40982D - Britt

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CAMA / i DREDGE & FILL ! , if
tENERAL PERMIT Previous permit#
New Modification _Complete Reissue __Partial Reissue Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural Resources �2
;oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
JABRules attached.
Name �[�� Project Location: County N /G//
11 3 STA e Fjs _ Street Address/State Road/Lot#(s)
q00 ee4CA State ,VC- ZIP 2Z5'Z(Zj If 5 3TL F.5ff-
( ) Fax#( ) Subdivision /
?dAgent .o-r-( &AA'S - 8 i/ ��(4 City /4-0/jeal g� ZIP Z..��
ii CW I6 IPTA —ES ❑PTS 9/0431— Phone# ( ) River Basin L G"
❑OEA ❑HHF E IH ❑UBA ❑N/A 671 q
Adj.Wtr. Body � -ram (nat
yes /A PNA yes /(9 Crit.Hab. yes / no Closest Maj.Wtr. Body
Project/Activity Prd c5 J t',vice /3',i," /3 r L/FT 4)14
f y/ S--(--(k/(( Doi-4/ P� (Scale: /n_
:k)length g_x I S+
(s) (s"-T.. <,.-.°--., Gin( ".`--),
Igth U d
nber 1 lj (,�• ( �
I/Riprap length / I_ �'
distance offshore - /�_/6.r v - t
c distance offshore toGG4 IV'
annel annel Er ,� (v
[ /
is yards
P _�
to/ f / /
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lldozing fy151
00(4 ' 1/4, 8uttfie
ato
Length (201
�a s $n f 77 e ra/' ,
not sure yes e,, r f ' "'-4
not sure yes I
f�a
urn: n/a
a yes -
r
tr no 1r //3 S7'4� s/-/ (�tlle �'
ttached:•
60 no
ig permit may be required by: 1-10 VZft R c---L See note on back regarding River Basin rt.

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03/30/2005 01:07 19107544290 OFFICE DEPOT 2170 PAGE 03,
B & K MARINE CONSTRUCTION
Piers • Floating Docks • Bulkheads •Aluminum & Galvanized Boatlifts
DIVISION OE S'z(2A.
ADJACENT RIPARIAN PROP_ERTY OWNERMIIEICATIONLWAIYER
FORM
Name of Individual Applying for Permit: .,
Address of Property f I 5 WF2r,11
.Ar idieziAdtze_L_____AZ.0
of 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.
"eir I have no objections to this proposal.
IfyQu have ohhejtions to whatis being proposed,please write the Division gf
COaSIAI anag rn n . lz7 Cardinal riye Extension, ilmi g on,North Carolina.
28405 nr call 910-395-3940 within 10 days of receipt of this notice. No response is
considered the same asno_objection_ify_ouhave been notified by Ctrtified_itjaiil•
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags
must be set back 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.
_
d��
gnatur� D e
':'~�;,mow /1i,9 ,�/i

33/30/2005 01:07 19107544290 OFFICE DEPOT 2170 PAGE 04/
B & K MARINE CONSTRUCTION
Piers • Floating Docks • Bulkheads • Aluminum & Galvanized Boatlifts
ADJACENT RIPARIAN PRQP.ERTY OMiliERAQIIEICATIMMADZER
FORM
Name of Individual Applying for Permit. •� � —
Address of Property. I ( ,5 LS/1
b(lekitar--) 6o . __.1//G
(Lot or Street#, Strcct 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
CJJ I have no objections to this proposal.
If you hate objectionsi_what is blring_propased.plea a write the Division of
Coastal ManagewenL.127 Cardinal Drivel:ntmian.Wilmingtou.North Carolina,
Z$405 orsall 910-395-35'00 within allays of receipt of thix notice. No response is
Considered the same as no objection if you have been Notified by Certified MaiL
WAISECTION.
I understand that a pier. dock, mooring pilings, breakwater, boat house, lift or sandbags
must be set back 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
t_?k� I do not wish to waive the 15' setback requirement.
_ 4_Y30
Signatur Date
C (-h'1N-12 a o rJ

33/30/2005 01:07 19107544290 OFFICE DEPOT 2170 PAGE 01/
Office DEPOT
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