39876D - Halligan

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9CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
Y.'New ❑Modification 1Complete Reissue [''Partial Reissue Date previous permit issued
Prized by the State of North Carolina, Department of Environment and Natural sources
Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC '"/IJ, I ZOO
I .
!' Z Rules attached.
nt Name �; t.1/1 G 1k a. ITG 1 I i @ q Project Location: County
r
s Vot 1`Z0 014,1 e %i Roe kou Street Address/State Road/Lot#(s)
4/11 j)rz4i a of State •Ut ZIP 3 >G.m -t..
#ailL)276 "1,3 Fax#( ) Subdivision
zed Agent City_ _._ ZIP
:I ❑CW -EW !g.PTA .ES ❑PTS Phone# ( ) �.y, River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body /� 4"a✓A C t a 14 (nat
❑ PWS: ❑FC:
yes / no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body A-t
)f Project/Activity Cropo E p:e i w ;4 1` ) — 1 et A r :.;*1(p diOwh
(Scale: 'I�
ock)length A •x G _
m(s) `7 x 3 0' Iv �// ►
pier(s) , r
ength j A,'-'
umber _
ad/Riprap length f
vg distance offshore IA'(
iax distance offshore �/
:hannel 1` i
Z X /(P 3 fep(1 0✓M
Jbic yards
imp _ ._
use/Boatlift }�,r '6 x 30 �/
ii
Bulldozing v 44�
a i._
-- $
ne Length S" ( 3V}
not sure yes 4 V1 //
gs: not sure yes _..bf i�,�p
.7 .rL t
Z! ff4
mum: n/a yes
yes
Attached: yes
ling permit may be required by: .. . i See note on back regarding River Basin I
r I/ _ 1, _ I / . - _ _ 1' _ _ L! %1 - . !

GENERAL PERMIT CONY:PULERFORM
TCANT : ,e,CAnd 61 #i i' avt
_=.DDi i FOR:?N= _S:
=C D=SIO: Dom:.: P_� i_ D. D PROJ DESC:
Daly a i.) (WM caiy mi;=1)
WORK: Pie x
(V =) 61 g. k 30
E.;uic ly=i==) -
0/4) 336
(u cair
ACTION LRAT1ON
- ' D_R'DG✓' &FELL REQUIRED:
CA-MA C.A-MA MAJOR DE`��L REQLP3 :

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Aug 17 04 11 : 51a mailboxexprea3 9102064422 p.
&n_;4C 17,NT ii.IL.3R13N ._!. 'NINI.A._: .t 21EIC: :EIr ;.ti'a r °A
Name Of Individual Applying For Farr= /!'A/
Address Of Property: Zvi' '12 • --, 7,�
•
Lot or Street 0, Street , City & County)
I hereby certify that I own property adjacent to the shove-reterenoed property, The individual
applying for this permit has described tote as i hewn on the=ached clawing the development
they are proposing. A description or drawing, with dimeralons. should be provided with this
letterle:They.
no objoctiosu to this proposal.
hav4.,011pgjens to what ;t balsa =ma plum Vita Iliviiinn of Coeval
.r . •,. . .. .
310 k 11h" nrrtfled remtifla -Melt
asuomemenemmammommummisamommonamalmaimie
mormanammumemmismosameammimmaimumemenumemaim
riaititiLISCTION
I understand that a pier, dock, mooring pilings, breakwater, boat}rouse, lift or sandbags must be
set back a minimum distw.e of from my area of ripuefan ass unless waived by ma. (If you
wish to waive the mimic, you must initial the appropriate blank below.)
I do tb'lh to waive the 15' setback requirement.
24e. . I do not wish to naive the 15' setback u TeQ intaeDL
�,/ _ 'die / • /-
S gnature Date yAtA

Rub 17 04 11 : 51a mailboxexpreas 9102564422 p• :
•
��-- An.?AC .N T u:FA Lai-1_k;, i...ti_1..)1.011:A. Af:1.1EI(: kIVFR FORS; 304
Same Of Individual Applying For Permit: PI •i 4 4 yr
Address Of Property:
(List or Street #, Street or Road, City & County)
I hereby certify that I own property adjanent to the ebave-referenood property. The individual
applying for this permit bas described toe as shown on the attached drawing the development
they are proposing. A description or drawing, with dirnemtioe, should be provided with•this
92yI have no objeodoos to this proposal.
I(Yoti_lug abiecidau to whit is bring prt vv d. *ma write theMallon at
11 11 ♦1•II ♦ •.• 1 {{ 1 J. �•
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I understand that a pier, dock, mooring pilings, breakwater, boat house, lift of
set ba a minimum disraaae of 15' from my area ofd by mes must be
with to waive.the setbackyou must initial the unlesswaived by me. (If you
' 1 appropriate blank below,)
I da wish ro waive the IS' Setback requirement
._._._., I dn.=wish to waive the 1.1' setback requirement

DATE .!,./0V1 BR
PAY
rj TO THE r•7" /01 I $
‘,11,01iDER OF
• 9
c(L9/7
DOLLARS
0
;KZ WACHOVIA
• Wachovia Bank,N.A.
wachovia.com
FOR frE/1"-/- 26453—D e' IC39/710
•
II'0 is 3 2 1 lon 1:0 5 3000 2 191: 1?086 / 70 2-13-9-677-
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