39894 D - Bordeaux

CAMA/ I DREDGE & FILL
iENERAL 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 15A NCAC . /Zoo
��� / n ❑Rules attached.
it Name VV• T Gli v1 36y Zee $p 'g4/ 0uX Project Location: County /`/e i- /7/4.1Ob
2/.9 G h.e? / 7Jr Street Address/State Road/Lot#(s)
G/'d/,:,A /3e ,-% State /f/C ZIP 02f`/1 3/1 C.....h.,/ ...2)r .
(9/o) ysg, gieFax#( ) Subdivision
:edAgent City C4,6'/!'t> eei 4 ZIP z
❑CW Ht"EW OPTA ❑ES ❑PTS Phone# ( ) .el-smote River Basin -1—€"".0e
❑OEA ! HHF LI IH ❑UBA ❑N/A / /� t Qr'sat'
Adj.Wtr. Body 6 o , S<<+i Fi �� (nat4
❑PWS: ❑FC:
yes nfl PNA yes / o Crit.Hab. yes / no Closest Maj.Wtr. Body ' *P7' C�'o ---
f Project/Activity C Q-,,,ff"e 7 Cr /4" (o. /G7 7>/- 4.1,,1 710 G#i
PXi"S7'/-,- /rivr T� rim/ (Scale: / /,
,ck)length
n(s) ('e!,•,/-o 3
)ier(s) .,L
ngth
amber �'(Me
e t_?�Si
id/Riprap length /2/(
121 6
g distance offshore
ax distance offshore
hannel I
e-C) 7l �!" 6' ,r /C'� (14;a ,--
ibic yards
Tip \\
Ise/Boatlift
I •
lulldozing �" ''
< �'fir ,, T�47,-.- '
6'k/4/ f
pi
,e Length 5:4 ` �/ .+�
not sure yes }
:s: not sure yes T 7/P (r f'',4 +,o
rium: n/a yes d` 1 1.- �Or'rife u sue" t
yes .,Q/". •
Attached: es no
i
ing permit may be required by: ��/" '//. gC Z . . See note on back regarding River Basin i
✓l /_ _ •1L/ , ,_ - _ — /

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: W, T. Bzw at,i v
ADDITIONAL NAMES: J ; ` givieae(
AEC DESIG: / DEVELOP AREA: r D.p 2- PROJ DESC: -�z
(Will only take 6) (Will only take 1)
WORK: F5 6, Pi
(Will only take 4)
MAINT:
(Will only take 4)
IMP: Ow 21
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED:

l'Al"TO THE $ 100.09
OF
.,„„,,,ARS •
State Emp ees' Credit Union
..•
Wilmington,North Carolina
FOR T'ysoitlyAStZrasaa__ _Aif\O
1: 253 L 70L91:01360 509 3 2 3 9 3
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f30C2IS 3 PAGE 6"7 a .

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: VI, ZeaU, C
Address of Property: 'f Ocala I `J) r ,
(Lot or Street #, Street or Road)
7-1
ro Ji n 4 e<i , �'l�,Cam.
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individw
applying for this permit has described to me as shown on the attached drawing the development the
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 Coast-
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390
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 be sE
bck a minimum distance of 15' from my area of riparian access -unless waived by me. (If yo
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.
0,60/Ze aPP, 14,,..‘.7ec
Sign Name Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
lame of Individual Applying For Permit: 141I , -Bo rokati,
kddress of Property: L__9/°, Oa trO, I —0 ri ti()i
(Lot or Street #, Street or Road)
(i)crcI;vy ! ch
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individua
ipplying for this permit has described to me as shown on the attached drawing the development the:
ire proposing. A description or drawing, with dimensions, should be provided with this letter.
\j \
.,- -- I have no objections to this proposal.
[f you have objections to what is being proposed, please write the Division of Coasta
1Ianagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3901
rvithin 10 days of receipt of this notice. No response is considered the same as no objection i
you have been notified by Certified Mail.
WAIVER SECTION
[understand that a pier, dock, mooring pilings,breakwater,boat house or boat lift must be se
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If yo
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
ja--
I do not wish to waive the 15' setback requirement.
M j_____S/2 Agitc_____
-)..))- .
Sign Name Date
nits .