39892D - Outlaw

/ -, _
K6AMA/ L DREQGE & FILL
3ENERAL PERMIT Previous permit#
i New Modification Complete Reissue Partial Reissue Date previous permit issued
>rized by the State of North Carolina, Department of Environment and Natura sources 7 LJ
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC T H • 2Oda
/' ❑Rules attached.
it Name (.,7 4 ) it'7'�ly Project Location: County ,4 /�s+�v
/ /6 q 9 C'C.rt ad RevJ Street Address/State Road/Lot#(s)
//I/// /,' "Ph State/ ZIP 2 6 vu '7 1�4.f. /2c„t
(qv) ax#( ) — Subdivision ' !.
zed Agent TDH7 L�2 City v1/16st1/h��l`h ZIP 2 E
I ❑CW 1�EW [BETA Mil-
Li PTS Phone# ( ) Stir, River Basin el
❑OEA ❑HHF ❑IH -UBA ❑N/A
Adj.Wtr. Body 5- �4-'e-, dg'd
❑ PWS: ❑FC: / /_' / � �'
yes /0 PNA 6)/ no Crit.Hab. yes / no Closest Maj.Wtr. Body_ fy �/
If Project/Activity �,,-A-iSP%-.o�'7 �'J1 As.- 4,4- y j" /4w r
.� > i�1, , . �/,��o/�J'(>%r. /
G�" s9 sL�l' vL/ >4 ;., Lair/,=.6A �/ j- s� / Scale: '
5ck)length
,
n(s) 6' y8 44
pier(s) R.f,e s e1�ersngth
Amber ^- 1
id/Riprap length f� ,i
,g distance offshore IY' � r
ax distance offshore /// t I,�V
:hannel k fr. r i •
r .
i
ibic yards _ / !
use l V 1
Il'� ; r
ll��
use/Boatlift
3ulldozing ate honyP(Pe°
'
G xy6
" GX/
ie Length ��2 5 /nh �7t+���t�ds
A
not sure yes `
f / , 1 • c mac... _.1 -.s i
gs: not sure yes 6 iP
rium: n/a yes } (CY• OG+7424 hv Aispy4
® no + Pk.
147I
Attached: yes ®'
ing permit may be required by: ,v /7 . I See note on back regarding River Basin i

J
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: ivy A t%iv
ADDITIONAL NAMES:
AEC DESIG: DEVELOP AREA: , O. 0 PROD DESC:
(Will only take 6) ) (Will only take l)
WORK: f“. 'f
(Will only take 4)
MAINT:
(Will only take 4)
IMP: f W a8$
(will only take
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED:

04 17:27 From: To:9102565335 P.3/3
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIF ' ATION/WAIVER FORM
ie of Individual Applying For. Permit: 6/, • ys- Q
ress of Property: l
c(-7 (1:‘ , 4 iy
(Lot or Street #, Street or Road)
bd, het
(City and County)
eby certify that I own property adjacent to the above-referenced property. The individual
yin.g for this permit has described to me as shown on the attached drawing the development they
iroposi.n.g. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
)u have objections to what is being proposed, please write the Division of Co:;:;tal
agement, 1.27 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
in 1,0 days of receipt of this notice. No response is considered the same as no objection if
inve been notified by Certified Mail.
WAIVER SECTION
lerstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set
minimum distance of 15' from my area of riparian access-unless w d e. ou
to waive the setback, you must initial the appropriate blank below.)
D f fv]
I do wish to waive the 15' setback requirement. FEB 2 5 2C05
I do not wish to waive the 15' setback requirement. DIVISION OF
COASTAL MA : EIV
RECEIVED
I�� FEB 2 4 2005
'Jame Date BY:
II / I

!2-2004 17:27 From: To91025. �3 J
it FEB 510
10
DIVISION OF COASTAL MANAGEMENT 5
ADJACENT RIPARIAN PROPERTY OWNER NOT[:i~,�CATIO1OWA1 !_F 1 OF
_tAvASTAL MANAGEI
Name of.Individual Applying For. Permit: 6";-/4_ C.// J y<</ ti.;
Address of Property: / c(7 (
KG GI 6r1
(Lot or Street#, Street or Road)
4)///frniVe77 Je4 '73/ ./,-//////
(City mid County)
I hereby certify that I own property adjacent to the above-referenced property. The individui
applying far this permit has described to me as shown on the attached drawing the development the
are proposing. A descrip ' n 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, 1.27 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390
within 1,0 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 be sc
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (Ifyol
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the .1.5' setback requirement.
I do not wish to waive the 15' setback requirement.
•
Sign Nam ' Date
/� _ _

f
l
•
FEB 2 5 2005
DIVF
S ALIMAN AN GGEMEI
.74
0

PAY TO THE
ORDER OF 0 N $ co.•
�L7 •
ljlg C O DOLLARS LI
15
RBC
Centura
�I RBC RBC Camara Bank
Wilmington,NC 28401 Ari
tonalNP
1:053L008501:0230L243L611' 0862