42802D - Benton

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I o j�/--CAMA/;DREDGE & FILL I "VV /
3ENERAL PERMIT Previous permit#
flew - Modification Complete Reissue -Partial Reissue Date previous permit issued
rized 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 ) H. • I l ' i I 0
2 Rules attached.
t Name D+Av D V s NV a 0 Project Location: County ©1s LAD t-----)
cI N b Q,o A b v✓p.`' / Street Add ress/State Road/Lot#(s)
A t4 G.L.r y state►J G ZIP Lay fJ CI 1-'r.. (1.... *C.C4...)+1
( ) Fax#( ) Subdivision 0 L� S c i LE 4_4 13r:,ae
:ed Agent .01 Wit t,)ovL.X An AQ Je Cam+. _ City LL L -T V ZIP Z.S4 y
❑Cw r`- T, A ).S ❑PTS Phone# ( ) River Bas' LA?E I
❑OEA ❑HHF ❑IH -UBA ❑N/A (5 )
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Adj.Wtr. Body OA v Ot.. �^�' (nat 4
❑ PWS: ❑FC: `
yes /W PNA yes /( Crit.Hab. yes / no Closest Maj.Wtr. Body �//
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ngth 1 :
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d/Riprap lengthtiA t o wT .r 4 t..0 At_t_51`V,1
distance offshore V
uc distance offshore Z
iannel
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s: not sure yes L ? t._ i� L ( Li17_i i _ j� i
!ium: n/a yes ....-.
yes
kttached: yes .__
ng permit may be required by: 5i L-( LJ See note on back regarding River Basin n

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO I IFICATION/WAIVER FORM
ame of Individual Applying For Permit C) Poi 1 f.) t�
ddress of Property. el Lk 0 c1c A D
(Lot or Street#, Street or Road)
(City and County)
ereby certify that I own property adjacent to the above-referenced property The individua
�Iyingforthis permit has described to me as shown on the attached drawing the development thee
proposing A description or drawing with dimensions,should be
provided with this letter.
I have no objections to this proposaL
•
you have objections to what is being proposed, please write the Division of Coastal
nagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or can 910-395-3900
bin 10 days of receipt of this notice. No response is considered-the same as no objection if
have been notified by Certified Mail.
WAIVER SECTION
derstand that a pier,dock,mooring pilings,breakwater, boat house or boat lift mast be
rck a minimum distance of 15'from my area of riparian access-unless waived by me. (If
wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement
do not wish to waive the 15'setback requirement. - t
Pa 5 S5ej l, ,Ch. 1Y\,l �k--1 ou r - W Qe�' 1 ,
lee LACIPY\e'423 /;?-65
Name Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO i MICATION/WAIVER FORM
ame of Individual Applying For Permit 0 FW D F \NvY�‘ ..\
ddress of Property: c -1 O cam,R t,,?P1 Q
(Lot or Street#, Street or Road)
(City and County)
iereby certify that I own property adjacent to the above-referenced property_ The individua
Plying for this permit has described to me as shown on the attached drawing the development they
proposing A description or drawir,with dimensions, should be provided with this lever_
I have no objections to this proposal
von have objections to what is being proposed, please write the Division of Coastal
nagement, 12'7 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
fin 10 days of receipt of this notice. No response is considered-the same as no objection if
have been notified by Certified Mail.
WAIVER SECTION
derstand that a-pier,dock, mooring pilings,breakwater, boat house or boat lift must be
rck a minimum distance of 15'from my area of riparian access-unless waived by me. (If
wish to waive the setback,you mast initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback relent
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