37991D - Kugatow

CAMA./ WEDGE & FILL
GENERAL PERMIT Previous permit#
nNew Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Re urces _
Coastal Resources Commission in an area of environmental concern pursuant to A NCAC 1 - \\ ZY
Rules attached.
nt Name ()\lc tk Q E-L k LA V Q i�v/ Project Location: County Pi a.
s So$ 2.oLA '7 Av Street Address/State Road/Lot#(s)
.)(4 Rs C,ZT`/ State 0 4- ZIP 1... ,-(LI5- Sob 4 OL- A I > -A V r=
0( ) Fax#( ) Subdivision
zed Agent \'ram IV\Al-I tom£ City SL+g-t Gsry ZIP 2g4LI
i ❑CW ❑EW IDPTA S ❑PTS Phone# ( ) River Basin( f -
❑OEA ❑HHF ❑IH ❑UBA ❑N/A //
Adj.Wtr. Body ,.J ...1-1",,,,,,....t t.- (nat
❑ PWS: ❑FC:
yes deb PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body t ��-`'�
>f Project/Activity 1 N. T.ct- f 0 0> /3u i..Ic+f E---
(Scale:/I,' 3
ock)length
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ength i 1
umber }
ad/Riprap length 1 O > 1 1- I 1
ig distance offshore © _ 1 i -'`
>ax distance offshore
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Attached: yes no a J
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ling permit may be required by: I1J Grp a - �"8..-a�
Su I See note on back regarding River Basin

FE.8-9-2003 13:47 FRMSCUNO r1ARINE INC 910-395-9305 TO:1.91982998E6 P.
fTVISION OF COASTAT.141ANA(T4f NT
AbTAFFN TP A?SYR()PER TY OWNRR NtiTJC/iT1 ON/WA WFR FORK
•
Name et Individual Appiyrag For Permit: !` (A, /vole 1( e
Address Of Property:
(Lot or Street#, Street or Road, City &County)
I hereby certiry that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to x1 a 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_tsvrohjeztinnt ;n yr1 t is bring ,prnpnsrd p1eRce writ. the Divisionrf Jnactil
Dana rrnr st 177 Ncrrth Czrriinal Drive Wflrnin Nrarth C_aroiina, 2&lf?S_nr rail 910 395:
lgretwithin 10 r'ayc of Trt'.eipt of this mt."- AIn rpcpnnce is ransiderelilhe. cAtnr at sit nhjectinr
if volt hAv&ht a Itisltf ji by rrtitied,M it
WArV F R S1 C_TTOPj
la/I ursderstaud that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
Qe set back a minimum distance of 15' from my area of riparian across unless waivers by me. (if you
v wish to waive the setback, you muai initial the appropriate blank below.)
AtyI db v.'lib >LC1C reotti^rm,nr
I to not wish to Waive the ;5' setback requirement.
g PI71
c �.� c o�Oa(� .`.ww.a �rw�wiwM►

B-9-2005 13:47 FROM:SUunL 910-395-9305 TO: 19198289888 P.2
DIVISION OF COASTAL MANAGEMENT
AD.I(ACFNT RIPARIAN PROPERTY OWNER NQTIFIC.ATIONIWAIVF.R FORM
)
/� l L
Name Of Individual Applying For Permit: / _ ` ► I.
VI a_e I Kt/ T q 7)14..../
Address Of Property: 50 c0 K 0 L 4 f/! 4r!.F
5.)c-4 CI' , n/_ a� �� S re6IV
(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-rhe as shown on the attached drawing the development
they axe proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being propose& please write the _Division of Coastal
Management, 127 North Cardinal Drive Wilmington North Carolina, 7R405_pr call 910 595-
'9013eyithin 10 nays of receipt of this notice- No response is considered tie same as no objection
if you have been notified by Certified_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.)
.. ____4 I do wish to waive the 15' setback requirement.
I do nat wish to waive the 15' setback requirement.
0,2-/ 7 — c9S-- AiviiiirA
Si , / _ Date 11/

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