42041D - Hmilton

CAMA ! DREDGE & FILL �'0
PERMIT Previous permit #
New odification Complete Reissue Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7141,1'Z
t 3-fees attached.
Name Ste/Vi /'lI >14i//D✓t Project Location: County /"
/2u 1I i��LN.:" i3jJ Street Address/State Road/Lot#(s)
:L.. itaUI. State/1/C ZIP 5i64i '
( ) /-7 Fax#( ) Subdivision
d Agent City ZIP
__CV/ EcW PrfTA !4 PTS Phone # ��2`
( ) River Basin�_7r '_"
OEA =HHF IH =UBA =N/A Adj. Wtr. Body
- PWS: =FC: �� (nat /m
es /6 PNA yes / / Crit. Hab. yes /6) Closest Maj. Wtr. Body &e.k..,1
Project/Activity /i!�74/f L -17L`G:/�f A`c.��1�.•�f;;,t.- /)144 -rt ¢� hoh
i 1
/"emtVe, '4-17 ,4f4.-0n> (Scale: l4Y-
()length )r / -
ei. "h
. I
h /ZX 14 - Z 0
Aber y: —
Riprap length r /2.` ■M
•
Distance offshore �
distance offshore ` - S y, r: j(/-
nnel /? /
�+O (O
c —
Atz:F
yards `
/vX 12/ CMt. /c 4 f S.l.-2r-
.7� `Yit.-r
---- I
dozing y
tC�• -- -------- ---
Ire J
�� f • % .
'
Length r
not sure yes is')
not sure yes / L/ /,{,+� � �� ��r, -~ d Z
m: n/a yes no 7 1/" �,�lll
yes n
ached: yes
permit may be required by: 1i#7.}wl(C/LG/[Ja- _ See note on back regarding River Basin rule
pecial Conditions ��1 �j��tyd , y, /4d_ '15f" 7'1( 1 i;iI s I/•_tL'4.4 Ji.Ifii�

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
ume of Individual Applying For Permit: 5 41)e,
!dress of Property: )d°11 14) \416 _
(Lot or Street #, Street or Road)
(3j_ ,S J8o4ps hifrik
(City and County)
kereby certify that I own property adjacent to the above-referenced property. The individua
plying for this permit has described to me as shown on the attached drawing the development the;
proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coasta
anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390(
thin 10 days of receipt of this notice. No response is considered the same as no objection i
u have been notified by Certified Mail.
WAIVER SECTION
inderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must IN
bok a minimum distance of 15' from my area of riparian access - unless waived by me. (I
u wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
7/zv I do not wish to waive the 15' setback requirement.
Ji�/ciName Da
1 11, lW.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION'WAIVER FORM
ime of Individual Applying For Permit: 54: /1--A }/-m;11"
Idress of Property: l ci LA.1e5T ya fi`r
(Lot or Street #, Street or Road)
Oc'tk /3 41 ApIAI
(City and County)
iereby certify that I own property adjacent to the above-referenced property. The individua
plying for this permit has described tome as shown on the attached drawing the development the;
proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coasta
anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3901
thin 10 days of receipt of this notice. No response is considered the same as no objection i
u have been notified by Certified Mail.
WATER SECTION
inderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must IN
bok a minimum distance of 15' from my area of riparian access - unless waived by me. (I
u wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
2/L . I do not wish to waive the 15' setback requirement.
21#1-/
oS
1Name ate
/ A --A

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