42315D - Albert

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rCAMA/ DREDGE & FILL
IgNERAL PERMIT Previous permit#
ew _Modification Complete Reissue __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 I 5A NCAC 74-, !I,00 { 7f}, / ,Qt
//J� 11 Rules attached.
:Name 4/44- 4/ �C� Project Location: County b•evirS14.4'tL
f2,/ i b /U441 • Street Address/State Road/Lot#(s)
76k 1614,,A StateAle ZIPZ1V $401.€,-
(W)2a`/Zf-5 Fax#( ) Subdivision
ad Agent City ZIP
❑CW PfW [ l FA [ ❑PTS Phone# ( ) River Basin dp
❑OEA ❑HHF ElIH ❑IAA ❑N/A /'
Adj.Wtr. Body 42 V g //A. (nat /Q
❑ PWS: ❑FC: IOU)
t✓
yes /62 PNA 60/ no Crit. Hab. ' no Closest Maj.Wtr. Body
Project/Activity /%/1 6 railloSi
e'✓1 ,h.4, L.4r'- 4 0/.4 it
(Scale: /
:k)length 51 x/Q
(s) ifo4 JZ
er(s) ♦4
vi5 44e
Igth r f
nber ' ii
Oiprap length S'a/
distance offshore
K distance offshore
annel -
d'iZ , /G .x 12
lic yards
ip ',)t IZ. �Qf.�V
f oag /4r`it 0 0
illdozing
/1 Length GO /
not sure yes no
not sure yes no ;0�4�1 t0.4.} 401p
ur
n: n/a yes no �i�`+ �I
yes no
scathed: yes
ig permit may be required by: idr4,4 r,ti/L See note on back regarding River Basin rt.

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•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORNj
Name of Individual Applying For Permit: /2/ )/ /c2C
Address of Property: 1 c4 ( ��� /Ott cS'�
(Lot or Street#, Street or Road)
nok it±c. .,2gyK(-
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The indi,
applying for this permit has described to me as shown on the attached drawing the developmer
are proposing. A description or drawing,with dimensions, should be provided with this let
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C
Management, 127 Cardinal Drive. Extension, Wilmington,NC 28405 or call 910-39!
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift n
set bck a minimum distance of 15' from my area of riparian access-unless waived by i
you wish to waive the setback, you must initial the appropriate blank below.)
0/2,4-"I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVVER FORD(
Name of Individual Applying For Permit: 977i— j (s3 C&
('
Address of Property: 1 a / c>/E I Oi S T
(Lot or Street#, Street or Road)
"Ai< SUzi D N C• c -P6i65
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The indiv
applying for this permit has described to me as shown on the attached drawing the developmen
are proposing. A description or drawing,with dimensions, should be provided with this lett
t-. iX I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of CI
Management, 127 Cardinal Drive, Extension, Wilmington, NC 28405 or call 910-395
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift m
set bck a minimum distance of 15' from my area of riparian access-unless waived by r
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.

•
JAMIE D SLEDGE
NCDL 7574981 PH.336-746-4162
2624 JERUSALEM RD
LEXINGTON,NC 27292-7148 Oat<
Atietelej
BB&T imi�K
BRANCH BANKING AND TRUST COMPANY -�
HIGH POINT,NORTH CAROLINA
reA' P � 13 -
1:053LOLL2L1: 5L979929B210 1LL6