42869D - Greer

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-'LAMA/ DREDGE & FILL _ ,
GENERAL PERMIT Previous permit#
/New Modification Complete Reissue -'Partial Reissue Date previous permit issued
3rized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7/ './It
y� les attached.
it Name &i pt (re Q✓ Project Location: County 4.4 e/ ("O,
/33 G-o.s.e bo 8+, J Street Address/State Road/Lot#(s)
4114 vt14-bv► State 2)C ZIP 2c�U'1/-j %„,+ a
V(9/0 ) 6Z2-n-bc Fax#( ) Subdivision
zed Agent Mork e'ovNt(ff City ZIP
i ❑CW [ 1W t PTA Crii ❑PTS Phone# ( ) River Basin C fr
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 14/441) (nat 4
❑ PWS: ❑FC:
yes /� PNA yes / t� Crit. Nab. yes / Closest Maj.Wtr. Body �l Pse n
If Project/Activity /3.0,05 .,A 6Urk1Aed
(Scale: /i.fA-
Dck)length
n(s) d r �/�pier(s) ,/7./ t/"'
ength
imber
ad/ 'praplength C Yii'{ ..11
distance offshore
pax distance offshore
:hannel
ibic yards N.
/0' ~'�`! t �- ,c
mp \ ' .►� .�.. . Y,3: .
use/Boatlift �'�
I
iulldozing -
_ 1336tto
ie Length Z.U r
not sure yes VP t
;s: not sure yes 4112,
rium: n/a yes it
yes
Attached: yes CD1
/'
ing permit may be required by: / !4 It er 6. 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: a:66 ' . /7/. 0"%
Address of Property:/4� �iiyl % 1,`./1/06' (i' , %es'
• (Lot or <eet#, Street or Road) , leaot# /f
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The ind
applying for this permit has described to me as shown on the attached drawing the developme
are proposing. A description or drawing, with dimensions, should be provided with this le
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-39:
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift n
set bck a minimum distance of 15' from my area of riparian access-unless waived by i
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.
77'1 J Vn l I / i?/
Sign Name Date
4',1 1 G- 1l P w-,"S Air

ER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELI'/EMI'
,� ature
implete items 1,2,and 3.Also complete rP
Mr, �m 4 if Restricted Delivery is desired. p Addressee
reverse -A
ant your name and address on the C, Date of Derry
that we can return the card to you. B. •..•:. by(PIirrte J ' -)
tech this card to the back of the mailpiece, U ��',
on the front if space permits. D. Is delivery address different from item 1? 0 Yes
icle Addressed to: if YES,enter delivery address below: 0 No
je' ,4 co/f
z , /, ', ,e,(fil
� yam/ Service Type
�f r!rj`Y i ' y,/ 3. 0 Certified Mail 0 Express Mail
Z 7 7 1_ 0 Registered 0 Return Receipt for Merchandise
(/ 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
tide Number 7005 0390 0003 3401 5019
fansfer from service label)
'orm 3811,February 2004 Domestic Return Receipt to25s5-02-M-1540

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORK
Name of Individual Applying For Permit: j)//J 1
Address of Property: /31 bi'6 4/6v/ Aes e
(Lot or Street#, Street or Road)
CrtY and County)
I hereby certify that I own property adjacent to the.above-referenced_property. The ind
applying for this permit has described to me as shown on the attached drawing the developmc
are proposing. A description or drawing, with dimensions, should be provided with this It
I.have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of (
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-39
within 10 days of receipt of this notice. No response is considered the same as no obje
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift r
set bck a minimum distance of 15' from my area of riparian access-unless waived by
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.
At') Qt) ik 1 /D z
Sign Name ate

elemc tsMarinre construction 7558
910 270-9110,VCDC 4356789
577 JVe.}ighway 210 1U
Date( Z7�, 66-30i531
• _Hampstead eve 28443 - 365
Pay to t • ,g_e_g '✓ 1 $/� ,____
•/GE. 4i.44 4'ti / .L ' Dollars 8 E.747.
FIRST CITIZENS 365
BANK %,`,fsVNer 8i( jC
ir Comp'"'
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1:053 L003001:00353 20 L L80311' 07558
_'.3`.'.� -.:� �.r�. • -_ :""si COASTAL WS"DC