43382D - Norman

.C,l4MA/ ` DREDGE & FILL 74/1 . _
a,ENERAL 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 ` ,�vD'
:oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC /
/J /i _ -��, ❑Rules attached.
t Name yili 40rm04s7 Project Location: County 536 / 6;/1.;2
8536 i/4' f4 / ZI') • Street Address/State Road/Lot#(s)
NIL
/4/,' 7s1, State /tir ZIP 2.g.e////
( 9/e) ( 2t. SOS Fax#( ) Subdivision
ed Agent 4 cif` C/e,,'m-•7/Is City `/(/i/"7/'i)�!h - ZIP Zry
Cw w A ❑ES ❑PTS Phone# ( 9/p)✓CZD,'er River Basin Ce a,
OEA E HHF 0 IH ❑UBA ❑N/A
Adj.Wtr. Body /11041.."" f,y at,/r
/� >a PWS: ❑FC:, s ''' ' LhfQ'
yet// no PNA yes / Crit. Hab. yes / no Closest/ Maj. tWtr. Body--
'Project/Activity 7 2 V// l7 f1!si 1i_ / /4f GL/.51 /H cG4
?,e6',/h S 1 /sue' et9k/.f t/ , 4C )% (Scale: 'r
ck)length
ier(s)
I X/1444•"—
rigth I �'"� 4
nber
i/Riprap length ---s
distance offshore �' I
x distance offshore /7!� .,rw cannel Ek/s fr 1G'4// , l
>ic yards /440 1/' /\*
•
set oat I,3 X I'� iP S�4' PO
` I
Ildozing / ', 1 Cki/f�h), 4j f'r /�E
/3Xo 6r^w////
,.tr 'e.7=
Length Ill I
not sure yes
;: not sure yes 0
cum: n/a yes re,/ 1.".—'."7._ ._*' t /,._. .1
es rlei �el"y
1ttached: es 8536 136/ / i 47 i el-
/
ig permit may be required by: �/I C e • See note on back regarding River Basin rr

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNe,_. .ER NOTIFICATION/WAIVER FORIV
Name of Individual Applying For Permit: /7G,✓,
Address of Property: S(07 L ,..-e7�� it/
(Lot or Street #, Street or oad)
Ai- L 7Cil I
.
(City and County)
I hereby certify that I own property adjacent to the-above-referenced»property. The ind
applying for this permit has described to me as shown on the attached drawing the developme
are proposing. A description or drawing,with dimensions, should be provided with this le
/ I.have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-39
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift m
set bck a minimum distance of 15' from my area of riparian access-unless waived by r
you 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.eq ment.
Sign Name • Date

74 viA/ Ai#,
1J1 V 131UiN yr LUAJ 1 AL 1V1ANA(jUV EN l'
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property: 3 /� -C IIc�i `-- 41.e Z9 Z'Y
(Lot or Street #, Street or Rdd)
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The indiv
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lett(
1 V ° I.have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co;
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-:
within 10 days of receipt of this notice. No response is considered the same as no objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu:
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
" 0 , r -
Sign Name ate
11 A I rr . ) 2 k/

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ey/za �yXlb
h12s E�crS�r fir' �.is e -�
3o Ciliztje 71 c/ % c C
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elements Marine Construction
910 270-9110,VeD.0 4356789
5774111e}ighway 210 lU
_Hampstead,,1Ve 28443 Dated-
Pay to. ���,���
FIRST CITIZENS 365
BANK FVCaan.s N BC2 8ut Copo
www.firstcitizens.com >`
For �p 3 —D
1:053 L003001:003E3 20 L L80311' 0759