43212D - Duskie

41
LAMA/ L DREDGE & FILL `i b"." y :_.
iENERAL PERMIT Previous permit#
New 'Modification (Complete Reissue Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources
Dastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7/f JiS les attached.
Name /f, 4/0 114 I A Ott IL i ifProject Location: County 4.---0i0 l4.i/ 4
/,i 4l i'h g 5 L yhri 1SOr, Street Address/State Road/Lot#(s)
)a k _f_,,/4„0{ State/01 ZIP Zg 1/Gi .SLs,f r On 10z-7 Fax#( ) Subdivision
;dAgent 1't2 14vt 71'C.- City ZIP
❑CW CNV ETAS ❑PTS Phone# ( ) /lRiver Basin �`D,.•
❑OEA ❑HHF ❑IN ❑UBA ❑N/A Adj.Wtr. Body �G. G 4/w'' t '.ch/?t/ (nat /r
❑ PWS: ❑FC: ,�blZeJ
,,� Closest Maj.Wtr. Body
yes / 6PNA C" .-'ho Crit.Nab. es no � /f�
Project/Activity �/I/OA5toI �c1,'r✓ `✓, 7_4A..oe1, 7' '1✓/ T/✓s` r- 644. G.'.4.
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(Scale: �/�
ck)length i �)( W�_ n. _ _
is 2
ier(s) ,—_ — —, .
mber
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d/Riprap length •. To t t ,.. -+
distance offshore t r ___....-.--w--.
ix distance offshore
cannel } ......... . — —
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bic yards ..�... ., . . — ' —_ _ i
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fse/Boa !it /i Y 1 2 I
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lulldozing — E f
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ie Length , F .
not sure yes Cno sr�... }
1, } , —let it i! ..... j 3 e i y. .
gs: not sure yes o i
alum: n/a yes trio ' . -4__ C
yes no * — i *.....
Attached: yes no r ,
t_
ling permit may be required by: 1310/I s WI t K O . i I See note on back regarding River Basin

DIVISION OF CO ASTAL M AN AGEMFII`T
AI IA.0 .NT RIPARIAN PROPERTY OWNER NOTIFICATIONI' JAI1TR FORM
Name Of Individual Applying For Permit /9. is /t
Address Of Property: 6(14„2 44.S.
LPL d r 7) 0A-R 1�'L /J N�� - gitcht6'w)(rL
( t or 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 toe 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 h. a_nh eairw what is h ino nrop cri a
Manaorment 127 North lrac �e i.rvrcinn of
Cardinal Drive Vrdmtn5on North C'.arolina 284R5_or call 9111_394-
3900 within 10 days of tee ipt of this notice_ No rrcponseic rrncidrre d tie same as no nhjertion
if you have he°n notified by Certified Mail
WAIVER SECTION
I und'tstand that a pier,dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set hack 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.)
saa-V.%, I do wish to waive the 15' setback requirement_
I d-not wish to waive the 15' setback requirement.
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5 0 w N w A. DONALD DUSKIE NCDL 3414890 08 2359
O a u, N.> y GERALDINE F. DUSKIE NCDL 3414724
tN in s o ° a N PH.910-278 9961 ss isi53o NC
3 < s N ° 0 6630 KINGS LYNN DRIVE j�_G c'f
3 ° a 3 2 OAK ISLAND,NC 28465-7949 Date/ 2306
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For 6j'�-•1 c c 6 71-3-�.4 "P
.II co 1:053000 L961: 0006503 ? S WIS" 2359
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