40428D - Duden

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LAMA/ DREDGE & FILL
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 I SA NCAC -7 N ' ' ..Rules attached.
Name 124 c.k A R-1 btA D 1- N Project Location: County 1'a 1..,0 r 12
2% S AN,i)y L IA N c Street Address/State Road/Lot#(s)
RF C., y State tN L ZIP Z-Si-14 5 Z$ SA►.+ D'k' LA�/�✓ E
(a1 i 9)3 L$ - 4 S S 2- Fax#( ) Subdivision .S A 0 l 4:1 b GE
:dAgent LzGH'rNot $i' 4'1 A(LTivE City S-&+-C Z--5T�1 ZIP 2 %
1-4 Li
❑CW Aw A ❑ES ❑PTS Phone# ( ) River Basin CAQ 6
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body GL%a IL . 4.
❑PWS: ❑FC:
yes al PNA Arta/ no Crit.Hab. yes / no
Closest Maj.Wtr. Body r5tar L ' Q'1 ) LI
Project/Activity T N TALL F n-f -i T L Z' X to F',N C'''a_ P 1 C a .
(Scale: i :Z
:k)length_ :
i(s) ,
ier(s) Z. Y 2-0 a—T
ngth
tuber
d/Riprap length
distance offshore
uc distance offshore
cannel
bic yards
np �. • '—
is /Boatlift 1 O' X 1 %
:#____
" £)4IsT •
iulldozing to
. 'NI Aa< b1.S"rA L.-1
' °` 12"s' '/4 1
/"
,e Length 15CI ti V �•�_
not sure yes 0 N. ‘ \ a i \1
V, A I
gs: not sure yes ® , - j `'<'
rium: n/a yes `,
yes 1s , y
Attached: Alp
no
ling permit may be required by:S (L.F LST 4 . I I See note on back regarding River Basin

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: `44 A 2 D N-cJ
ADDITIONAL NAMES: Ls&i1 Trio s A p_
AEC DESIG: pT A z h/ DEVELOP AREA: 0 . f PROJ DESC: P -
(Will only take 6) (Will only take l;
WORK: 6.L 1 O , I )
(Will only take 4
P Z ) 1-0
MAINT:
(Will only take 4)
IMP: '7 v✓ 15 u
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED:

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ei CAE}R2 b u 1 L IJ
Address of Property: SQ 10 b \ N
(Lot or Street#, Street or Load
c e C ► iy , ertu6Ek_ Co; k) . CA
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development thf
are proposing. A descri tion 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 Coast,
!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 objection
you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
;et bck a minimum distance of 15' from my area of riparian access - unless waived by me.
'on 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.
6)Geet_---- / / 2 a 5
ign Name Date
fan . A4 -/ r_-rn- ATA

LRAM
_, SOUTH CAROLINA 29059 South Atlantic Region 800-923
\C 803-496-5027 919-878
II Free: 1-800-922-7001 Santee Region 800-845
e Toll Free: 1-800-845-7051 803-736
C 0r
(;s 54-1),, D
Itttouse Marine Construction, Inc
t Office Box 2532
f City, NC 28445 $A),r - C t 4
0) 328.4852
Pi-croei)
'-{Sott Tr,
- — L
61 I Iv
I i ao .

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 8/ G4441) !.e /ti
Address of Property: O� Si2IAJ D y L.4 A t
(Lot or Street #, Street or Road)
• glot4r C/ PE-Nbg Co . /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 letter
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coo
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 objectic
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
-• �`'�`3'.� - 29- 0 5
Sign Name Date
AT

.
OLNAM
SILL, SOUTH CAROL'NA 29059 South Atlantic Region 800-1
AC 803-496-5027 91 9-1
. Toll Free: 1-800-922-7001 Santee Region 800
State Toil Free: 1-800-845-7051 803
DAY')
Lighthouse Marine Construction, Inc i
Post Office Box 2532 t-- '"
Surf City, NC 28445
[phone] .�v c- C 4 }
f'ro 09
,1Cal
I f pf

....... .,.. ••I .-.,, DATE �7 19 ' C.) 66-
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C ACH R/T 053000106 '
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000 29490 1:053000 L964 00065 13 is is 367i1 _ `,