41547D - Generation

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;AMA/ r-DREDGE & FILL
gNERAL PERMIT Previous permit#
Jew Modification Complete Reissue -Partial Reissue Date previous permit issued
!ed by the State of North Carolina,Department of Environment and Natural Resources O U
>astal Resources Commission in an area of environmental concern pursuant to I 5A NCAC -) �/- LCjimies attached.
Name`j Eve,t,A--( `)" &t, 1 cIO it S Project Location: County aR L4&.Sw 1 C.t L
6-7 3
D- itb p NsbR_ Street Address/State Road/Lot#(s) L D 7
'-1,[ Ai cl -e State/VC ZIP .)7 3/0 L. 444 f; n' 44 A &,.. 5,
(13,0 Cc f _ Q ,Fax#(334, ( /if --V/,,Jr Subdivision
:d Agent riF& City_g_.c_F'7•✓ ,_••/-•P _ ZIP D 4
RCAN NSW ❑7.RIA ❑ES ❑PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body r,4 4 $ I OFF w (naV1
❑ PWS: OK:
T'W�v
fes /(oies / o} PNA yes //' io Cr . es / no
Hab. y
Closest Maj.Wtr. Body
Project/Activity /(/lt`,/ riit? I /. e2 ( /`/ori17A-G_ boci(
(Scale:/ c
:k)length y ?go
(s)
(s) ,i ()(j o t ( ,'o
er(s)
-igth
nber
1/Riprap length
distance offshore
uc distance offshore t
cannel
a0
dr
bic yards_
np
se/Boatlift
I j
P' Y
1ulldozing '" r'.
Iie Length _a' ,
not sure yes no 1 o 1 Z 4G4.ty,1.Liti,,
gs: not sure yes no �
rrium: n/a yes AI
yes n
Attached: yes o
ling permit may be required by: 0Cr i4"-- ..7::Y/e F3E—AC rf I See note on back regarding River Basin

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: LT gtil r+)j OA,/ Ai,
Address of Property: iter /«Zf7,y)c `���- �> 7 Z t 5-
(Lot or Street #, Street or Road)
(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 lette
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 object-4
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.)
C� I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
tt-e-ce 7W11-42-1)
Sign Name Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Pern-iit: fCj� -7� ��'G' pc(i�V��'S
Address of Property: eirr kylew;c), (5 iet/#0_5_
, (Lot or Street #, Street or Road)
_ / r
C21t4 " Sk Z-30. /� n 5fe'ft--/
(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 lette
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 910-395-2
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 111115
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.)
/9/ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sign Name Date
4Y•

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•� PAYORDER OF. � l IJl'S/0'Vl a !�•✓�.! P S •. _ I $ S20
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BRANCH BANKING AND TRUST COMPANY
SHALLOTTE,NORTH CAROLINA 1j/ g a
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