39880D - Bell

LAMA/ ❑DREDGE & FILL
3ENERAL ' PERMIT Previous permit#
f New Modification -Complete Reissue —Partial Reissue Date previous permit issued
,rized by the State of North Carolina,Department of Environment and Natural sources
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7 H, Iz QO
INftules attached.
It Name , t 11/ nt gin
Project Location: County
1/7 -sf Street Address/State Road/Lot#(s)
State A ZIP 'NM j.1•yt�
( )?7—7Qv Fax#( ) Subdivision
ted Agent City ZIP
Cw ®EW 1g'PTA Ec7 ES ❑PTS Phone# ( ) River Basin
OEA E HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body hi/l�i� (fit( J (nat i
❑ PWS: ❑FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body
if Project/Activity /l/O5 el 604 14
(Scale: I
)ck)length
n(s)
)ier(s)
ngth v'
amber 9X /y. '1
ad/Riprap length
g distance offshore ` De•4 1-444„ •
rax distance offshore l C
:hannel Y 10
ibic yards
mp
u Alp /2 x /Z
3ulldozing r_,-- V itv, I�� � ,1-
•
ne Length 6 0
not sure yes
gs: not sure yes
rium: n/a yes
yes
Attached: yes ,• / —
ling permit may be required by: 1J✓d4 3 a);c/1 i /A� /a» nn H See note on back regarding River Basin
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RI PART AINT`POPERTy OWNER NOTIFICATION/WAIVER FORM
of-Individual Applying For Permit; DU in . , e 1 I
ess of Property: In 1 YE
(Lot or Street #, Street or Road)
C k sf x N, C ReuAiscA)'1 ck
(City and County)
by certify that I own property adjacent to the above-referenced property. The individual
'ing for this permit has described to me as shown on the attached drawing the development the
7oposing. A ription or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
u have objections to what is being proposed, please write the Division of Coastal
igement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
n 10 days of receipt of this notice. No response is considered the same as no objection if
lave been notified by Certified Mail.
WAIVER SECTION
erstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift m ust be set
minimum distance of 15' from my area of riparian access - unless waived by me. (If you
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.
al kql�
\ame Date A FA

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: -6 u t cti Pt) • Ac
Address of Property: I t 7 5
(Lot or Street#, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individ
applying for this permit has described to me as shown on the attached drawing the development tl
are proposing. A description or drawing, with dimensions, should be provided with this letter
444642--- I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa!
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3!
within 10 days of receipt of this notice. No response is considered the same as no objectio
you have been notified by Certified Mail.
WAIVER SECTION
I understand.that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set bck mini urn distance of 15' from my area of riparian access - unless waived by me.
you wi 11\to wai e 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.
11an NnnlP Tlata

GENERAT: PERMIT COWL-TER FORM
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ACTION D2L4_T ION
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CA2viA MAJOR DE vE REQUIREi :

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