41506D - Dougher

LAMA/ D DRECSGE & FILL \V `
IENERAL PERMIT Previous permit#
slew 'Modification -Complete Reissue Partial Reissue Date previous permit issued
ted by the State of North Carolina,Department of Environment and Natural Resources 1 1 f 12 2.
>astal Resources Commission in an area of environmental concern pursuant to I SA NCAC �'1Rules attached.
Name D tNw ii>epokty Ht 2 Project Location: County h►JD 5 a...
p 1 0 I JE L`) ►.) L.0 Street Address/State Road/Lot#(s)
6 - Ae.►.V State N L ZIP LailLIS Lo 1D V V (-_y(•.) l.,r-)
( ) Fax#( ) Subdivision
:d Agent City logs►at- S P.4 Oc ZIP 2aq 45
cw " w )'TA ❑ES ❑PTS Phone# ( ) River Basin CAP is c
F.OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body ! ►�11.S rA'p`►,..)*4 Q` (In
ElPWS no : ❑FC: AZY�J`v
res PNA yes /� Crit.Hab. yes / no
Closest Maj.Wtr. Body
^ c-
Project/Activity TNs- i L �TJ' C:-�L ,, 0 . �'
n
(Scale: I i 2,1
:k)length b' u
(s) )3 )1 IL' i-11.-) s
er(s) _ ..
LN6► jr•.- E.L
igth
nber I(o. _
i/Riprap length • I • •
distance offshore I.5'
x distance offshore
cannel • • _ ...
)ic yards
rip
is(Boatlift) (mac
Ln 1-x_
ulldozing t I
4-4,*
l
_y tl Vil
ie Length 3-1 \; t `,I 1.st i + , _� !� y
_
yes no {
1 �
;s: not sure yes CO L f
rium: n/a yes i_
es
Attached: no
ing permit may be required by: 9Ph c\t 1✓ 1 J-e A L' 1 See note on back regarding River Basin 1

0,,‘
/ . ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
-. 1)tx.) Doi
I hey certify that I own property segment a (Name of Property owner)
property located at to i 0 E tie f /t) /_it)(Lot,Block Road,etc.)
t ''"�
on '10 s 1 :3et)('hc ,is Ppli,d er ,N.C.
They have described to me es shown below,the development they are proposing
at that location,and .I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DgVSLOPI T
(To be filled in by individual proposing development)
/ ' /41 /(0 '
r::::________--------------
I Z`iZ -Dock_ $ IZy.�z.
ao� 3 okT
7
��� r.
ul �'� o f R� —o ••
2--- --)6/ :(-4,246-?"--..—:.
1 /Co' Signature of Adjacent Owns
/?oAi/2A 4,Pozd^.!
Print or Type Name
9 - 77 392
Telephone Number
( . 1,/sue o5"
Date
J

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
adjacent to e._---- _
I hereby certify that I own property (Name of Pro rty owner)
property located at
EMI
(Lot,Bloc Road,etc.)
on -1. )
i'1 .in , ,N.C.
They have described to me as shown below,the development they are proposing
at that location, and .I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
,lks C1/2,Niel ,,
a I. d r I Signature of Adjacent Owne
. I ill
e W i ii I Print or Type Name
! j 1/x1t ` 0 . 9 if 01
! f
1 Telephone Number
1
1 Date
,
i I

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM
Name Of Individual Applying For Permit: (3),() Ixrc-
Address Of Property: ((O i_VeltArl) I N
C Ppiubie
(Lot ,Dr Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they 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 beinc proposed, please write the
Division of Coastal Manacement, 127 Cardinal Drive Extension ,
Wilmincton , North Carolina , 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift must be set back a minimum distance of 15 '
from my area of riparian access unless waived by me. (If 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.
/ D G1 ,/ ��

DIVISION OF COASTAL MANAGEMENT
ARJAC„NT RIPARIAN PROPERTY OWNER NOTIFICATIONJWAIV;R.. FORM
Name Of Individual Applying For Permit: 110 f*
Address Of Property: 416 eVelln.) L- 1
/50k5WA TOid*N
(Lot br Street Street or Road, City &
County)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
'this ;arepr iposing. A description or drawing, with dimensions,
should be provided with this letter.
I have no objections to this proposal.
•
you •have oblections to what is beina rr000sed, ple#se write the
p y slog:.-f Coastal ` Management. 127 Cardinal Drive wxtension,
Wilminat .North ;Carolina. 28405 -or call 910 39.5-3,00' w. thin 10
41ts+sizoribace'ipt. vf•this Atiottpe. response is c9nSl red the same
as no-vbiection ; f you have ,'been notified by Certifjeea ail
-
+rAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift must be set back a minimum distance of 15 '
from my area of riparian access unless waived by me. (If you wish
to waive the setback, you must initial the appropriate blank
below. )
/ I do wish to waive the 15'setback requirement.
` A f7 I do not wish to waive the 15'setback requirement .
cv
`�>` lO/ r��/��.� AMA

fi)‘ . .
i ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
tau I cyan p'op�Y�aoe.t to ` tie
I bard (Naas.of owerR)
property located at (Log.B good,eta.)
on_lfennTl ,is 24 ( ,N.C.
They have described to are ea Ewa below,the development they ate
proposins
st that' on, and .I have no to his proposal.
�'._.
• ON AND/OR DRA G OF PROPOSED DEVI LOP 7"
(To be filled In by individual peopoeing
/ ' /. 0
i ,..te)::,..______________________
12.lt l '70 ex,K- 8 fp.it -''"
k�
/ mFr ( u
Off( Li ♦ f /� • 1 /j6dei-,Z 4
/ a, of Adjacent
1 NIVPIM ?-eiveA,/
---, , [ . Print or Type Name
Tslephoo.Number
1 ___674/4..-----,
Dose
I
1

L%f LC.i Lne!v 1. £d w/ r
Pay to the N�/✓�"r� a• '
Order of � $ CJ
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BankofAmerica . .
��� Premier Banking
..w ACH R/T 053000196
•
For
I:053000 L961: 00065 ?877338ii 3 244
T r Clarke nme.i,an .RWN SHEFFIEID'.DPMSF