41422D - Erichsen

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LAMA/ i DREDGE & FILL N9
I L PERMIT Previous permit# 33 -7 92
Qew odification !Complete Reissue Partial Reissue Date previous permit issued /?/�
zed by the State of North Carolina,Department of Environment and Natural Resources 7 // /2 0d
)astal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ('T '
/ A/ El Rules attache .
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Name , e.. s1 .h �r i/ ?45-ew Project Location: County 44' f/9d
2Z0A Xr /q,s 2le. Street Address/State Road/Lot#(s)
el�/sii' s, State/i/C ZIP 239e3 O /32 `C/v1r /2 .
(9/t ) 25'/ / 12 Fax#( ) + Subdivision
ad Agent �itlsti �/'th City A/'--0biss ' ZIP Z 5
❑CW Yr6.07 A j ES ❑PTS Phone# ( ) Sir ^-River Basin (.._ 4�❑OEA El HHF ❑IH UBA ❑N/A Adj.Wtr. Body C ay! /-�'r (0.4n
❑ PWS: ❑FC:
,� Closest Maj.Wtr. Body
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yes / ® PNA / no Crit.Hab. yes / no /
Project/Activity CCwr J 7/Y'/,t r Q •�r Ay-. //A X e•4s0' ,/l f' /�H'i /
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ier(s) 3X 4 pat.
ef
ngth �� 1 i- /�D v.se e
Tiber �W I r �e
d/Riprap length 7 Aefl'i
distance offshore 1 I ` /2 2
ix distance offshore /
cannel ‘f1
bic yards 3 f 1=y/5Y/n JJr t2
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me/ o li 2)a x/3 1 4`'C' dd's4/44/-5
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ie Length d/2t . /5 s I f / /y/
not sure yes Au (9 / (f
gs: not sure yes �o I f t' C ' "
rium: n/a yes es, •esf• I tt 1 Jo
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yes eb p t 1 1 6 J/
Attached: CXi no f L• S( 2 RSV,,/ a-uji p/
ling permit may be required by: /v/ / £1 . • [ See note on back regarding River Basin
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RECEIVED
DCM ILMINGTON, NC
MAY 2 s 200s

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying- For Permit: Benjamin ErtaSen
Address of Property: FS a)2 Rive( Rd DCM W CE1VT
(Lot or Street #, Street or Road) M 141INGTON, NC
Ii(rn in 1�on f I AY 2 3 2005
W , N �) 1-b'ioV er
(City and Coilnty)
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 the
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 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
I understand that a pier, dock, mooring pilings,breakwater,boat house or boat lift must be s
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ifyc
wish to waive the setback, you must initial the appropriate blank below.)
DI do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sign ame Date

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