40423D - Green

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LAMA/ DREDGE & FILL °'
iENERAL PERMIT Previous permit#
New -Modification "'Complete Reissue Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources pasta)Resources Commission in an area of environmental concern pursuant to I 5A NCAC /p. nn
0oules attached.
Name RA r.,b s-I &R EE "� Project Location: County pE 0 T3 k- (-
j 310 ti 14(1.o L t N tx R 1,e4 - Street Address/State Road/Lot#(s) IS r� 1
PSASL 88ALri-4 StatenL ZIP 23iltI5 1 310 � Q,l-
qVw D` tvA
(q t ) 116 _1 Nat Fax#( ) Subdivision
:d Agent 14 At... Fa(rL r m at.) City oPS4aLL gaCiL.14 ZIP ZaH 4
❑CW 1 'EW )tPTA ❑ES ❑PTS Phone# (_ ) River Basin
❑OEA ❑HHF ❑IH E UBA ❑N/A Adj.Wtr. Body 1 J 1(...5 LH t ►•••EL r
❑ PWS: ❑FC: ��i`l✓W
yes PNA yes no Crit.Hab. yes / no
Closest Maj.Wtr. Body
Project/Activity Al)r 13 oA r(s C T 70 I s1'5 p- I- not 1C
L (Scale: 1,'' Z
:k)length
_ dNk s cN ONN�---.-
,_., -- -
i(s) * , :
ier(s) Y 1-3 X 13
ngth Q otr[ LOI.
tuber •
d/Riprap length TL_____ 1
distance offshore _
ix distance offshore r '' .
a e' (NG
lannel ((q rK ° FIt0;1'fctk
bic yards
np I L()s1 �{ '�� bfvjJ"
is boat' 13 'k'1 3 ,, ',
Py 1=C w-'
iulldozing
le tit 11'
Yes no L
gs: not sure yes no
rium: n/a yes (ti
yes
Attached: yes 8
ling permit may be required by: 1 PSALL.. 13EAC i4 . I I See note on back regarding River Basin 1

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: R c►J b 6 iZ r t ki
ADDITIONAL NAMES: deL ro G L.0 M a t✓
AEC DESIG: v✓ l P T iok DEVELOP AREA: o .o PROJ DESC:? -
(Will only take 6) (Will only take 1)
WORK: Pj r! is , ) s
(Will only take 4)
MAINT:
(Will only take 4)
IMP: ONN/ 1!0 5
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED:

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•
Name of Individual Applying For Permit: eetn l
Address of Property: I 10 ( � o 6 [id) -
(Lot or Street#, Street or Road)
S a.< ( ae wcL l e �r
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this pet muit has described tome as shown on the attached drawing the development they
are proposing_ A description or drawing, with dimensions, should be providcd with this letter.
✓ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
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
set bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If
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.
5�i Name /� Date 3 - .7_ 0 5
1,3irvirA,
Ake,:
Tint Name Z A
urnc��n

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ea.‘ G reQet
Address of Property: 13 I 0 cOCa (,'S •
(Lot or Street , Street or Road)
(City an County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing, with dimensions, should be provided with this letter.
VI have no objections to this ro osal.
F P
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAITER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
set bck a minimum distance of 15' from my area ofriparian access-unless waived by me. (If
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.
°Ar-seriDate L.)�
)7
A711, I
rant N am e L Oef)\ /U `� __ N,�_,
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D TOPSAIL SOUND
5582.422 SQ. FT.
0.13 ACRES
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MB 3 PG 72 1 B ,�K`
DB 1773 PG 341 wood FIS
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in
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.21 13-g' t 5 8 5.35ft NEW TOPSAIL BEAD
5.88ft 11 9 w 15'" o
2 STORY I OPEN - BLOCK 34
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NEW TOPSAIL BEACH
I AREA LOT 4
BLOCK 34 SIDING E ENCLOSED 5 4.
LOT 6 5.90ft 12.3' 1'I tRFn 1 _ 5.34ft MB 3 PG 72
MB 3 PG 72 Na a 30.3'
mm
R/V� FIR r Dl175.SR�
PP. WI I S 4026100' W 75 W FIR
b N
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v"1 N 49'36'10" E

WENDELL, NC 27591
[phone]
PAY O VI Q ue.vv.dkirecA t7O ((air.5 VtG)T
DATE 3- 7 Q¶ AMOUNT
ORDEROF `O L', V C 1. E. ta ,
O
G&G BUILDERS OF WENDELL,INC.
/ /
/.1()4/•23 ,/ AUT ORIZED SIGNATURE
MICRO-PRINT SIGNATURE LINE-MAGNIFY TO VIEW
u■0LO29711' 1:0 5 3 100 3001: 108L8st, 1390