42320D - Nixon

LAMA/ _ DREDGE & FILL Y1419?--- _ N9 4
1ENERAL 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 --7[�,
oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC /I�MO f'7hr/ZQ:
Ll'Rules attached.
Name /eke 9A /V i gyp r1 Project Location: County 446)A 5la ,a
Ott IA % I,' 414 Street Address/State Road/Lot#(s)
.A,,r4AN/ State ite.. ZIP ZWG5
(j/Q) Z77--3027 Fax#( ) Subdivision
ad Agent City _ ZIP
CW A-EV; ❑tPPTA ❑PTS Phone# ( ) River Basin 404t,e/
❑OEA ❑HHF IH ❑UBA ❑N/A Adj.Wtr. Body_ ,/1111.) (nat
❑ PWS: ❑FC:
'es /(�' PNA yes / Crit.Hab. yes / � Closest Maj.Wtr. Body ���
Project/Activity /,r't,1p d 7 t A 'if/ sr'- 4 s-�1kAea A fe//!'«�17�
length '7U X (Scale: /
k)len h
:s) /0 y
ar(s) 41
1
gth /Q •
fiber k V
Riprap length _
distance offshore
distance offshore
innel
is yards
eft
y X ?O
Ildozing
Z7 r t
Length
not sure yes •
not sure yes 1v
im: n/a yes
yes
cached: yes no Al
g permit may be required by: l Ada See note on back regarding River Basin ru
/ / / i.

DIVISION OF CO&SIAL M&N ACF_MENT
AILLACI�t1T RiP&Ri4N PROPERTY C)R'R'FR N()T7Fi[-e 1O • �,.
Name Of Individual Applying For Permit: / -e,(e_5 A /v, )(d ')
Address Of Property: 5(O 4 44i, 2 4 G 4 f Or;
c24 )-y L40,,C A/C
(Lot or Street#, Street or Roa8, 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.
Ca 1- kV I have no objections to this proposal.
If you have nhjertionc to what is being prnpnsrri, please write the. Division of Coastal
Manaoement_l 7 North Cardinal Drive Wilmingon_ North
�9(X)within 10 dais of mr. Carolina_ 284I�or call 910 395-
rpt of this notice No response isron.cidere L the same as no objection
if you have been notified by Certified 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/mist initial the appropriate blank below.)
lay V I do wish to waive the 15' setback requirement_
I On not wish to waive the 15' setback requirement.
*S. 2 20.
Signature'// pa , 1,7 A
!J �
Jr
r .. /

DWVISIO\ OF COASTAL MA_NAGEMENT
ADJ9,cENT RIPARIAN PROPERTY OWNER NOTFICATION/WAIN-FR FORM
Name Of Individual Applying For Permit / /.6 SA A f �o
Address Of Property: g 012 1/, "/IC J1 i— j9
(2 '>Lf S L A.,ei //C
(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 tome as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
h I have no objections to this proposal.
If you have objections to what is being pmpnseit please write the Division of Coastal
Management; 177 North Cardinal Drive, Wilmin5on North Carolina 7.S40S or rail 910 395-
.i900 within 10 days of receipt of this notice No response is considered the same as no abjection
if you have been notified by Certified 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.)
/` 9 I do wish to waive the 15' setback requirement.
I rip not wish to waive the 15' setback requirement.
f<4,•,4.z. //tZe
Signature Date4161174:111;47A

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PAY TO THE I `
ORDER OF C/4 {� J SC),
p «v«
rlrt'2Qv� Uh ;�✓�� iG1.I,iQ TS DOLLARS U tra"c
Coastal Federal
a —Bank
Caw SOUTHPORT,NC 28461
MEMO(If)
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I: 253 27 23551: 3 2 51300013 7 2ii 83 2