40444D - Duden

r CAMA/ DREDGE & FILL N9 4
3ENERAL PERMIT Previous permit#
New -Modification LComplete Reissue Partial Reissue Date previous permit issued
rized 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 . ) 2--3-
„TM Rules attached.
t Name al(-+i W ink Project Location: County p._,,) v £ L.
2- S a Dy 1-u N Street Address/State Road/Lot#(s)
A t2 C LIT 1 State !J L ZIP L3 y N S ZA S 60,JD1 1--u,,.)E
Er\1 ) }La •`43. t Fax#( ) Subdivision SAJD.t a1.-aC
;ed Agent Li c ,4•r r-it^sE M a rzl. City4 24 f1 -r t+ ZIP Z- N't
❑CW IXEW Sir-PTA El ES ❑PTS Phone# ( ) River BasinC.f'iPC,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
El PWS: ❑FC: Adj.Wtr. Body )}t'�1a14-- ��...,Z, �/i
yes / no PNA �es no Crit.Hab. yes / no Closest Maj.Wtr. Body •� 2 L. S-
'Project/Activity 1 r✓3Tha t t- L1G‘--/ �o C.IC— ZO X I Z % r\0(...1. r ,L \-.)' X ► Z
ie
(Scale:/ ' Z
ck)length 3' X (,
1 F.yC- > 1_�� tI
Z.Dx i
R(5) tmv tz G►v.. 4
ier(s)
�t
ngth _,.- — - 1 -
Tiber
d/Riprap length i
distance offshore
x distance offshore
cannel
---------- C.--.14--/ (-...--,-- 6 4-- __
,ic yards
ip
se/Boatlift
JIldozing
.`
L • -
--.._.,mac ••
Length _---•
• ems '
I not s yes no
;: not sure yes ii
cum: n/a yes rpm - / S"
yes ni
ktached: yes r-"
ig permit may be required by:��L 4,---k C-^T V . 1 See note on back regarding River Basin ri

k •
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Individual Applying For Permit: e1 Ci/be L� 2)LC� e A!
Address of Property: S,?A)21y L e 'Lot or Street #, Street or Road)
Su ,e C, ' [ vE ( , ,• e.
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
Vi I have no objections to this proposal.
If you have .objections to what is being proposed, please write the Division of Co:
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-
within 10 days of receipt of this notice. No response is considered the same as no objectil
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access - unless waived by me
you wish to waive the setback, you must initial the appropriate blank below.)
✓ ,F. ` I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
/00--7 ) l/Th Y-18-e)5
Sign Name Date

r
,)" S SA tS b\i L4." •
s,,,,r C , !y NC.
3ar -- 4 _ - - - - - 0
'd/0osL b $oA'f
\ _ _ _ — - -0
t,, Cr
/
I �- a. OFT -4 a' X o' W ALK w R�

w
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: i1 /C/14 2 b (kb cT�
Address of Property: ;-g T"N y L 4 ii
(Lot or Street #, Street or Road
S tA Q Ty PeJbC0 . C .
a •
(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 tl
are proposing. A description or drawing, with dimensions, should be provided with this letter.
KI have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
within 10 days of receipt of this notice. No response is considered the same as no objectiot
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
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.
47 — —
`7r // D
>ign Name Date
it A 11M / ,— ' AMA

DATE 1'1 "- '
PAY 1.6. �9/�
�is ,'ORDER OF n/
�j\\. `\ K t Qii.) CA. G() /00 OLLAR
,�r�Bank of Americ a �
��ACH R/f 053000196 7_ i/ 1.4 tif / •
FOR • J 4ISiq, i4z- '(1[/6J—` -
),, 0600 300 LH° 1:0.5 3000 L 9 6': 000 65 L 3 L L 3 6 ?il'
•
•
•
•
•