42316D - Michael

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'CAMA/ • DREDGE & FILL v(/ , 2
IENERAL 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 7f9,1//a ,f— /Za
/ LSiCulesattached.
/
t Name l�4.�n;6 I j ji ja e( _ Project Location: County /jr✓/►5LaeA
l t 6 V4 414 OA Street Address/State Road/Lot#(s)
J44,t State4t.- ZIP Z4� 1Q
(.9k),7 ' 9i%5- Fax#( ) Subdivision
ed Agent City ZIP
❑CW L!'EW M PTA L ❑PTS Phone# ( ) River Basin 46to
❑OEA ❑HHF El IH '_ UBA ❑N/A
Adj.Wtr. Body rfiaa) (natth
❑ PWS: ❑FC:
yes /� PNA yes /C:� Crit.Hab. yes / Closest Maj.Wtr. Body !��' ��
Project/A/ctivity ,4/I4to/ /�Gi/Ql_t�ry�7- 41e si-P 4J/4- AP.A
14'1'*N �. 4e4A .� el it L141- (Scale:/d
:k)length 91)C
(s) IZ y
er(s) ?j$ fp 4/""
igth +Z /G
nber
/ 1L
Riprap length j)b Z4
distance offshore
K distance offshore
annel
ric yards
"4/ /Zia y X
illdozing
IP-
Zp
s� /�
Length Ito ��D/1 t1i'J �I Eft a t l
not sure yes o
not sure yes •
/ .tea p 7L
um: n/a yes /z�`�O 6i 4 C A
yes
ttached: yes •
/...._..-_
ig permit may be required by: 4r�t l#01le( LQ, See note on back regarding River Basin ri

DTVISION OF('O&STAL M aiN AGEMF.NT
AD�ACFNT RIP 4RIAN PROPERTY O NFR N(ITIFICATION/WAIVFR FORM
Name Of Individual Applying For Permit: ht.-AWL-15 /n_Lei/�r-
Address Of Property: /2DG E, Y9C//r g.
( 1 2 '/GS 82440siore,C
(Lot or Street I, 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 tome as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
6 (f`--V7 I have no objections to this proposal.
if you have objections to what is being propose please write the, Division of ("naval
Management 177 North Cardinal Drive Wiltnineotnn North ('armpits 7S�nr M11 91(I�9S_
1900 within 10 days of receipt of this notice_ No rsponse is cnnsidetee I the same_as no objection
if you have bee.n notified by C ertified Mail
WALYER SECTION
I understand that a pier,dock, mooring pilings, breakwater, boat house, lift or
set back a minimum distance of 15'from myarea ofripariandaby me.ags must be
access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below,)
do wish to waive the 15' setback requirement.
I do..nxt wish to waive the 15' setback requirement.
Vi-h
Signature _ _ A Date T.iwn ff AtillWirfA

DIVISION OF COSTAL M4_N4GEMFn'T
ADJACENT RIP4RIAN PROPERTY OWNER NOTIFICATION/WAIVF.R FORM
•
Name Of Individual Applying For Permit: 2)E/VA/IS
Address Of Property: /a2D , a f'ACNT
O/M X5I, m6, He,,,Z 8'1o.5 8,2aA c.1)rcie
(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 ime as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
V t�I have no objections to this proposal.
If you have ohjertions in what is_ being
Manaorment, 127 North Cardinal Drive, Wihni Carolinasa« 4D05i calln of Cn'sra-
fin North 78405 or Q1D 395-
3900 within 10 days of receipt of this noire No onse is considered the same as no nhjerrinn
if you have been notified by Cerrifirfi 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.)
I do wish to waive the 15' setback requirement.
RO E1/ I dn.not wish to waive the 15' setback requirement.

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PAY TO THE / 74 01 $
ORDER OF
LJ e I �G� c
;A �1 /-� 2Qv, )44/ cC.rGJL /90 L/,* A
r$ DOLLARS u .mw
Coastal Federal
141
Bank
el. SOUTHPORT,NC 28461 e
MEMO ) S'1 -__-_._._-----------------------
I 253 27 2 35 51: 3 2580008 ? 211 83 2