42047D - Calhoun

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rCAMA/ C DREDGE & FILL \)60r 2 4
;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 I 5A NCAC '7,4, a//e00
ules attached.
:Name /litt r;el 614® .t„ / Project Location: County AY/ei .' (0,
-o* /G d— 0 Rile,s LAK I h�1 g,/ Street Address/State Road/Lot#(s)
ItiPt/6freit.A State PC ZIP Z0 411'3 ct sr.4-
Oa) Fax#CVO) G—21' 5 Subdivision
ad Agent City ZIP
❑CW L3'EFf 14PTA 4•ES ❑PTS Phone# ( ) ,/ River Basin ( de
OEA ❑HHF ❑IH UBA Pi N/A Adj.Wtr. Body /Tl (nat /4
PWS: ❑FC: //�
yes I no PNA yes Crit.Hab. yes / Closest Maj.Wtr. Body ut'ta�i
LY
Project/Activity iiriVD.el &MI e a 0 d" /--le. hdC/L-
(Scale:/4V
:k)length
er(s) i
igth
nber
kl Riprap length /3 Q
distance offshore
x distance offshore ,,a
annel el r r r r r r r r r r r - r r [ Tr r , rs..-.. ,, 4 t �P1,-Iv ,
I.
)ic yards ^ fljD�`0W. &hill '# i
se/Boatlift / 1( 44114. k
Q a✓f fG /
.1Ildozing r /?
. /1i(n 5 LA 4 011441 .
t
Length /
not sure yes •
>: not sure yes •
ium: n/a yes
yes
attached: yes ..
-ig permit may be required by: A^le, 6. See note on back regarding River Basin r
• . ! A 4 ./ • / , • t t.-n ..

Pay to the
Order of L I $` °
Cit-q 1L-L> d u v`� " Dollars IJ
Central Carolina Bank 536 Signature 50
XIIB
Wilmington,Noor\1th Carolina 28411
For G7 _/ NP
1:053 L004651: 53 2035563o 69 Ls
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'DIVISION Of COASTAL IvMANAOEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORJs
AName of Individual App1y1 For Permit _ llJ
Address of Property L- ' .' I ° 17 i a_oli --
(Lot or Street #, Street or Road)
Ae.
114,4 PirOgielfg___
(City and Co nty) 4
I hereby certify that I own property adjacent to the above-referenced property. The ina
applying for this permit has described to me as shown on the attached drawing the developm'
are proposing. A description or drawing, with dimensions, should be provided with this to
.„r _ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of t
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-39
within 10 days of receipt of this notice. No response is considered the same as no obje
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock, mooring pilings,breakwater,boat house or boat lift mu!
bek a minimum distance of 15' from my area of riparian access- unless waived by me.
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.
`. - N-N- cam_
-)-&.' 'Sr --a
Sign Name 'Date