40416D - Doster

CAMA/ DREDGE & FILL N° 4
IENERAL PERMIT Previous permit#
:blew 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 15A NCAC -IN. /Z Qo
VI
Rules attached.
:Name V oa A$ to t T L'a Project Location: County P AD E 2
`j 88 is iA`/I! Ave_ Street Address/State Road/Lot#(s)
1341 L. 8iA44 State)L ZIP269HJ' °i88 6AI a Avg
ow, )361"ZI c) Fax#( ) Subdivision
Bd Agent HA L Co tr 4. a 01 n Cityi'PSA11. T Ac 1-+ ZIP 2.8 143/5
❑CW IyEW JTA LIES ❑PTS Phone MfA0 )2,61-LIS1 River Basin C.11sG
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body A0 A L. (na4
❑ PWS: ❑FC:
yes /(;) PNA 0 no Crit. Hab. yes / no Closest Maj.Wtr. Body A Iv r✓
Project/Activity Q-t yy o✓P E-E r s T i•- ci i3.,a i }-i-o L. i. 4- A P D SCAT La
Y I 3/ (Scale: ) Z
:k)length
(s)
er(s)_
IgthCI\
nber lv
I/Riprap length
distance offshore
c distance offshore
annel
is yards CA A
Pc....
oatli
l' X f 3' - 131 13 '
Ildozing
Length 51
not sure yes 1
not sure yes 62. �6 p
urn: ��
L.n/a yes 1 L
yes t'xSS11N6
ttached: yes n 2t f(
.-�
ig permit may be required by: 1:�1-•�Z L a e-1't See note on back regarding River Basin ru

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 1,ivd4 DOsitr-
Address of Property: qi$ C.otyP 4/e..
(Lot or Street#, Street or Road)
14,(Ad tedok /4214/(
(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.
I 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 objectioi
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.
Sign Name Date

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DIVISION OF COASTAL MANAGEMENT 91 �5�54
'
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM '
,� �6 13 0Name of Individual Applying For Permit: ,,OC .� 50.—z -cs-rrsj
Address of Property: 1r- GI'j€/ AV& a 7'
(Lot or Street#, Street or Road)
fnfA 1 Yi .-n 1 6
(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 ti
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 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 objectioi
you have been notified by Certified Mail
i
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set bek 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.
. —/ 1)-
Oalbj-keAA- .17.4/110 c7//'6' 6'
Sign Name Date
1
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