42825D - Mitchell

V tliff.'-- I
IICAMA / DREDGE & FILL ._ ,.
1ENERAL PERMIT Previouspermit#
'1<lew Modification -1Complete Reissue - Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Resources t1
;oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC '7i9, 21Q o
❑Rules attached.
t Name 4 . 2'I0R /77/4 het ( Project Location: County �ie y,✓sw,G/c.
26 yr /70/L i ,'t•c,j L✓Q. sr Street Address/State Road/Lot#(s) Zo, /r
IS if.eL71" StateiVt ZIP aryl,/ 26 VY 1770 2, ../•zl G✓dL S6-
( ) Fax#( ) Subdivision ,Si, m ,o
ed Agent To e,L It"46%is City ,.S'cu f e,,..L fi ZIP ZT`/4
❑Cw L! W L1 ES ❑PTS Phone# ( �/) - River Basin 4341491
❑OEA ❑HHF ❑IH 7 UBA ❑N/A
El Pws: ❑FC: Adj.Wtr. Body 19/Aid rea
yes • PNA yes / no Grit.Nab. yes / no Closest Maj.Wtr. Body /911 IA/
Project/Activity /0/9/2.S*' C i•/4eNC,n o / 482,i?,?)4✓41-T P.t
(Scale: / ./_
:k)length
(s)
er(s) Id '""N......--.--....-,
igth
nber
1/Riprap length �J Pe/
distance offshore ^ 9(LC1 1 4..
x distance offshore , / • 5 q')�
annel
i li i, o o b 4
iic yards
a © a 0 0
1p �14°)‘`
se/Boatlift ti -' ---
illdozing 61
>/e C/4 E J
/ D//
Length /al c') tv
not sure yes no,) t ~
not sure yes no
` VVV
31
37
um: n/a yes no (/ 1 L k
yes no
ttached: yes no
ig permit may be required by: 6(La Ali h// C/L C P. See note on back regarding River Basin n
-.I , _ / -I ^ ti ,. . � _ . - — .

ea n e 7 xRs�r�.
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: /,/��c('S• ,f3��T/�2i, TGAft2. L.
Address of Property: A? 11(' Oa-ri -c.r . W Ge T 1,5
(Lot or Street#, Street or Road)
e4/t/
(City and Count?)
I hereby certify that I own property adjacent to the above-referenced property. The individt
applying for this permit has described to me as shown on the attached drawing the development the
are proposing. A description or drawing, with dimensions, should be provided with this letter.
t(0 C.. 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 910-395-39(
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 1
set bck a minimum distance of 15' from my area of riparian access- unless waived by me. (
you wish to waive the setback, you must initial the appropriate blank below.)
gP/- I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
, t6Z01/ Zie441,01,. V/f/-
iign Name Date
/67,0//9 () / cc � �

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ,4/3 f9- j 'i C A L
Address of Property: 4 L/g R//4T" 3d
(Lot or Street #, Street or Road)
cfrL ? T
Tr rYL
(City and County
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development the
are proposing. A • -scri stion 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 910-395-390
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 b
set bck a minimum distance of 15' from my area of riparian access- unless waived by me. (]
you is waive the setback, you must initial the appropriate blank below.)
4, / I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
I0
111.* 9. Ziki)Priel
sign ame Date
'1/A : 177-71 w ,, I AV! A

CLYDE H. FARNSWORTH 2O58
MARY G. FARNSWORTH
PH.910-253-4336
2566 MARINERS WAY SE. Q Z 66 I I2
SOUTHPORT,NC//2p84611 f' d��//!/
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BRANCH BANKING AND TRUST COMPANY L�a p�J)j3
2SOUTHPORT,NORTH CAROLINA 7/ Q f
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