42318D - Bell

CAMA/ DREDGE & FILL ` 'v N?
;ENERAL 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 I5A NCAC 7# , f WO
Li "litres attached.
:Name//--Xi,' it Si Project Location: County _ , , ddS iv/(4
4d[P 4f), /t A f la'. Street Address/State Road/Lot#(s)
k1 ZSAti01 Stateza ZIPZq (, , -of..e-
( 0) ? —3Q Fax#( ) Subdivision
Bd Agent City ZIP
J CV/ C'1kW IP'fTA i PTS Phone# ( ) River Basin Ode ,
C OEA ❑HHF ❑IH UBA N/A Adj.Wtr. Body .�/ (n
C PWS: ❑FC:
yes / 6 PNA yes / Crit. Hab. yes / Closest Maj.Wtr. Body ( ���
Troject/Activity AV,f ea //%e PX l-ep,1 i 0 i+ , C-At.?ilia i'.N r-- 4*(74
(Scale:
..
:k)length
(s) /o X « .4/GI'
er(s)
Igth
nber O0
' it EZ
I/Riprap length �Z ' ,�
distance offshore
K distance offshore k 0
annel
..-- IKG
sic yards
ip
;AV jz y It
Ildozing ,-
- 6 x z.y C-v;-)4s•-1'y
t
Length (# Ts GG ' A
not sure yes o /3/,'a n
�/ eels
not sure yes no J� �y //
urn: n/a yes n A/ti/1 /[e /u
g 4-) (4 7//A- r
yes
ttached: yes
ig permit may be required by: cj 2;if n/( See note on back regarding River Basin rt.

' W W
fIx'Z
730,4t1.i F*
o 1 o
/o X,2
\40
c' i)
[x:s ;els �,
,
N v- )• ►5' h
c
rev.,/ ,.) %nr1,,t [/r•

DrVISI()\OF C'O4STAr,MA_N&GEMENT
ARIA -ENT RrP4RIAN PROPERTY OWNF,R NOTTFICATlON/WAIVFR FORM
Name Of Individual Applying For Permit f-2 V ; L L
Address Of Property: i) V fit/, ‘I,4G•h t tar.
0 AY AA- (2:5'• '15'Gv � G 1►
(Lot or Street#, Street or Rdad, City &County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the development
they arc proposing. A description or drawing, with dimensions, should be provided with this
letter.
-I have no objections to this proposal.
If you have nhjertions to what is being pmposerl pleat write the, Division of Coastal
Management, 177 North Cardinal Drive, grtlminn, n, North Carolina_18405_nr call 910 395-
3900 within 10 days of receipt of this notice_ No recponsr is ronsi.dered the same as no objertion
if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian arress unless waived by me. (If you
wish to waive the setback, you rtu!st initial the appropriate blank below.)
I do wish to waive the 15' setback requirement_
I do not wish to waive the 15' setback requirement.
/44,1„e_e_
!/(1)
S' nA1917A,
ature
" Date

37i24/2 f35 21:5B 910E45E667 SHORELINE' MARINE aAt't 02
Liu arra ire EitiARICE.CtiuLt
NAM Qr Andividrai Applying Rs Amok fr1.P.
Addrors or Property: t "'
rt.)
Mot or Sesies Sam or City&
I ba oby entity Msa I coca peaparp asiPeow n Moe abooarel4aatvad
property. The eot
:bey are pompous* Aappeying for dais pone*Ins olio us oboes sat r6a ash doming ie isigivisliwl
Meer. doneripoos
a ia"'s°a, wish Abt+eaioes, abroad provideds provided with the
rows no*salons a skis petiporalITAINERjammand
�wr
I diem. Li' ag bos biro r�rear, bast bonne
air, or aas�iy mac be
aab la waive lbw yes moss lab Me b below.jFoy ono of rfilorin acme mhos raid b!mu. �1 You
"~ I do olab n+r'aive[be I S'ae
i duo eft n sore%is is' t r.q,brava ae
misamommimmimor
'7- s- (41- Am%
9 ►law" `

PARDY ER TO OF THE C �J I $ 1 -00 r G t�
O � �
fl r h L L YS DOLLARS u Sa..
Coastal Federal
O—Bank
P' SOUTHPORT,NC 28461
IVP
12532723551: 325800087211 832