40449D - Lavin

�•CAMA/ 11 DREDGE & FILL N9 4
3ENERAL PERMIT Previous permit#
4.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 ) h I 2-
Rules attached.
t Name Dikyll (,�V�',tJ Project Location: County ? U
ZI (h S t\o i_E r./E. -ri Street Address/State Road/Lot#(s)
P5 grtt l E A C.A State ZIP ?.,M S1 .'.. I i (, _ S N o 2 E L T i E
% Fax# ( ) Subdivision
:ed Agent \AL t: r+-‘A.) City I 51LL 6.i4144.44 ZIP Z g`I y
❑CW 'CEWA ❑ES ❑PTS Phone# ( _ ) River Basin O r
OEA ❑HHF C.A
IH ❑UBA E N/A
Adj.Wtr. Body A t.) L na /i
❑ PWS ❑FC:
yes / o PNA yes / noCrit.Hab. yes / no Closest Maj.Wtr. Body A I r✓ 1'
f Project/Activity 5 05--Oar.-L t'1woa"C b,,c. IL (8 x I b) arN"f L I F 13f 1\ £
(I PIA(C) ))z t I` (Scale: I'';
ck)length 5 X II
1(s) $ X 1lD
ier(s) A Ive `-4 14 Irl%.- F C
:ngth
mber
d/Riprap length
g distance offshore - _ • •
ix distance offshore
Flannel
bic yards
np
•
,ulldozing 8
►t
ie Length 'oG Il N
not sure yes .. .
;s: not sure yes �i f
rium: n/a yes ® l..
yes
Attached: es no
ing permit may be required by: I OPSAY l.. IS cs,"-.1k _See note on back regarding River Basin r

. 5' 1 - 377 - /38
DIVISION QF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•
Name of Individual Applying For Permit: J.)e..v4 La ✓ t n
Address of Property; oZ 1 l (p 1\ o r c (C'fr-c.._ b r.
(Lot or Street#, Street or Road)
Io J7 S a i ( (2)-e-ct-c C� Q..�r ... .....
(City and 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.
't ' _ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division. of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified,Mail.
WAIVER SEC T1OK
I understand that a pier, dock,mooring pilings, breakwater,boat house or boat lift must be
set bck 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.)
9.3. I do wish to waive the 15' setback requirement.
I do not wish to waive the 15'setback requirement.
Si FiRTaine larb----
Date a a 7 Qcc
-w lc irA
Alf
'Print Name 01 3 A� I 'S I4 k Amiiiim
Wrn R

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: b a ✓r L ✓, Yt
Address of Property: c.// ( S 4o re_/r.ry e r ' v�
(Lot or Street#, Street or Road)
(City dad County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
apply €for this permit has described to me as shown on the attach.ed drawing the development they
are proposing. A description or drawing, with dimensions, should be provided with this letter.
f X I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WADER SECTION
I understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must be
set bck 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.)
3 S I do wish to waive the 15' setback requirement.
I 49 not wish to waive the 15'setback requirement.
e Name ' Date
9,4 a_c oS
Air
'rirrt h�an:e �'
13� r46�f rq � Q Cc 11
wi "rkCUD

DATE
TO THE PAY
ORDER OF ✓ _I $ do
0L (
Bank of America ��
ACH R/T 053000196
FOR 1-4 Y 1 Al ‘/° 4/0 q`ly :� -�, 7eit,
`
1000L4LLH' 1:053000L96u: 0006134 74 3 7 3811'
•