42323D - Ingram

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' :AMA/ _DREDGE & FILL N9 4
3ENERAL PERMIT Previous permit#
-New Modification 'Complete Reissue _-'Partial Reissue Date previous permit issued
rized 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 7/ l�
les attached. JJ-
t Name tecc.)5 .L�a r Project Location: County rvhv�i'ck
3 k fio'1 Le4 y Street Address/State Road/Lot#(s)
? k _WbnI state44 ZIP 241u '% efi e
P) Z1' ""3( Fax#( ) Subdivision
ed Agent City ZIP
❑CW [tP'A ❑PTS Phone# ( ) River Basin 4oe
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body /11�� (nat
❑ PWS: ❑FC:
yes / PNA no Crit. Hab. / no
Closest Maj.Wtr. Body _ ae:0 0t
Project/Activity X pvii)6 d �v/klee,
(Scale:
:k)length
(s)
er(s)
igth
nber
/:! ••.'
I/Riprap length 4;V 5.-- loft P..t rV✓�6� • d1
distance offshore
x distance offshore
annel —---- M
is yards
ip
>e/Boatlift
Ildozing
Length Zee v
not sure yes
not sure yes
um: n/a yes
yes
[cached: yes
ig permit may be required by: �i�,,� 45%n!- See note on back regarding River Basin ru
i.» / /_

8obhhe,,J-
PLAT OF SURVEY FOR NOTE:
PROPERTY SHOWN HEREON IS LOCATED IN
LE //I S IN C R AM FFLOOD HAZARD ZONE - BASE 0LEVAI
2 ', REF. F.I.R.M. COMMUNITY N037003o30
PANEL NUMBER0003 SUFFIX "D"
DATED 4/91 .
LOT 3, ELIZABETH RIVER HOLDING, INC.
EIPLi'L •i/ .I/ '1,
SMITHVILLE TOWNSHIP, BRUNSWICK COUNTY
OAK ISLAND, NORTH CAROLINA .i/ .I/ J/ \i/
0 40 80 120 / c.3
MIN—=�_
ATLANTIC INTRACOASTAL
404 AS FOUND \l/ \I/ 4'
FLAGGED 07/19/01 \
\ '..? WATERWAY
NOT TO SCALE \\ if \\!30' VEGETATI❑
Printed at 1"=50' \ BUFFER
\EIP / \- > `1' .I/
n
O\ ``llllllltll/III ,+\ 19. 4' 1 \ 1 / IP HIGH WATER MARK
GAR v 14.0' \� ��AS FOUND FLAGGED
,0 N t/ice ACCORDING TO SURVEY
,%• ��....... •JA� ��-1 °" / ELIZABETH RIVER HOLDING
� o••• S+ �' 4/ S EXISTING \ DATED OB/02/01 BY
4.•of 4/1+ ^® HOUSE 1 MCHENRY SURVEYING, P.L
/ y \I/
) ,L, ,I,
z ��, F BpN� o 4 •
H b
— / N
ELIZABETH RIVER `L r '4'
HOLDING, INC,
I /
MAP CAB 25, PG 514 BCR / I� 654. el
o
+—
r ..... .,..?
LOT 2 eY/ 1 0' VEGETATIN • �, \l/
�
I, I /1 BUFF
: Revised 12-02-04 by ;�9 I (
1 .1/ .1/
Land Surveyors, Inc., to a 1 /Q
016
wtproposed residence I W 75' AEC SETBACK `V *,iveway, and impervious 1 I
AEC Area calculations. D.B.
/ 1 0
I
: Revised 02-04-05 by EIP„ / Ij 1
y Land Surveyors, Inc., to LOT 3
elevations at corners of I
ed residence. D.B.
c / 34330.9 SQ. FT. /
)s039 ACRES I " IP LOT 4
Revised 03-15-05 by o, / . I `-404 AS FOUND
y Land Surveyors, Inc., 7.74 I FLAGGED 07/19/01
LOW existing pile 3 L. — 1 _ THE LOCATIONS OF UNDERGROUND UTIUTIE!
lation. D.B. / —— AS SHOWN HEREON ARE BASED ON ABOVE-
GROUND STRUCTURES AND RECORDED DRAWING!
vs. •
PROVIDED THE SURVEYOR. LOCATIONS Of
0 I I,unrorora wn .In.once. n mc,cl ..rn r ....

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DIVISION OF CO&STAI. AGE.INIENU
AD.l.ACFNT RIP4RIAN PROPERTY ORNFR NOTI ICATION/WAINTR FORM
Name Of Individual Applying For Permit: (., e
Address Of Property: ? l//l/1)C,' k)"9-1
1 ee/4.1-e, tic. ( rz,') 4 .0 h _J
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to itie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
_ I have no objections to this proposal.
If you have ohjections to what is being pmposnii, plrase writr the, Division of Coastal
� Ca rdir�al 17rivr Wilminotnn T�Torth (`ar�lina ? �
�� Qrr�ll91C) �9,
if you have b-s❑ notified by Cenified ail
M
WAIVER SF.CTION gozi-ol eAct C' •)4 7
I understand thzt a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian arrrcs unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
1 do wish to waive the 15' setback requirement-
X( I da.not wish to waive the 15' setback requirement.
Signature Date ilr
A mot . _ /

DIVISION OF COSTAL MANAGEMENT
ADJACENT RIPkRIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
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Name Of Individual Applying For Permit: !_, 6 Div i - 11,..5k4 0v)
Address Of Property: 3 //9(IPG,7 IV4 7
04-k _I-SL/4wl(j A/c. (il3runSw,cif
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
)4C___I have no objections to this proposal.
If you have ohfrtions to what is being proposer, please write the Division of Coastal
Management, 127 North Cardinal Drive Wilmirk5nn North Carolina,78405 or call 910 3�
3900 within 10 days of rerript of this notice No responst jc cnncidered the a
if you have been notified by Certified Mail objection
WAIVER SECTION f) L.'t 11A-t ,, C;'•1'-'
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back 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 :he appropriate blank below.)
..k -------
I do wish to waive the 15' setback requirement_
)'t• I da-not wish to waive the 15' setback requirement.
`r4 _� , t Date _ �/''

PAY TO THE V11 C� " c
ORDER OF v+, ����
/ 4 U h ct ref— ,0o L4-r DOLLARS
Ij
w Coasta/Federal
gr. SOUTHPORTank ,NC 28461
MF.MOnY� NP_
I 2532723551: 3 2 51300013 7 2ii 832