42331D - Beuhland

LAMA/ DREDGE & FILL Vb/fr-- , t
iEN E RAL PERMIT Previous permit#
1 iew _Modification _-iComplete 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
e
J / u s attached.
:Name R ,t 'j J/Z `T g e i Lff,..,Cl1 Project Location: County _(Z w,,/1 ke) C /C
29 5,..1' ,/ ,[ C/9,p AI Street Address/State Road/Lot#(s) //9 1/'61. .5
r"'Siv r/ Si,C ,eel State/VC ZIP 2 7/0,
(9/0) 5 71 G 57 r Fax# ( ) Subdivision Vie SG ci CI
ed Agent /9 d,TM Le,./5. City7CeA.J 2 Le ,3e9c 4 ZIP
❑Cw ILA VePIA iv�,eS-- il PTS Phone# ( ) River Basin till 4
❑OEA ❑HHF ❑IH ❑UBA =N/A d
Adj.Wtr. Body / / h/AI ::a /r
❑ PWS: ❑FC: d
yes / ` PNA yes / Crit. Hab. yes / no Closest Maj.Wtr. Body /9 /h✓�
no no
Project/Activity .9 d d Bo$ Li cf to Cy 1.s T,; DO c%
(Scale:)
:k)length 4.2.5 /f
(s) FYLO 'i1 t l 1-�
2i ' ,N 1`c.J
nber �j Pl.
4
I/Riprap length
distance offshore ri ✓�O i1✓P�
a
x distance offshore ' fg 0) r
annel
iic yards rl
se ...
ilidozing h
Iv
A.
•
/
Length
not sure yes._ no t _ _ _.
s: not sure yes no
'urn: n/a yes no f L j / / vi 0 sc 2.t r,d f L
yes n
atached: es no /
ig permit may be required by: iJC P �✓ ��/� /�D�i¢ n C See note on back regarding River Basin r

MOININKAVIMENEksjigh:::1Zti
WEST 113
3T DOCKS, INC.
WN CREEK CIRCLE �y
LE BEACH, NC 28469 DIITI GO _ L`- 05 _ 67-7235/2532
271
Of S t 06,00
DOIL S o
°EDERAL BANK
H,NC 28468
Pp (14)-33) 6)06"
ii'0 L L33011' 1: 253 2 ? 23551: L 25800590911°

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. WHKI=N LUIVS I KUL I lUly rax yl`_i-401-J4OU Sep 1y LJ y•444 r. ui
piyislo OF CDASTAL JAANASzadiENT
ADNAg5NT 13.IPARIAN PROPERTY QV+T t tNOTI'FtCATION/WAIVER FQ2.M
Name of Uridividual Applying For Permit: k ,?1,42.tfd )re a,F,, (44
i
Address of Property:. L4 5 j f t: t C�OtJ,.v/c1
(Lot or Street#, Street or Road)
(City anc`County)
J hereby ertify that I own property adjacent to the above-referenced.property. The indivii
pplying r this permit has described to me as shown on the attached drawing the development I
are propoling. A description or drawing, with dimensions,should be provided with this lettei
✓ I have no objections to this proposal.
f you have objections to what is being proposed, please write the Division of Coa
Ivli
anagement,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
'thin 10 days of receipt of this notice. No response is considered the same as no objectic
lyou have been notified by Certified Mail.
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
et bck a minimum distance of 15' from my area of riparian access- unless waived by me.
;7
ou 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.
I ,-
Wk - _ ctixq los
Sign Nam Date ATA
Print Name �_

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t47 1`45?ate _scuje„,1 17 0 6
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SENDER: COMPLETE THIS SECTION "" COMPLETE THIS SECTION'ON'DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. ❑Agent
• Print your name and address on the reverse X 1 . ,,,,U 1 ❑Addressee
so that we can return the card to you. B. Receive b (Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits. L t�� g(I)/a✓
D. Is de' address different
different from item 1? 0 Yes
1. Article Addressed to: If 14 address below: ❑No
'6enjirtinin aie A)aild C-4>
Vi 46v1646)/, c:.,%. p,
/1 3. Se Tyl ,C/
'filk- /� vide / , f7 a ❑Certi ieoivlarf ❑ Express Mail
V .�(� (((///Ill ❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7005 0390 0000 2578 3555
I (Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS StCTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sig '
item 4 if Restricted Delivery is desired. C Vr / ❑Agent
• Print your name and address on the reverse ressee
so that we can return the card to you. ceived b rinted Name) C. Date of Delivery
• Attach this card to the back of the mailpiece, � tit-ze /
or on the front if space permits. // ;,�-�� eL
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
pI`-th E l t torrL/ r✓� l i
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