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(LAMA/ ' DREDGE & FILL 'ITC 4
aENERAL 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
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ) i� / ) cc
ules attached.
:Name Piz.,v1/4 L, S27�o.,J•J ►J Project Location: County i n �.
I 4-) Z`, Gu ti �'1 ►J q R��,r �) _ Street Address/State Road/Lot#(s)
•
r crit. State'JL ZIP LAyljS IL+ v-b
( ) Fax#( ) Subdivision
Bel Agent ., r.\1.1 Cityi'OSAT1 Nk ZIP &3 ► l)
❑CW L EW EETA SRS ❑PTS Phone# ( ) River Basin/ \?c
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body ;Aw)v.S ((n
❑ PWS: ❑FC: �11
yes /4. PNA yes / n'r� Crit.Hab. yes / no Closest Maj.Wtr. Body 1 11
f project/Activity l� O►.sa 4 L k 1 S i 1 t-- Lr �� �' Z • ,L
Z 1 3 V1/S (Scale:
:k)length
(s) -
er(s)_
igth
nber ( ._._._
I/Riprap length i05' r j r v } (7
distance offshore 2 '
K distance offshore
annel -
is yards
ip
se/Boatlift
illdozing
Length ��
APIPIP yes no
L L
no
5j
not sure yes V / j
urn: n/a yes n� D Ark r\(
yes no
atached: yes
ig permit may be required by: P j 1� h. r ► r See note on back regarding River Basin rt
,
AD
MARIEJULIN BONEC BONE PH.910NC 328L -3245183s226 2107
1504 CAROLINA BLVD. /
P.O.BOX 3291 //U 7 66-30/531
TOPSAIL BEACH,NC 28445 Date 365
134iYtO the
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order o G/D 1� I / I $/d t)
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i FIRST CITIZENS 365
BANK
FHasL1,BN2aMe Cempar
www.firteitizens.com
For -6'0 F N rti f et `,-rs 'f �2.3/6.:_b ---- - --- C ---— —--
I:053L003001:00 30 2 789 2 2L6116 02L0 ?
OCiarke gmenran WDCC
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ?A I r o N,
S
Address of Property: / y.2_4) 1;,, 1 1 -
(Lot or Street#, Street or Road)
p54. ) e - c• gLI
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development thf
are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast:
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,boat house or boat lift must be sI
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If yo
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 _2 /—
Sign Name — Date
lA/dUli0 , .i AMA
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: P (‘'
Address of Property: /22 )' (6/..4
(Lot or Street#, Street or Road)
Iop50I e�G �
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development thf
are proposing. A description or drawing, with dimensions, should be provided with this letter.
t I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast:
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION •
I understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must be sI
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If yo
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.
C- AN—
y,o/o
Sign N e Date
h I n I' C AMA