39761D - Belk

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ICAMA/ 'LI DREDGE & FILL
3ENERAL PERMIT Previous permit#
?New 1Modification JComplete Reissue CPartial 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 15A NCAC '7/1 /
Rules attached.
t Name 5itiet f%% c i k.. Project Location: County r'_ /r K._
/if iQ/ T�'l6.e k ,, ;r '.S f c.y / Street Address/State Road/Lot#(s) L . 7- `�`-/
„ 2y-e_f3Vr //C..- State 'C ZIP ', °7 ' /UG , fi i Li/,(.. . C i.,/ C
'(fi( ) %""! " 7 tG& Fax#( ) Subdivision
.ed Agent >-,rii j-'r'� , , ;t: ., , City 5i r, >Sc i 5C'.(/) ZIP 5 L/e
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❑CW VEW A ❑ES ❑PTS Phone# ( ) River Basin L 14
❑OEA O HHF ❑UBA ❑N/A _
.4 Adj.Wtr. Body 77 .. / / l( . eat ]
❑PWS: ❑FC:
yes /69) PNA yes /:•no Crit.Nab. yes / no Closest Maj.Wtr. Body
f Project/Activity ' ; f 7"
(Scale: (i-
ck)length /OCJX (p
rier(s) u*/to 1
,ngth - —. N
tuber le0 : I : : ' : ----+F- :
d/Riprap length
distance offshore
ax distance offshore , irXi i; i
hannel
" Hi
.4.1- : ! 1 . . ! I 1 : I : !
bic yards 1 .....
np i 0 Y`f 1
b
_Ise/Boatlift /2, /5- 0 j , i
1
lulldozing i _ - I ' ' I
1
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ie Length O ( i. '
not sure yes �i`o .� .,�,. I !! yl t ,
l . 1
s: not sure yes i
{ _emu(Qkhs 1 , ;
rium: n/a yes _--
t
yes f f
' " �
Attached:
�:-�ye no ` "
ing permit may be required by: . I I See note on back regarding River Basin
r 'n_ —

VARNAMS DOCKS & BULKHEADS INC 3551 1;1
1574 MONSTER BUCK ESTATES
SUPPLY NC 28462 !j
910-755-6861 66-112/631
DATE_ - 3- 65-
62101
THE !
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--- _- DOLLARS El EF.:.
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BRANCH BANKING AND TRUST COMPANY 47/p Jj //���
SUPPLY,NORTH CAROLIj. �J 4V jl
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WP
II.00355Lli° 1:053LOLL2L.: 52L5 7 9 28 7 211° I]i

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: J y ac (2
J
ADDITIONAL NAMES:
AEC DESIG: PT I H DEVELOP AREA: . O / PROJ DESC:r9 I
(Will only take 6) (Will only take 1)
WORK: � C� / U
(Will only take 4)
AUNT:
(Will only take 4)
LMP: r)u) 12,K •
(will only take 6)
ACTION EXPIRATION
DREDGE &FILL REQUIRED: re b G//D s/4/os
•
C_AMA MAJOR DEVEL REQUIRED: f-e b q, os 5/q(O j

Lof Litt,
( (Ga
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i0- G b

L.LL'U+ 7•L�HI'I k.UL hi �,a1rr.i f'•1J.5i` P.ti
DIVIS10 OF COASTAL_MANAGEMENT
ApJACENT RIPARIAN PROPERTY OVsrINILR NOTIFICATIONiWAIVER cO1i
Name of Individual Applying For Permit: he 1�ey ���1(— -
Address of Property: Lc 13-1L 4W
(Lot or Street 4, Street or Road)
(City and County)
I hereby certify that I own properly 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.
x_ 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 pings,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..
Sign N Date ATA
DQ,
N
Print Name

Ott Jan J.U�_.�.. M Ivy �(E N f�F; ,'/, Nil, 7045E51 Jew. 211'L. 6,'' 19,Lug';, c 4
III �IN111V �'v.Jr� -1 :y
'hares o tdividual 4' plyir.z.For=F.,emait; c h'8- • eAi tee'
;?slldrem of properW: �L,=��'`-�
(Lot-or Se!01,-Stma:-ur,R3oad)
-(Ci4►anaouuty)
.Theroisy eels r that I evsm proper y.-ttifj tt to-ti s above-refsmaceyil property, _Thrind ►ideal
igg4iritforthis-parnit hserdososibed torimissskiown-on-tllct draWing the.tiovalapmaatthey
:axe propcisiag. desaiplioutr drawiag,with dimsnsiems,shoultbrjirtriided with this letter,
1tevexo obJtio 'to-'lh pri des .
if you hove-ol.ijogtious lo-What is bi proposed,please-write the .btvtfon of.Ccreetti
i usegenreat, 127 Catalina a Drive-Extension.-Wilanlagton, TC 26405 or.cii1 1i1•-3V 39p0
*At.liir40 days of rreeeipthfiliis-hatlta:Noseaponsa is cansiderad tba-soma a uo ob cetion if
you.b,uveibeer.uoti edby er!•ifi .Mail.
_re — --. .
W11 .SECTION
unilorstaudIhata piex,dock.mom tag-pit ngseb*eiiieWater.baat bouts or anatiin*iws:he set
bet is.raisamuiwdlstuaee.of•13e frmm my erase-of sipa i u aaaa.+--aulasz.watsesit b P me.=(Ifyou
wish toNslaneths.,ack,you must laitsai appt'opriata sbuil elowy
s-dc-wish t -waivete Msetback required.
•
„ „„ ID
AveKmweews
Talenbone Number.with Alva-Code S:.nmathelLship iianpropery:em