37853D - Blaich

LAMA / DREDGE & FILL
3ENERAL PERMIT Previous permit#
New _Modification -Complete Reissue 7-Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Re ources
2oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC7 N , a ovu
(�, `` I ales attached.
t Name '✓ 1 `1 L3 WO'C 1+' Project Location: County 3 R IA vs IA; c IL.
g d 5— j A r e(, jJ R f J---( D Street Address/State Road/Lot#(s) L 1 5
( ti 6,1&kr4 State /\1CZIP 7 . '1`Cl V1l P•H'/ ^' Si C-{7 J P-
0(0) 5 7s.- (IY(ICi Fax#( ) Subdivision 1-1A..i N t S
:ed Agent J A K-P 1 At o 6 S City ZIP
cw kit< [ ‘A ❑ES ❑PTS Phone# ( ) River Basin /h 0,A6
OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body Al.Vow
11 PWS: ❑FC:
yes /(IC) PNA yes / 0 Crit. Hab. yes / no
Closest Maj.Wtr. Body /-1.-•
F Project/Activity M 0 D i r-,c tt--i 3 N 1 L) X,Ski AJ 0 C tc-
(Scale: /
,ck)length
/ti
ier(s) 31A3�' 3 ,f,7 1 tt
:ngth •
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tuber ! p
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d/Poprap length i
g distance offshore 7°
ix distance offshore
lannel X
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bic yards k"------7-4(•,P4
np
�s 3 4;dift 13' y i. '
f',% t R
,ulldozing t 1 r-'
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o ie Length !
not sure yes t I 7-
;s: not sure yes
-ium: n/a yes
yes e I
Attached: yes —-
ing permit may be required by: IV INN of stin,5 E7 ,3e,N . U See note on back regArding River Basin r

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: / E?L r /6t / A
Address Of Property: Sot ( 4-1)/y1.2 ) 7))1n, S L )
gt �/- n . C3. 611-uzufac)
2.(Q� (Lot or Street #, Street or Road, City & 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 prgvided with this letter.
[/ I have no objections to this proposal .
If you have objections to what is being proposed , please write the
Divisions of Coastal Management, 127 Cardinal Drive Extension,
Wilmington, North Carolina, 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 , boa
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
11/ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: J' .U. ef'a./..e-A
Address Of Property: t/ c ,/1jUz c ) ADA . S LID
ViLlAild ize.,,,,4 x-2 . . 61a4.1,);_de
(Lot or Street #, Street'or Road, City & 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 prov-ded with this letter.
I have no objections to this proposal .
If you have objections to what is being proposed , please write the
Divisions of Coastal Management, 127 Cardinal Drive Extension,
r!ilmington, North Carolina, 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 , boa
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.

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