiremenL
I do not wish to waive the 15' setback requirement.
aft
Ve Cqf
44,01FTw
S g cure_ Date
S

PAY TO THE / �1
ORDER OF LJ �..aa Ai P7,4 r[JL 'd0 1,�i9-rs DOLLARS u
Coastal
1Orff. SOUTHPORT,NC 28461 C�
MEMO(J t.>•• — ✓ nm
�: 253 27 23551: 3 25800087 211 83 2