41482D - Mooneyham

LAMA/ J DREDGE & FILL G
iENERAL PERMIT Previous permit#
New Modification 7Complete Reissue ❑'Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Nat esources
oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7/f, /&Q2
❑Rules attached.
Name ffy E Mooney v14/ri Project Location: County ,( ,a/11 kiii4 C
zoo/ /2/t 4✓np/l a)reA AL Street Address/State Road/Lot#(s)
'41ei'lk1 State RJi! ZIP 2 7 /4 /t1 5td Z 4 � j}f
(/1l'1 )444— ?NI Fax#( ) Subdivision /
:d Agent � City ai f /n/ ZIP Z1$i4
7 CW EEW �TA Cl*ES ❑PTS Phone# ( ) River Basin (-4{1.,
`.OEA ❑HHF ❑IH -'UBA ❑N/A
Adj.Wtr. Body ✓t S C M 4.1 (nat e
PWS: -1 FC:
(es / PNA yes / r 2 Crit.Nab. yes / p(o, Closest Maj.Wtr. Body /fi 4,40-'
Project/Activity Apo€. fie✓/ "si i 7 ti4 -7 -4,r"•i d' `ja f 1 s 4.
(Scale: ' z
k)length 4/1,e/v
er(s) OW:S / V/
igth i
fiber
/Riprap length 43 t
distance offshore
c distance offshore (, 74 r,4/ 10
annel
bpi,ii /: .-
ic yards % oz i G o i
p
Boatlk /*ZY a X
LI I
illdozing -
IT i
1 /G
Length jf tom' " 4 / ,r r_ .__
not sure yes o G/LLt�.._ I
: not sure yes no
um: n/a yes no
yes o
ttached: yes
fig permit may be required by: 4:44 JWJ//k ❑See note on back regarding River Basin rt

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: E 1><1cOSA d�
Address of Property: sp'1 Sc,_3 � � ST.
(Lot or Street #, Street or Road)
— c r
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individi:
applying for this permit has described to me as shown on the attached drawing the development th
are 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 proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-391
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be s
bck a minimum distance of 15' from my area of riparian access-unless waived by me. My(
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.
AMA

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': COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
lete items 1,2,and 3.Also complete A. ' nature
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if Restricted Delivery is desired. X 1 i/��
our name and address on the reverse or Addressee
t we can return the card to you. . Received by(Printed Name) C. ate oy�eliver4
i this card to the back of the mailpiece, tJO�� T.�1�L� Lf'1 / Q'1
the front if space permits.
D. Is delivery address di •em 1? gYes
Addressed to: If YES,enter deli Orel es& o • No
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0 Registered 0 Return Receipt for Merchandise owa�o
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4. Restricted Delivery?(Extra Fee) 0 Yes •
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Numberfromeservicelabel) 7004 0750 0001 7034 8363 �� w `�
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3811,February 2004 Domestic Return Receipt 102595-02 M -0 3
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COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
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lete items 1,2,and 3.Also complete 3.(Z. e G Q .0•if Restricted Delivery is desired. 0 Agent ru T.. a
four name and address on the reverse /27
0 Addressee Ln pr.. a Q
it we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ry t. 4 3 3 31
1 this card to the back of the mailpiece, Er r
the front if space permits. ,a �"
D. Is delivery address different from item 1? 0 Yes y
Addressed to: �
tO If YES,enter delivery address below: 0 No ru
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8 10a. 0 Registered 0 Return Receipt for Merchandise
`JLJ ❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes k
Numb
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erfome service label) 7004 0750 0001 7034 8387 -
69.
3811,February 2004 Domestic Return Receipt 102595-02-M-1540
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