41582D - Casey

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GENERAL PERMIT Previous permit#
'New Modification Complete Reissue —Partial Reissu Date previous permit issued
•ized by the State of North Carolina,Department of Environment and Nat al Resources '1
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC )rl . / /0 0
IX Rules attached.
:Name J pH & S&i Project Location: County I ►..)b t i Z
ctS 5Q©A1w.. Ay Street Address/State Road/Lot#(s)
v,a C GZT�) state L)G ZIP LZ49 c155S c,(L-oc\bw Ai
, )31, . ."?g$ Fax#( ) Subdivision OI D Se•1TL e 2.4, ,? A'-i.A.
ed Agent A ts)rt )O 2S VI\iA,2Z..)t- C01471 City_StA L( GiT•-) ZIP ?may q
❑CW ❑EW ❑PTA 'AS -PTS Phone# ( ) River Basin v P
❑OEA ❑HHF ❑IH ❑UBA ❑N/A / i r--,��
❑PWS: ❑FC: Adj.Wtr. Body oAL Sw,.,.,Ts (nat 6
yes no PNA yes /©o Crit. Nab. yes / no Closest Maj.Wtr. Body ���/
'Project/Activity -12:t L-1-\4,1". C ?Is i 1 v L u t. -4-K ►>!b
t1
(Scale: i{ i Z
:k)length
(s) }.\ IV I--
er(s)
Igth t C S
nber
I/Riprap length I ti 1.:
distance offshore
x distance offshore 4
annel -
iic yards p
i C AN.
ip L
se/Boatlift
1Ildozing
2�
a Length 1 S �
J Z�i ,
sur yes no �' ,
yes y r n
not sure (tLO
um: n/a yes c Vl \
yes no ? -_
1--- il
1 --
cttached: yes no 1 0
ig permit may be required by: S l.1 Q G Gr;V 7 See note on back regarding River Basin rs

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO 1114CATION/WAIVER FORM
me of Individual Applying For Permit S tk N CASE`l
dress of Property: 9 g/Lo Gz pti
(Lot or Street#, Street or Road)
(City and County)
:reby certify that I own property adjacent to the above-referenced property. The individual
lying for this permit has described to me as shown on the attached drawing the development they
proposing. A description or drawing,with dimensions, should be provided with this letter.
C7-3411;(hV14dI have no to this proposal.
objectionsPr P
'on have objections to what is being proposed, please write the Division of Coastal
nagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
tin 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
ick 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.
I do not wish to waive the 15'setback requirement.
iti)t444t
Name Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO 1 it;ICATIONIWAIVER FORM
me of Individual Applying For Permit: 9 `t S 1/4-1
dress of Property: 9 c/ g
(Lot or Street#, Street or Road)
E? F CtT�
(City and County)
;reby certify that I own property adjacent to the above-referenced property_ The individual
lying for this permit has described to me as shown on the attached drawing the development they
proposing A description or drawings with dimensions, should be provided with this letter.
L— I have no objections to this proposal.
on have objections to what is being proposed, please write the Division of Coastal
iagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
tin 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
ck 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.
I do not wish to waive the 15'setback requirement
Name Date
AMA

SNEADSFERRY, NC 28460 66-19/530
(9 / q ,
[phone]
PAY TO THE /� 1/A (j F-t
ORDER OF / v t � . 6 • Z $ �d 0 . �'
.� ,ct a n �,�-S tA' �s
#/1 7:*
MEMO 4/(J is i L 1/5/r;-, / /�///,- 1"/6J i.e4/1 AUTHOR URE
POO473711' 1:0 5 3000 1961: 0006 50 5 2 1 9 9011°