42072D - Combs

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C MA/ L DREDGE & FILL k2 A
IENERAL PERMIT Previous permit#
New ]Modification 'L__,']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 7 a ./.).OU
/^ vot s attached.
11 (
Name 4bet< T 0rv1 L c Project Location: County n C.l vtG(
3 j 2, WI Ut i AllikS P . Street Address/State Road/Lot#(s) t4 I /?
IA-ri;II)Vit( State (le ZIP)X7U 3 4,0 1A4-fli A-Z-0
(g) 907—73-)OFax#( ) Subdivision /-,f ro1 L.4 vbs' v J
:d Agent W ect .0(,(�C City M fc ,. � P _J ZIP
Ii. Cirri Nee ❑PTS Phone# ( ) River Basin L.4,I4'r4
❑OEA ❑HHF ❑IH UBA ❑N/A Adj.Wtr. Body 404/ 401 r
❑PWS: ❑FC:
yes /CO PNA yes /�o Crit.Nab. yes / no Closest Maj.Wtr. Body 44411,"
Project/Activity ,4 t Ut p et'el J F/O,//1 0( bill //41 • /
r t04 (Scale: s
f-- -D
:k)length 6 x J� '�!I--
(s) l6` J.�t '
X ("5 4Coe eo f i�..146
er(s) /
nber I`.a — IPiv.
I/Riprap length � rsl rty ✓--, �""
distance offshore `i#'V -` tot if] /7/47, ,
K distance offshore 5 L/dt .\. iiii
annel fl��5 f,.
5 to., 7,.0;c3_ 05 Pk. 1
H
,ic yards k
4,...--- ---N.--
ip
;e/Boatlift __ r r ._.
dldozing1 iet..".'r _
roe g`X,s ' • ______________ t L
Length 0,
not sure yes 9 .K 'it at
not sure yes no
urn: n/a yes n•
yes L o! /9
ttached: yes �.
ig permit may be required by:/ipn. IDj(, /I . 7 See note on back regarding River Basin ri

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: (� jet I- Cern I
Address of Property: 8 Z Ne z \,p J,yc
(Lot or Street#, Street or Road)
7Q4! `i 7
(City and County)
I hereby certify that I own property adjacent to the above-referencecLproperty. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
CAS I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access-unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
�-° ES, e I do not wish to waive the 15' setback requirement.
iign Name Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ROie tri- (© b4
Address of Property: �� �ef0� G '"r
(Lot or Street #, Street or Road)
20
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coo
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you 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.
ti-44"-LA--&1 b —17—d S
ame Date
Fred) Fr().a . ' '�

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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 au) J-�lQ,/l ' ❑Addressee
so that we can return the card to you. B. Received by(P ted N. e) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits. j IO ra r IIn
1. Article Addressed to: D. Is delivery.ddress different"A-stern-t? 0 Yes
\ If YES,enter delivery adiress belowS/,-'4 No
c,c.t_ . ....: d15,,...V),;.1)
`R-cx\e:cp , cm .C ,
,D"71,z k S ,
3. Service Type ` "/›.-----2
❑Certified Mail 0 Ex ii.ltail
O Registered 0 Return Receipt for Merchandise
O Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Numb7005 0390 0000 2578 3531
(Transfers/er from
rom service label,'
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signatl�re
❑Agent
item 4 if Restricted Delivery is desired. X �r r Addressee
• Print your name and address on the reverse
so that we can return the card to you. B, Received by(Prin ed Name) I C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
� .c,\e,S -off 'i- y %er
a.l_s?` C' .o,4--cch c t ck-
`lam`�n .--FDre_c".ei-\1 'C__ 3. Service Type
❑Certified Mail 0 Express Mail
'CCLI--\LQ < ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery'?(Extra Fee) 0 Yes
2. Article Number 7005 0390 0000 2578 3548
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540