41470D - Evans

-°`LAMA/ DREDGE & FILL N? L
3ENERAL 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
2oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 H, 1700
LI
ll Rales attached.
it Name +�O veeil a co h 4 Nei A c✓4 H S Project Location: County 6✓✓4 S w,)iC Ac
, O0 , F. 1/a L ht t id✓e Street Address/State Road/Lot#(s)
e96k j iGhA State ,UC ZIP Z-15Wei <Cme
6( ) / —1,(,--- Fax# ( ) Subdivision
:ed Agent "firkin u Iif i/ City ZIP
❑Cw PEW / LloPiA IDS -i PTS Phone# ( ) River Basin 4a, ,
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❑OEA ❑HHF LI IH ❑UBA i N/A
Adj.Wtr. Body Me (nat
LI PWS: ❑FC:
yes / PNA yes / a Crit. Hab. yes / Closest Maj.Wtr. Body h
f Project///Activity n I I e✓ i it o WA t�
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imber
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ax distance offshore
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not sure yes
:s: not sure yes ['�/�/� y']
rium: n/a yes 7 U✓ l• 0 Ci!I /�/T- !.
yes
Attached: yes / ._
ing permit may be required by: /j/f/fSiv/tk 6 See note on back regarding River Basin 1

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441
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DIVI ?1l.OF COAo"r4s4 M,ANASJEMENT
.ADJACENT RIPARI"��1`IyROPER_TY OWNS&NOTIFIC, 'ION/wAIvER FORM
Name of:Indiv:idual Applying For Permit: . Q ‘e\\.
dcress of Property: OD �aC�� �� •
(Lot or Street #, Street or Road)
OON< SS�G�� �JCv,C\S�1C
(City and County) •
! hereby certify that I own property .adjacent to the above-referenced property. The individual
Jpp►y'ng for this Hermit has described to the as shown.on the attached drawing the development inc-,
are proposing. A description or drawing, with dimensions, should be provided with this letter.
V I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice, No response is considered the sane as no objection if
have been notified by Certified Mail.
•
WAIVER SECTION
I uuderstand that a pier, dock, mooring'pilings, breakwater, boat house or boat lift must be sec
bck a m ioimum distance of IS' from my area ofriparian 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 not wish"to waive the 15' setback requirement.
./;/- eziffZ/L ft7/ii•d2/ 0"
�:� dame Date . r

4)
Div.mpN.OP cc TA _MANAQEMENT .
ADJACENT RIPARP ? `iP QP RTY QWNEFU\IOTIFIC IONAVAIv
�!T U FORM
Name of lndiv:idual Applying For Permit: • JC3,CCR..� , A. —30\-\p, 0, .vpkC\ ;; ..
I,dcress of Property: S 00 �C3,C�'� ' C ,
(Lot or Street #, Street or Road)
Q)00tX '7- %\cc).. 1 v?30.c\ ‘c
(City and County) •
! hereby certify that I own property adjacent to the above-referenced property, The individual
uppl ying for this permit has described to me as shown on the attached.drawing the development then
arc proposing. A description or drawing, with dimensions, should be provided with *this letter.
..A
I have no objections to this proposal,
if you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal D`*ive Extension, Wilmington, NC 28405 or call 910-395-3900
µ-ichin 10 days of receipt of this notice. No response is considered the same as no objection if
tiou have been notified by Certified Mail,
WAIVER SECTION
I uuderstand that pier, dock, mooring'pilings,breakwater, boathouse or boat lift must be set
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If you
wish to give the setback, you must initial the appropriate blank below.)
I do wish;to:waive the 15' setback requirement.
I do no wish"to waive the 15' setback requirement.
•
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