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3ENERAL PERMIT Previous permit#
/New Modification I 'Complete Reissue Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Resources 1 ) ' ��
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC r1
_._ 1J Rules attached.
t Name j v.LI=A Ni &- N►:-':- Project Location: County 5' .,»G.
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1 5 O y C.c.Oa 1-T r)A LA/ Street Address/State Road/Lot#(s)
P5 A S L 1�t:ikc.VI• State tJ L ZIP 2-3 H L{ S� 1 LI 11._ &t L71 ►,)A 1l,L V 1D
( ) Fax# ( ) 2.,"2-o- 4 II-DI 1-- Subdivision
edAgent City )PSaii-- 1ja4LL - ZIP Zoyy'
❑CW YEW )TA X,ES J PTS Phone# ( ) - River Basirr,A Pr c
71 OEA -HHF ❑IH �;UBA N/A Adj.Wtr. Body
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J PWS: ❑FC: �PS+aZt.. ��`^N�
yes ,CD PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body
Project/Activity _LA)51-A L L I t. Of- bv.‘ \‘-N�: A Z_ of AT--VLW' l Q- n
r 1=>4.c5Z'J G WA I- L (Scale: I0 I = ;
:k)length
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er(s)
igth ,._nber
I/Riprap length /O2 i.-. ' i i _ i -.. .
distance offshore ? __
x distance offshore y j
annel ' , i r {
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lic yards �.._. ._
ip I rt + I 1
;e/Boadift I ; }
—Ildozing
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Length 102 I' i V✓p L►- p
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not sure yes
not sure yes
urn: n/a yes
yes -0J
ttached: yes
ig permit may be required by: ---TO P 5 A 1 L. iS.4?".4.—' . See note on back regarding River Basin ru

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: J 1 N 3 0 tv e
Address of Property: /y22 C 4,o 1,'.. 41. lJ iv d
(Lot or Street#, Street or Road)
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dvp5i) / ?e4c- L YV .e. .2 vq.5-
(City and County)
To re la/mac St4 -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 developmen
are proposing. A description or drawing, with dimensions, should be provided with this lett
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cc
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.
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919-735-
Nov 01 ;5 08: 39a Jul i an C Bone 0- 2407 323-4292
MISIOKOESQL___N
ADJACENT.RIPAR.IttN PROPERTY
,4anie of Individual-Applying For Penult: •.) 3 ,,„,e
4 rirf cc "C /Li 12
C 4# I. 14
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‘ectily (oat i own nroverry : -:••• ••• ••-• ••••• •
-•• •• • •••• • •- • •.:.:,.-. ..... ,Lxvi
.•: ..; •- ... •- • I 11-1;s ie•t;c•,-
a tr \L ro•'.)bjectioris u this oct me sal.
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WAIVER ECT1()N
11erstand thit fl nipr vrattnritser irsa;•••••••- i••••••••1••• :Ls . ... :• ,
•••• as ki••
I do wish to waive the 15' s..ittback r tquire:rent.
I do not wish to waive the.I.5'seal ck req tirernent.
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q'` JULIAN C BONE NCDL 2451839
MARIE BONE PH.910-328-3226 2173 y
1504 CAROLINA BLVD.
P.O.BOX 3291 /3/166-30/531
TOPSAIL BEACH, NC 28445 Date 7/ .5 O 365
oYt0---t-h.e A , Nr der of I �1 / $ /0 42
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FiRST CITIZENS 365
BANKFirstgl'az:.Bank3Tr Coy
�C71�l� iampstaatl NC.26443
yww.firstcitizens.com
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