43347D - Generation

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_+CAMA/ DREDGE & FILL V l 4
3ENERAL PERMIT Previous permit#
'New _Modification '1Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources ��7/ / 7 O d
-oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC L
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ales attached.
it Name 6e,i14g turf 8U/ Ld P�(,1 .r c Project Location: County 23ie 4r'J L✓/c..
5 ' ,3 2- 7:94.j G�G ,.d Z7 et , Street Add ress/State Road/Lot#(s) LI L_ 2
#11Z 444 State tX- ZIP L/24/t /,J 64Z,) S-1
ice- 4,y3-00 Fax#( ) Subdivision
:ed Agent //Z f G c/fit M ,p2 City OC/nr .rs L 49 6 or,c`j ZIP Z fy4
cw q,pri- Cues' ❑PTS Phone# ( ) River Basin LW,,,
OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body ce,4,'L a -i A iilAl (nat i
PWS: ❑FC:
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ix distance offshore
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s: not sure yes o n +�' �t ittA 1
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ng permit may be required by: L5 4- ?r -�', v -e %),•,' L See note on back regarding River Basin r

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: /7âi? 214 :_5
Address of Property: i
(Lot or Street #, Street or Road)
(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 left(
&li I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cw
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 objectil
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
.r.-.&-ti__-_ce ____-,---"E7/77%/- i-e_A-cr -6 -61
Sign Name ' Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Ce�1;71 } it( lot
Address of Property: ,L 7f/42-
(Lot or Street #, Street or Road)
t' /,�j Alt 0,-,11-'�c4 a .
(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 lettc
CI have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Col
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 objectil
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.)
G I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sign Name Date

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