40500D - Franklin

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LAMA/ DREDGE & FILL r ,' 9 4
WewNERAL PERMIT Previous permit#
-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 7, /)-0
IIP'Sules attached.
:Name A ;ex Fwevi<l;Iv Project Location: County gie v1Kt,J l C-(L
2-U LAP S CA 7r Street Address/State Road/Lot#(s) ( 0 t 4 -
11LA t,VI11-e /)JH State/ ZIP .7 70V 1tt -rl2 '3i-d4
( 7 yo-1I3'' FP?#( ) Subdivision R 1 1/4111
fr
ad Agent '1�- CI'( /
en bU City C IlU P ZIP 3�)_,
(�'CW C V TA ❑ES ❑PTS Phone# ( ) River Basin �-(,.iii.rJ
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body I. t I
`r SI�4 6 treat
❑ PWS: ❑FC: / . / )
yes / n ye PNA / no Crit.Hab. yes / no Closest Maj.Wtr. Body SLt�f 110/({ 41
Project/Activity T A l V Al ?t 112- r /(4Q-4j NG. bOCK - t it 60A ± (4 1
1 is
I (Scale:
r
:k)length \ /`3 ��` { P �p
(5) 1,2' ne �S 5PA ,1u 2
er(s) LiQ
igth .. 1 /). Lie
nber "' :f(ak 1 IS
i
I/Riprap length 2° It
r
distance offshore
(distance offshore p
annel (�`N
dr
is yards ' �•771.4 N
pp
oe/Boatlift 11
�` C 1
Ildozing + {
F/041 b 1 25 r 1 B \i
•
d
,
Length ' ----\,,l'/ L�-,
not sure yes 61 ``
not sure yes lJ
um: n/a yes
ttached: yes no
�J 4
g permit may be required by: /j/C crWIcK See note on back regarding River Basin ru

r
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: a,'ke, - an/'l
Address of Property: , 1
Street�� (.lk/ fA����( poly)-1-
(Lot
#, Street or Road)
t,Wri' Sv;11e c tI N 41n (co) 760 yi3(
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The indiv
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 lett(
oion
1/,, I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co;
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-:
within 10 days of receipt of this notice. No response is considered the same as no objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu5.
set bck a ' 'mum distance of 15' from my area of riparian access - unless waived by me
you w' to a' e the setback, you must initial the appropriate blank below.)
v I do wi ish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
/7 ,,Tcouti
i Name Date
oRt�z � , vbc A"AC;

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: A `l kP_ Fir anf/ ?
Address of Property: 20/ ke6 Cal (u ½Jq,U7iat Ric/el b)i9 m
(Lot or Street #, Street or Road)
Wt,'Iesvi/le Bet �� 28ti ' (IR ) 7Yi
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The indivil
applying for this permit has described to me as shown on the attached drawing the development t
are proposing. A description or drawing, with dimensions, should be provided with this letter
have no objections to this J proposal.
If you have objections to what is being proposed, please write the Division of Coa
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 objectio
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 N e Date
� i 1

0
10X30 Float ! Pier He
5'i P VA
-
Hip Roof
West Docks
910-575-5271

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