42044D - KeeSee

l
'CAMA/ DREDGE & FILL
GENERAL PERMIT Ae)
Previous permit#
''New _-Modification Complete Reissue Partial Reissu 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 .T/.
Rules attached.�
t Name Ar/1,,r� of$ee. Project Location: County �'un 5i✓:e v,
V 0• 7 6 G f Of, Street Address/State Road/Lot#(s)
4 1 *Agi t State A(. ZIP Z$ig:✓ .�lt/X
MD) 27Li 3027 Fax#( ) Subdivision
:ed Agent ���� City ZIP
❑CW L7EW —PTA 4S -1 PTS Phone# ( ) River Basin fL/ii
❑OEA E HHF 7 IH UBA N/A Adj.Wtr. Body /14 (nat /i
❑ PWS: 1 FC: �C�et
/6 PNA yes /� Crit.Hab. yes / Closest Maj.Wtr. Body
f Project/Activity po p f 4I My' 794 71 i'&I v" 4Se%
length 46A 1F (Scale:
ck) jeje
len h
1(s) /OX aZ
ier(s)
ngth /0 1 ,
mber x ; v
d/Riprap length iZ S /2
;distance offshore ,_
ix distance offshore
iannel
iic yards
se/Boatlift
ulldozing /// ,/ T } 641
IDIetree iox1Z
e Length_ 60
not sure yes l 4 I
s: not sure yes
ium: n/a yes •
yes
\ttached: yes
•
rig permit may be required by: Ai i(/A 1/ See note on back regarding River Basin ri

1 0
J
_---Q
v
lb
L
o
L
-2 0 1.3
r,4 ‹.
. . -..)L
N II, © �� S.. t
. .
, ,‘..0 0
_-----:7
re
t
V)
\9
"11'_ _ - LL ,
` ita
"� N _4.'
v
44)
N y
1
4-
J
z '�
VI
t
O 1--i Q
Z
3Y-
O

I)TVISION OF CO4STAI•M4_N4 EMENT
AndAcri T RIP4RIAN PROPERTY OWP FR NOTiFICATTON/WAIWR FORM
Name Of Individual Applying For Permit !i A h Q S e -
Address Of Property: 1.4). �a G h t' /O/,
(rot or Street At, 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 me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
IX I have no objections to this proposal.
If you have objections to what is being
Manaysm tti. 127 North nirav �� the Division of ['nail
Cardinal Drive Wilmi.gt0n, North Carolina_28405 or ll 910 395_
1900 within 10 days of receipt of this notice No rsponse_is consider the same as no objection
if von have he-n notified by Certified Mail
WAIVF,R SECTION
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 the appropriate blank below.)
o wish to waive the 15' setback requirement
I&not wish to waive the 15' setback requirement.
7- 11 - os-
Signature `�/ Date
�aeye kuety 45 }P�Lb CJWLJ Dir.

DIVISION OF roACTA!.MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVF.R FORM
Name Of Individual Applying For Permit /2r l/��) NAB 2 e._
Address Of Property: Q j t i. Lj,Q c i r �l
(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.
I have no objections to this proposal.
If you have nhjertinnc to what is bring pro/lore/is please write the. I?ivicinn of Cnactal
Management, 127 North Cardinal Drive, Wilming.on North Carolina ?S4)5 or call 911)395-
3900 within 10 days of tmipt of the tinier Nn rr pence issonsidered the same as nn(thief-Tina
if you have been notified by Certifier! Mail
WAIVER SECTION
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 the appropriate blank below.)
7i4do wish to waive the 15' setback re
qutremenL
I&mot wish to waive the 15' setback requirement.
'kt):rAN & 7)1I/05' r� i
Signature Date
-eeJi N (ell

•
i• m x>
ru C z O
in C-3
LW n ^m
ru p
_.. .. - .. c ru y
1 in
ru N
W
ii
p N GJ
w x r
ry
'; - , i likll
Q7 1
...S
I
i
,' I
I
CO8
W. ID ^o
n