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•-CAMA/ 'DREDGE & FILL V 1
3ENERAL RAL 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 / . 1/0io
I l la7rs attached.
t Name "c4 g.e C. Qf,i j _ Project Location: County.7/2 j .,J iv/ci
f?6 s r- ,P!/()pit r d . Street Address/State Road/Lot#(s)/Q 6 iL t.J
i 0.7 1�( StateJ�/ Z.
ZIP 2 7 21 S� ,
( ) Fax#( ) Subdivision
ed Agent 70e (. ,i( #lf City/y v41 , .110'41c4 ZIP
CW [PEW A L — E PTS Phone# ( ) River Basin
OEA E HHF ❑IH E UBA ❑N/A Adj.Wtr. Body/74.-A 7 tde egAiAC O 1 i at(.
PWS: ❑FC:
yes / o PNA yes�.0 Crit. Flab. yes / no Closest Maj.Wtr. Body ���✓�✓
Project/Activity
(Scale:/ _,
:k)length
(s) _ a
er(s)
igth
nber
1/kiprap length sv /
distance offshore s/ Q�g i a 9 u h" 4
x distance offshore ' 1 (�F {
annel � U"�. A���
iic yardsI p -' I����, .
Zi
se/Boatlift ip
tIGT`
Ildozing
Length 5-0 /
e (' /` L
Q . J a 4
not sure yes o
: not sure yes n 9 Q ti
um: n/a yes
yes
ttached: yes / -----_ _---•--- .__- _�_
ig permit may be required by:110/Cie./ tilP94 4 See note on back regarding River Basin ru
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAIVER FORM
Name of Individual Applying For Permit: Mi kt, (Q Pt
Address of Property: / (; 6--re cic',hero 5T
(Lot or Street 4, Street or Road)
/40 6L & LC-,( _A/C
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivic
applying for this permit has described to me as shown on the attached drawing the development t
are proposing. A description or drawing, with dimensions, should be provided with this lettei
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectic
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
bck a minimum distance of 15'from my area of riparian access-unless waived by me. (If
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.
91)6115
natP All
U'/ Ub U1 : 3bp Hlan Gaddy tiAls-ti41 - 1U11 P.
Ict 0.7 05 01 : 24p Becky Klass 910-846-3360 p• 3
DIVISION OF COASTAL MANAGEMENT
_ADIACENT RIPARIAN PROPERTY OWNER NOT;FICATION.WAIVER FORM
Name of Individual Applying For Permit: -AIL,>/t,. ()Et 4CA
/ r
Address of Property: /C(E I
•
(Lot or Street i , Street or Road)
(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 lab
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 object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must t
• bck a minimum distance of 15'from my area of riparian access- unless waived by me. (1.
wish to waive the setback, you must initial the appropriate blank below.)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sian Name Date 4
919141S,
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UNION ORDER` Greenwood Village,Colorado
0 8—2 6 7 3 0 3 3 6 6
urNI onuses 2 36 DATE 101805 � ti az aonozi
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TIME: 1527 12 ,"9.1 Li is
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1: LO 2 L001-,001: 1-,008 26730336600