43369D - Bone

JCAMA/ _I°DREDGE & FILL
3ENERAL PERMIT Previous permit#
JNew Modification Complete Reissue _:Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources 11
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1-1 • I ) 00
(1 /Rules attached.
it Name IT" 4-I .-a . 13 ar 11 Project Location: County P1 ?,E rL
I Sf. C A>>Z...>✓, t.v13 Street Address/State Road/Lot#(s)
a PS ckl z 3 c v N t3 Statel L ZIP2. `-4H 5 ' 15'b-I (tea.4-^�e.1-w).‘ l'it_._f 13
L (\tJ)3)x -31 Lc, Fax#( ) Subdivision
:edAgent -__ Cityi P5a1L t Az_IA _- ZIP 2-8.`l‘-i
Cw 'EW .PSPTA Nj;fflS ❑PTS Phone# ( ) River Basin e_AP t
OEA ❑HHF ❑IH ❑UBA ❑N/A (,"1
Adj.Wtr. Body g��.J is S G,-z1a w►--is`- kr1 /
PWS: ❑FC:
yes /th) PNA yes / ISCrit.Hab. yes / no Closest Maj.Wtr. Body
F Project!Activity 1 e-STA &. Ot..Licii6cD 7 ' &JAI E cr.+A 0-1\ oF% ‘'- YI'li"b-
rl (Scale: / ri
ick)length-
n(s)
ner(s)
mgth
imber — _ _—
id/Riprap length 60 1 •
g distance offshore Z
ax distance offshore Z.
hannel - i
ibic yards .._....-- _-"." ..1...+.
T rnp ,
at../4 5 C.—la t1 hi ry C L.,
use/Boatlift 1
Bulldozing
I _.� _
ie Len h ( -T OLD njILL
not sury� yes no p
;s: not sure yes
}___ i i . 4 r _ . _ ... I.
rium: n/a yes i.._ j
yes ! 1
Attached: yes -0 1—
ing permit may be required by: �pSa T fr 13 c ' _ 14 See note on back regarding River Basin

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Krispy Kreme
919-735-2407 t
Nov Ot )5 08: 39a Julian C Bone Et' 0--32 )-4292 p. , p'
DIMEON OP COASTAL MANAGEMENT
CENT 11 : ARIAN PROPERTY OWNER NOT1flCAATiONTAIVT?F,row I
lividual plying For Permit:
Property 1S a �Ci.r'J`t v1r.
-ot or Street 4, Street or Road)
c N\C
City andCounty) ` « 1 C� GC`� \so-A Cavr_A" h� ,� YYt41
li�� 'fl
1 �
reify th I own property adjacent to die abavc-referenced p-operty. Tic .1.idividual
r this pc : it has described to me as shown on the attached drawing the c cv:loc trent they
na. A c cription or drawing,with dimensions, should he provided a itb thi . letter.
i
I have no objections to this proposal.
VP nhi .ionc to what is heina oronused. please write :he Div,cic.n f Coastal
LOWS U :CCSFa ui l{i!> nVetcr. rr.0 a e•!ltnl-r. ...____ _. _... .. -
l4.i.n it V.f'iV ;IN 1 t i li.H:a it iiitt.
WAIVER.SECTION
and th . a pier,dock,mooring pilings.breakwater,boat tit ase or boa" lift must be set
—. -• of from my area of rtc.:.r..::. ....._.. .....
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
J ►
zee Dat
tree _4irkt

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: {•i 4
onr-e-
Address of Property: /.(v y C bra/Na 13]..,
.
(Lot or Street#, Street or Road)
vpsii (B444, L . c. z 9yys
(City and County)
70 rep 144, Se ag a / /
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 CI
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796
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 must
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (
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.
( ---r7

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2451839 2204
8-3226 •
66-30/53I
/
Date / /7 365
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L ti' N. J $ r;•
:///efr-i f ! Dollars El
ITS 365
k 8 Trust Company
28443
:itizens.com C /
)D3D278922 L611' 02204