39896D - Avent

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1CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
KNew Modification `-]Complete Reissue Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC . // / /Z &
❑Rules attached.
Lnt Name SG 0 741 ,4t1 v' t Project Location: County /4'f`4, ,4/ ti4
s /8'// Ne kr, ,i t,t /Ze • Street Address/State Road/Lot#(s)
A///i++ii,lion State,/( ZIP Z k y©9 /f Y/ ' w.-/Y,- ."1.
#(9/0) 2 1. p922Fax#( ) Subdivision 7r,,bl t 131.00It
ized Agent J/Mroy / l44 City /-1//Y i 7?‘"," ZIP 72`i
d ❑CW UtPili L).A'tA ❑ES ❑PTS Phone# ( ) Se?i y/ River Basin c.. G
❑OEA ❑HHF ❑IH ❑UBA L N/A
❑ PWS: ❑FC: Adj.Wtr. Body /4//1/ (nat
' yes / no PNA yes /Cf'3i Crit.Hab. yes / no Closest Maj.Wtr. Body / ,p,'� �y'�Yl
of Project/Activity .7p :1// ,/,ot 4 / /Y f-2.-/Yin 2.r/j7i J./
(Scale:/ez
lock)length
•m(s) I
I ( I / W W
pier(s)
length
camber AEx-i57i;i7c7 � /!sad/Riprap length
mg distance offshore
nax distance offshore
channel
:ubic yards
amp
pus oatlif
/3 X/.7 / ---Pt'G e
Bulldozing i
/3A /3
74 r./^ooe.t„ •
ine LengthNileta y Gt
t
not sure yes se9 _n
ags: not sure yes 17((.7 • '
orium: n/a yes eff/
s: yes 9
r Attached: yes
ding permit may be required by: Mfrs., / lipfo I See note on back regarding River Basin
.- . . - //J /-. y // J-s....... - /

GENERAL PERMIT COMPUTER FORM
PLICANT NAME: � 747 // �e"'I
DITIONAL NAMES: J J /1/d, 74
C DESIG: DEVELOP AREA: , O.Q q PROJ DESC: A /7
[only take 6) (Will only take 1)
BL i3, /3
only take 4)
DINT:
I only take 4)
P: 4w f ��
only take 6)
ACTION EXPIRATION
EDGE&FILL REQUIRED:
MA MAJOR DEVEL REQUIRED:

4RR-07-2005(MON) 17: 57 P. 002/00:
FRQ'1 Jimmy North - CMC Fflx NCI. : 9102566357 Mar. 03 2085 07:42PM P1
C .�'`',
=,
Nune dividuai Applying For Prlit:
ofLti r:s may
Address o_Property: ___ ___'`1`
(Lot or Street 0, Street or R.oad)
(City and County)
t hereby certify *et I own property adjacent to the Lbove•teferenoed.prope-W. The individu
• applying forth:s permit has described to me as shown or.the a1r ached drawing the developmenttb;
are proposing, A description or drawing,with dimensions, should be provided with this letter.
‘, I have ao objections to this proposal. 1;
Osec�aytwvra t"�
if yen have objections to wkat is being proposed, please write the ])tvisioa of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910.395.39(
within 10 days of receipt of this notice. No response I3 considered the same as no obrection
you lave been notified by Certified Mall.
•
��---- -
i
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 wave the setback,you must initial the appropriate blank below,)
I do wish to waive the 15' setback requirement.
- x I aotot wish to waive the 15' setback requirement,
•
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'AAr'N C71(At 0
Sign Name Data
FS
licsor
Print Name AtA

MAR-77-20C5(MON) 17: 58 P. 003i00
MAR-07-0G 06 :44 PM MORVIL XCSIGN GROUP 916 432 91. P. 6:
MIP-11"--105iNtlq) 17101 t• u:.��+v_
'RBI' : Jii.ry North - Grtr FAX SC. : 3102565357 Mir, 03 alb 0f:410,t1 P:
J
Nt- e;f ndMs14alApp.),mg Far)'irinit:
Marne ofFropertp: g`,
(Lo:or Sreet 0, Sam or and)
•
(City and County)
I hateby oar.ify that X via p:opmty adjacent to the ekeova•:efercreedrrropezry. The i:dlv:d�set
rppiying for this;e.::.it hes described to no as shown on:he i user:drawin Ji the developmeatthey
ese p.oposi g. A itsceipcon or strewing,with doter-goo should be provided wit this lei.
✓ I havo ao obj notions to this propossl, „,._
I}'you havo ablretiau to wltst is bola; proposed. pieaae write the Dlvieioa of uoitstal
Msaspsment, 1Z7 Cardinal Drive Eate:asloo,Wiltalssgten, NC MS44d or call 910.3954903
rvithio.10 dart olreceipt o:this Bodo. No response V rendered the stint as no*aerie: e
yes have been notified by Certieed ivIall.
" ' 4 _ : • •
I usdtrstad Ott a pier.dock,moorkos Silage,brakwater,boat house or bast lift roust be
net bok a slaloms distance of 1S Ron:ray area of Milligan aeaer .un1eee waived by me. (If
you wish to waive the whisk,you must initial the appropriate blsakbe1aw.
X do wick to waive;.'to 15'astba ok ropiremus.
slum wish to waive thr is'oalbea1c require:tent,
7.•�N ` era
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r v7.� 14 6 (ire si
vor7di
9w ` .�.
.-.at Name
f
4:119 " Of DO 2121".01inialh:zoo
Telsphnr e : erabe: with area Code
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