42045D - Connaway

1C�lS'�//IA/ DREDGE & FILL r
7
N „ L PERMIT Previous permit#
1New CIrModification JComplete 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 SA NCAC 71/.
n` ules,attached.
t Name C4/6 f-o QhOe (a p n g w.(y Project Location: County
f5 23 k/#15 r 1 if'ht./ ,Q/e — Street Address/State Road/Lot#(s)
/1hAP/147Le*11 StateA/e. ZIP Z' 4V7
( D )-04 451f Fax#( ) Subdivision
ed Agent City ZIP 4/0
CW PEW 4fsTA ElPTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body _ /¢//1 (na'
❑ PWS: ❑FC: /f
yes /t PNA yes Crit.Hab. yes / Closest Maj.Wtr. Body __ ffGeEq
Project/Activity Aye, Ave 604 f►CtI'(
(Scale: / �
:k)length
i(s)
ier(s) 711 ON
,gth _
nber
PRiprap length 45 I
distance offshore
x distance offshore
annel - - — r.dr.arAer4ip►ar-A—.IM.AM..11VAII:411:4111W.6110,,ainr..or
iic yards /
ri'! �fff d/l ea� I r 0ie /G s(se/Boatlih ! -� -�
illdozing
6573 Ali, L..its, $
a Length 5
not sure yes
not sure yes
urn: n/a yes •
Yes
attached: yes •ig permit may be required by: /#'ep,Ip.' 6 . See note on back regarding River Basin ri
I . . / / _ .

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: C'lll-,`sy4,
Address of Property: /,, Z 3 /SNbs /C,9,vtr-A/r7 X
(Lot or Street #, Street or Road)
tirrrzrydzA4 ,4C / �iybrk aLA f r'
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individ
applying for this permit has described to me as shown on the attached drawing the development t
are proposing. A description or drawing, with dimensions, should be provided with this letter
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coax
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 objectio
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,boat house or boat lift must be
bck 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.
Sign Name Bate
d^ I / IL .MIMP1111.7A

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COMPLETE THIS SECTION ON DELIVERY
4DER: COMPLETE THIS SECTION
omplete items 1,2,and 3.Also complete A. •'•nature
-
item 4 if Restricted Delivery is desired.
Print your name and address on the reverse Xla
4
,C, Agent
so that we can return the card to you.
Attach this card to the back of the mailpiece, Addressee
or on the front if B. Received b inted Name) 4 C. Date of Delivery
space
permits.
.., i/7rz r__ = cZJ
. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
If YES,enter delivery address below:
I� ) ��.\Z_ biZ. 31No
_ `0ei-- fl \Zb2..-,
3. Se ice Type
CO Certified Mail ❑Express Mail r
❑Registered ••
Return Receipt for Merchandise C3 g
❑ Insured Mail
0 C.O.D. Ln
2. Article Number 4. Restricted Delivery? W
(Extra Fee) 0 Yes
' (rrans��m service label)„i 11, 1,1,1,1,P O
rgA#rr�1i ��4�I;PAA 0
PS Form 3811,February 2004 '1't1tY �4 o
Domestic Return Receipt _.
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102595-02-M-1540 ..k X w'•
U.S. Postal Service,. 1"it.,, . -k 0
o CERTIFIED MAIL,:, RECEIPT
d ••
r._, (Domestic Mail Only;No Insurance Coverage Provided) ( 1
_LiFor delivery information visit our website at www.usps.com O
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Postage $ $0.37 X"
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NMI 0480
CD Certified Fee
0t3
0 Return Receipt Fee Postmark
o
(Endorsement Required) Here .0
Er Red Delivery Fee 1'31
(Endorsement Required) F•
m
Total Postage&Fees +)6/29/2445
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PS Farm 3800 .................
............................
June?002 • • '2
See Reverse for Irish
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