42830D - James

V (41a?- 4
�'C MA/ '�DREDGE & FILL ..
N E RAL 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 I 5A NCAC 7/11, I iQ d
les attached.
it Name L i/f 4 A• 3a, J Project Location: County " t/ rim"�/�w/C/C
11 Z SN ..( .3)4 I V L Street Address/State Road/Lot#(s) /Q r ".
ti#9.4sV,//c State/ ( ZIP 22.70/ 62 e.p,.J,fho2 e /
t ( ) Fax#( ) Subdivision hid do,/ P.9C l 4 "2. Ai
ted Agent JeeL /e(.- j„} city NU Goa Ai aA9c 4 ZIP 7y6
cw iVeW'" .PTA P S ❑PTS Phone# ( ) River Basin L-y,r,4
OEA ❑HHF 0 IH J UBA ❑N/A /^�^ /
PWS: El Adj.Wtr. Body Cf),✓A-L dT, 0 tiiii (nat
yes /CT. PNA yes no Crit. Hab. yes / no Closest Maj.Wtr. Body �/ wry
F Project/Activity f 4'00,19 C e eX I S 1,>, R ci I,eweed
(Scale:/ �� ,
ick)length
i(s)
Iier(s)ingth — /
co � � L `
tuber
Riprap length 50 X�i
g distance offshore k / I /�Ad
ix distance offshore �} �1
Pe
cannel it. 2 /' rtJ� P4
bic yards i)7^r ee f4t54 ♦ y
np *MC a�Z. scr..�s-to s• ac -- v fl,1 1 A:' 6
Ise/Boatlift - - ------ ---— C1
CA iS 1'') ,p T --\ __ _ .,
ulldozing 15,4 I k 14
II
e Length i'd / JJ,�IQ€ _ U n
not sure yes -V 1 L' a U 3 t f
` },4,�'s: not sure yes �� l�Q,�S S/
ium: n/a yes (J
yes 6
\ttached: (53. no
ng permit may be required by: 1 0id0,✓ 8PM(_, L See note on back regarding River Basin n
— • - — -- /1, - I I /) A.-, I i - „

•
- .. •• •. . -- - BACKTHIS M W THE OF S OOCUENT GONTUIW AN TIFlAL WATER NARK HOLD AT AN ANGLE TO VIEW -..- ..•• .. .
WESTERN 'M O N E Y INTEGRATED PAYMENT SYSTEMS INC.•ISSUER
U N 1 O N !ORDER� Greenwood Village,Colorado
TERN;-;IMDPEY,--` 0 8-2 6 7 3 0 317 7
NION :ORDER nwAGENT 323436'DATE 092605 • _,_ -.. 82-40/1021
WESTERN mDNE''TIME 1340 12 G`riz ? 00
ONION ORDE � • •�'7 w11
;.082673031770 LOCATION 002546�',`0N "i� *K**
E MONEY. : ....
PAY EXACTLY TWO HUNDRED DOLLARS AND NO CENTS ***********
PAY EXACTLY J� /� _ aNIONNI
ORDER OF
PAY TO E /(/ C /),4")/e PAYMENT FOR/ACCT.fi
PURCHASER SIGNER FOR DRAINER
(/ R EY SIGNING YOU AGREE TO THE TERNS ON THE REVERSE SIDE
Western Union Money Order and Design is a service mark of Western Union Holdings Inc/Payable at Wells Fargo Bank pira Junction-Downtown,N A.,Grand Junction,Colorado
I: LO 2 L00 LOOT: I,OOB 26730 3 L 7 7011'
•

CJ7/GJ/GCICIJ CJO•Jl Why 11.n Ur Cr'r,I 1 UI1 7171 rJONOJ.dOrJ - I IL). J
aecky Klass 91D-846-3360 F
p1V)SION OF CQAST MANAGEMENT
ADJACENT K1P? R.1) 1I PROPERTY OWNER NOT1EICTJONAVAlVER FOR
Name of Individual Applying For Permit: 1_ • �i. „L; I _
Address of Property: 1.'' `-'
(Lot or Street #, Street or Road) •
< - 6Y(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The in
applying for this permit has described to me as shown on the attached drawing the developix
are proposing. A description or drawing, with dimensions, should be provided with this
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 910-3
within 10 days of receipt of this notice. No response is considered the same as no obj
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift mta
bck a minimum distance of 15'from my area of ripari:a.0 access-unless waived by me
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
- - V2.1)6te_ '
AT•

.1. Gr-GW7--OJ In •JG rl"1 'i R Jr lIlRJ iV<Jva Vai
Bop 20 05 03t56p Becky Klass 910-846-3360 p. 2
0 ' FC . N \
� �V P T \ , � T CATlO ..`1' yEZION
�,DI,�C � tIP
Name of Individual Applying.For Permit: ��
Address of Property:
(Lot or Street #, Street or Road)
(Cites y and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi,
d
applying for this permit has described to me as shown on shouldtachedrawing p n the
dwevelopment
this lefts
PP lion or drawing, with dimensions,
are proposing. A des p
I have no objections to this proposal.
____ �
if you have objections to what is being proposed, please write the Division of Co.
Management, 127 Cardinal Drive Extension,
Wilmington, NC 28405 or call 910-395-
within 10 days of receipt of this notice. No response is considered the same as no objects
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house waivedor boat b f mugt
bcka minimum distance of 15'from my area of riparian access unless
wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
d ....I I i.4ui4I wish to waive the l 5' setback requirement.
%r% _.
Date