40465D - McLamb

1CAMA/ DREDGE & FILL 1,49 4
3ENERAL PERMIT Previous permit#
*New Modification Complete Reissue Partial Reissue Date previous permit issued
•ized 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/f 1Z�
� / aL ules attached.
t Name 74 ,4 041A 5 t 40 i 6 Project Location: County /7//0 f✓
10 Aar if notil rt Street Address/State Road/Lot#(s)
ity)14-►* State 4G ZIP *3 m.z
O p0)770-45'5'3 Fax#( ) Subdivision
ed Agent City ZIP
Cw Ty(l EW XPTA -ES ❑PTS Phone# ( _ )_ River Basin-C a.
OEA Ell HHF El IH ❑UBA El N/A Adj.Wtr. Body 4/Oki (nail a
7 PWS: ❑FC:
yes / no PNA yes /e) Crit.Hab. yes / Closest Maj.Wtr. Body_ el."r4 I"
Project/Activity Ayamedf /).'0!,,// L"Al�t1 p"� In#i7L G .�4
(Scale: /�
:k)length �7'v S'
(s) 4 X Q
er(s) Tl/W `d. 13 p
, .� x i3
gcn6,.f"I�;
nber
i/Riprap length • 0
distance offshore
x distance offshore
annel
iic yards
ip
S:g /x/3' -1 __:_ __ - y 2'x it'
illdozing
Length (! 33'
not sure yes o J �f
not sure yes no /7© //I o t/ !a y , .
urn: n/a yes no
yes n
ttached: yes �� // //�
ig permit may be required by: 4Aier' h• . See note on back regarding River Basin ru

ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Vame of Individual Applying For Permit: %lv�c zi 5 Al, Me Zr4rn 4
kddress of Property: /-sue Moo r'f, 5 L N7 EX 7;
(Lot or Street#, Street or Road)
Hps7ra1N(' 2 9- 3 J >
Pe,v�1 ey- r%vc(A,.t
(City and County)
hereby certify that I own property adjacent to the above-referenced ro
P Ply. The individw
pplying for this permit has described tome as shown on the attached drawing the development the
re proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coasts
Eanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3901
ithin 10 days of receipt of this notice. No response is considered the same as no objection i
have been notified by Certified MaiL
WAIVER SECTION
inderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
bck a minimum distance of 15'from my area of riparian access-unless waived by me. (II
u 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
7arne Date
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ADJACENT RIPARIAN PROPERTY OWNER NO 11FICATION/WAIVER FORM
game of Individual Applying For Permit:
kddress of Property: 132 rnoe re 3 L A)ci
(Lot or Street#, Street or Road)
m/CTT 4 d ,VV 21.E 3
(City �a�
Coun
and >y) y
hereby certify that I own property adjacent to the above-referenced property. The individu
pplying for this permit has described tome as shown on the attached drawing the development the
re proposing. A description or drawing, with dimensions, should be provided with this letter.
1* I have no objections to this ro .
P P�
r you have objections to what is being proposed, please write the Division of Coast
lanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390
ithin 10 days of receipt of this notice. No response is considered the same as no objection
)u have been notified by Certified MaiL
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
t bck a minimum distance of 15'from my area of riparian access-unless waived by me. (I
iu 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.
3-7-05
Name Date
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THOMAS MEAD McLAMB NCDL 4298935
MARY M McLAMB NCDL 1934471 775
Ph 910-270-8553 q
150 Moores Landing Ext e7-219i539
Hampstead,NC 28443 S �f��saANCH o,a„
DATE
T PAY TO HE I
ORDER e4m4 - /D o \/V p
Oike
J`"c ,0e 1 DOLLARS f o: ^1^
HAMPSTSeth
CARM 1 FlRS T FOR 1i
I:0 3902L971:8L00424021.0 0775
®HARLAND 2001