38407D - Darr

•
, CAMA / DREDGE & FILL
ENERAL PERMIT Previous permit#
'New _Modification -Complete Reissue ❑Partial Reissue Date previous permit issued
•rized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
�/�J.'/,r D n � 0 Rules attached.
nt Name �1 �VV Project Location: County
s /c 0 5. 4) 3 ..1t. Street Address/State Road/Lot#(s)
4 16//Q'►/1 State/M ZIP? ' >',g,, a
# ( ) 271-3d27 Fax#( ) Subdivision
ized Agent ' ','7 4"404e City ZIP
d cw .uw ?1 E . PTA JES LTPTs Phone# ( ) y� River Basin
OEA El HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 4-24.--7 L U n6./ (nat
PWS: ❑FC: j4li
fil
yes / no PNA yes / p0 Crit.Hab. yes / no Closest Maj.Wtr. Body
of Project/Activity ' /V/.i✓t ), r r; .4T2/ '' -`Jos '- /L<
/'
dock)length •'-f) / (Scale:
__ _ /L a , l nx ,pier(s) 1 1 i I.
length l I I
' L1 .1 i
number i i !{� AU X r
ead/Riprap length 1i ---
avg distance offshore —1 it
rnax distance offshore ..f ...._-- �__ -1 1..... 4 -....._.( .._1! I -4-i--if !-
channel f � � ?- ! �- "� �( ! I t
—.....i.. �..._.... .._._.. ............._
�... ..-_._._ j .. i..... a.-....__.
:ubic yards L 1
'amp _ .
Ouse o� /z V/2 '
Bulldozing f 1 i
..cha7P✓ /0 N/2 I Ii j- — 1 I
i 1 , l r - ......fo i J I k rt
` J
f �_-_—� 4ar i...._1
ine Length d j ' I _ . c i— i — —�_
not sure yes —1I7P 5/ P. , 31-x: ' d,ri. , 1
ags: not sure yes } -_ t....... —.. I .......... . }_, ....._......_
ovum: We yes f r- t
s: yes —a
r Attached: yes 1
ding permit may be required by: e2 .;L$4/11/41,45eS%L,h , I See note on back regarding River Basin

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DIVISION OF CO&STAL MAN&DEMENT
ADJACENT RIPARIAN PROPERTY OWN'F.R NOTII'IC'ATTON/WAIVER FORM
•
Name Of Individual Applying For Permit: /fl L frO � r y
Address Of Property: 1 2 G S al tr e e
iSL�nd )/ve L 661 rv►�.G1,.< �(
(Lot 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 tome 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.
0
if von have been nntified by{'enifie1 Mail
•
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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_nnt wish to waive the 15' setback requirement.
4614A),
dg!aiitiu4rI3 Date ��"
V�1

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
lame of Individual Applying For Permit: /14 ;L to h 64 re,
kddress of Property: I Z D $E 3 rc . Sift e t
• (Lot or Street#, Street or Road)
JSL1 n c tl wt (%r✓r►5.1u c h
(City and County)
hereby certify that I ownsproperty adjacent to the above-referenced property. The individua
pplying for this permit has described to me as shown on the attached drawing the development the3
re proposing. A description or drawing, with dimensions, should be provided with this letter.
X 7iJ' I have no objections to this proposal.
f you have objections to what is being proposed, please write the Division of Coastal
lanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
rithin 10 days of receipt of this notice. No response is considered the same as no objection ii
ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
:t bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If
)u 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.
ame Date
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PAY TO THE C/4 /
, J O O,e
ORDER OF '7 � I
DOLLARS LJInckabd
CUAS I'AL FEDERAL BANK
SOUTHPORT.
NC 28461
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MEMO "'/ �a )7Q[��
1: 253 27 23551: 3 25800087 211 2657