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CAMA/ ❑DREDGE & FILL 65
'$ENERAL 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 ' ,
Q Rules attached.
t Name bey i) Be/k., Project Location: County �r :,, ;Li ur C' I-
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(7G ) S`t6,. 7ri 00 Fax#( ) Subdivision
:edAgent .� ,y ).,)y Vl' r•' , • ) City ' rf / ' Cr &Co c1) ZIP . e'i-Hc.
❑CW LXEW I PTA ❑ES ❑PTS Phone# ( ) River Basin L/r/,,
❑OEA ❑HHF ON ❑UBA ❑N/A
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❑ PWS: ElFC: z
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ise/Boatlift /Z l /S
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Attached: .:'I yes(/ no-) i 1
ing permit may be required by: 5 74 /%Oc l) ❑See note on back regarding River Basin r
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: LisQCe w ot
ADDITIONAL NAMES:
AEC DESIG: eL4 ) I'T I H DEVELOP AREA: _.U ( PROJ DESC: P -
(Will only take 6) (Will only take 1)
WORK: l � /00 L I6)8
(Will only take 4)
7,(0
MAINT:
(Will only take 4)
IMP: 01A)
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRE4: o//f/oS 3/q/
CAMA MAJOR DEVEL REQUIRED: .2/LK03. 5/`/05
)an 27 05 11 : 45a Signature Properties (S10] 484-7508 p. '.
FROM :Et E-DESIGNS--- NU. :704E1951261 Jan. 2? 2a25 12:DZPM P2
,..c. 7;e_ipir, ri"_lll ,, iR: ;,o.s1'S P.9
' 'j )ON .ti-F COASTAI:.`1AhAGEMEN"i
An;.ac1NNT RIPAlZ. ROP PR TV Vsra OTIF1 CAT 1QNiW 1 VER.PC>UM
Nam of Individual APply►ng For Permit: L1 J e l e.\l(-,
Address of Property:.it.L ��� t� �w {J1- c D2.3 e_
(Lot or Sere 6, Street or Road)
(City and Cor,,ity)
l hereby certify that I Lxwwn property edjaaent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached dtmwingthe development they
are proposing. A description or drliving.with dimensions,should be provided with this letter,
Y base r,e obJociiont to this proposal.
If you have objections to what is beIng proposed, pleas. write the Division of Coastal
Management, 127 Cardinal Drive EatellainW, lrC 2$40S or cell!0-395-3900
within 10 days of receipt of ads notice, No-response is considered the setae as no objection if
you have been notified by Certified Mail:
_ --
W A1VER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift tans be set
bc minimum distance of 15"from Ivy area of riparlas xccoss-unless waived by me. (If you
wish to waive the setback,you ruua1 initial the appropriate blank below.)
I do wish t.)waive the 1 S'setback reci rc aeot.
:/ I&La wish to waive the IS'setback requirement.
_.. ...
LIB,, .
Sign Name r Date
Trio
jack_s_oeL, kelreteximi (r c Lk.c, NCDEth
Yrxnt Name
Telephone Number with Area Code S:\name\ihe1IZ' Ypsr opertY•frrii
.Lr. C..C-ULI+ 7•CL.;3HI'i I4i 4;= P.
DIVISION OF COASTAL MANAGEMENT
Ap7ACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAIVE.R FORM
Name of Individual Applying For Permit: VJ?cc Q
Address of Property Cj .2e
(Lot or Street , Street or Road)
(City and 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 SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set
bck 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.
/700c—
sigriNamecirA
Date AN,
•
s ►�� �' NCDENR
66 IOo'
600*
o 01
�d X�� FAD
NCDENR
North Carolina Department of Environment and Natural Resources
McCrory, John E. Skvarla,
ovemor
Secretary
June 3, 2014
CAMA Field Staff Training, New Bern
Check Handling Policy Change
DENR Controller's Office requires removal of copies of checks from permit files.
Date removed: (D -
Check number: 3 55
Amount: tOO
Check date: 02 3 03
Staff initials:
STATE OF NORTH CAROLINA
Department of Environmental and Natural Resources
• 127 Cardinal Drive Extension
Wilmington,North Carolina 28405
(910)796-7215
FILE ACCESS RECORD
SECTION tO\/V D I C h4iv��
TIME/DATE — ( / -
NAME j, , ��p,-E I�� W sO C
REPRESENTING C&P ."4-
Guidelines for Access: The staff of Wilmington Regional Office is dedicated to making public records in
our custody readily available to the public for review and copying. We also have the responsibility to the
public to safeguard these records and to carry out our day-to-day program obligations. Please read
carefully the following guidelines signing the form:
1. Due to the large public demand for file access,we request that you call at least a day in
advance to schedule an appointment to review the files. Appointments will be scheduled
between 9:00am and 3:00pm. Viewing time ends at 4:45pm. Anyone arriving without an
appointment may view the files to the extent that time and staff supervision is available.
2. You must specify files you want to review by facility name. The number of files that you
may review at one time will be limited to five.
3. You may make copies of a file when the copier is not in use by the staff and if time permits.
Cost per copy is$.05 cents. Payment may be made by check, money order,or cash at the
reception desk.
4. FILES MUST BE KEPT IN ORDER YOU FOUND THEM. Files may not be taken from
the office. To remove,alter,deface, mutilate,or destroy material in one of these files is a
misdemeanor for which you can be fined up to$500.00. No briefcases, large totes,etc. are
permitted in the file review area.
5. In accordance with General Statue 25-3-512,a$25.00 processing fee will be charged and
collected for checks on which payment has been refused.
FACILITY NAME COUNTY
1. PCs 09 lb) a -73‘ ) 3 Cag50 �✓ s�.h c��
2. 3791 h, 3 g9 Lig 3 9775)-34 g 3� g09
3. 3G?5 �r -g�+", y 83a j 4 333d c-f ykt>
4. �o D2 2C 7 5, L-19 .9g3 1'4*(6,