40414D - Almekinders

kCAMA/ DREDGE & FILL N9 4
aENERAL PERMIT Previous permit#
New Modification Complete Reissue __Partial Reissue Date previous permit issued
sized by the State of North Carolina, Department of Environment and Natural Resources 11 tt
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC r"f• 1 2..0
y Rules attached.
:Name s A Lt..,'/ L o, A L AA G.141 N j -25 Project Location: County SE N D n.
j 3 G o a w 2 t A Street Address/State Road/Lot#(s) 13(o e,op u✓i
DQ5 ALL % a44A State0 L- ZIP 7S`-1`-t<
1a)31.1 ZI 55 Fax#( ) — Subdivision
edAgent apt„ FDULaIh low, City 9SAIL. .JSFAcrl ZIP 2%94-1
❑CW y'EW PTA ❑ES PTS Phone# (1%0 ) 3�) -II. I River Basin CA?E I-
❑OEA ❑Hi* /❑IH I UBA N/A
❑ PWS: ❑FC: Adj.Wtr. Body c_,,A 1.)A L (nat S(r
yes /® PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body L v✓
Project/Activity j Z1 X 10 c>L ) g' X I S i I o n tt�• , 11 ' X i 3 f 3 oc r LT C
(Scale: /fi12
:k)length
(s) $'XIS' ` % 'XIL' \t\\)
ier(s)
igth
nber
1/Riprap length
distance offshore
x distance offshore � (.._ A'V` )
cannel
)ic yards
ip
se/Boatlift '� X IV
is-1 • -, 'xj3'
JIldozing G A'(C
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Length (i4 DOG IS
/o'
not sure yes Gp 111 1
not sure yes
cum: n/a yes ® P L.-
yes
ltached: no
ig permit may be required by: I OPSA I L 3C A G 14 See note on back regarding River Basin ri

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DIVISION QF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: SA t x .e 400
R(•�.e . %��P e s
Address of Property: 13(c &am.)i n 4 v .
(Lot or Street#, Street or Road)
54%4 1 6eaCA f f'enxer Co
(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 objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SE TION
I understand that a pier,dock, mooring pilings, breakwater, boat house or boat lift must be
set bck a minimum distance of15'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.
•
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Si a Name Date
/„..„3-14
ATIPIOra A
Print Name :...:.�

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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. ,,�------- ❑Agent
• Print your name and address on the reverse X C �`?L' f $Addressee
so that we can return the card to you. B. Received by(P inted Name) C. Date o Delivery.
■ Attach this card to the back of the mailpiece, /1 1
or on the front if space permits. �N; ( v/��e'r�%1 O
D. Is delivery address different from item s
1. Article Addressed to:
If YES,enter delivery address below: ❑ No
5 7'6 1 li\l\f4) Qt
2S 1 /v7err St
Y
U [7 3. Service Type
v Y r 'Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7(li i i f ib Q 000,11 DO 7 (p
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete A_S,\gnature
item 4 if Restrictedame Delivery addre ond the
/ (�,,, (h ❑Agent
• Print your name and address on the reverse (�✓yN �/i•� ❑Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece, RteD ` . � }
or on the front if space permits.
D. Is delivery address different from item 1? CI Yes
1. Article Addressed to:
If YES,enter delivery address below: ❑ No
Grr1 eS /then
Zvi 13 r'6 s e-r fa"`
3. Service Type
l e( I it Certified Mail CI Express Mail
I h / /VC_ 2 7tijoiq ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) ?0 0 L1 'I t o 00 D I a DO L, -7S 3
PS Form 3811, February 2004 Domestic Return Reneint