39875D - Paulin

CAIMA/ ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
KNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and #d Natural Resources / 2 pO
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 t
�} E.Rules attached.
it Name 1-0 ,4niit 4 PA0 L.11 Project Location: County A,ryI,.� 4,
777 f/ 1)�r, A A r •��, Street Address/State Road/Lot#(s)
k i7+12,5 F',oy( State ve ZIP 2ifr4ir j 14)41PA G
E( ) Fax#( ) Subdivision
ted Agent City • ZIP
-CW PEW PTA -.-ES -PTS Phone# ( ) River Basin 14i
-OEA -HHF _IH - UBA =1 N/A
Adj.Wtr. Body /r/ (nat i
❑ PWS: ❑FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body
f Project/Activity 41,0�0/1. pi C✓ IP' e-- ?Pare
(Scale:/ -0`
>ck)length 446
n(s) 12 x i ,,�Ai , -
)ier(s) 1 � I
?ngth I I J t -1--- --
imber 1 i
�_. r f
id/Riprap length I i
i
'g distance offshore L �r"`s^ ( i
ax distance offshore _.!_ t -r---, ,
:hannel } j
p
. t —
ibic yards €
mp ! — !..
I
use/Boatlift ,
,_. & x
3ulldozing ! �—1� ✓D —
I
e
--; ( i...
ne Length ,
/�. •
not sure yes v_ r {5 _ ,.41iy. i'r 6f3F Pi I 1 !
gs: not sure yes
Vt
rium: n/a yes r
yes I
Attached: yes
ling permit may be required by: teit l el (a, See note on back regarding River Basin

GENIER.4i PERM i i CONITUTER FORM
/
:..DDTEO A NAMES:
D-\V �OP=R z_0- a PROJ DESC: �- /Z
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ACDION D:PaA'IION
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: /9;/A-/t h ,1_21!4.)
Address of Property: 7 '% ,33Py A719x %"/ Z7/z
(Lot or Street #, Street or Road)
%;9/)//4° of
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individ
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 letter
rt I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coax
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 objectio
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set b,fk 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.
fikLe4 lf/-144L_ / S- 05
Sian Narrfe fete

- /�-740ot
t
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: fa ,4//.NC F67047-/At
Address of Property: 7''aZ 047 1A47/ /064 .
(Lot or Street#, Street or Road)
/49rri eiri p, ? ,11P72
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individ
applying for this permit has described to me as shown on the attached drawing the development tl
are proposing. A description 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 Coas
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 objectioi
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
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.
ian Name Date

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Pay to ohe(l Te":47l —
/�! e)� r�
Order of 7 �
• J ` `� 1 ! Dollars 121a..�...
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Bankof America
ACH RIT 053000196
For C7 U` -A (#4'
1:053000 96i. 0 695487 3311° 0093
•
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Order of
•
��:/ `rC- 1e-`"�G-"P �� Dullccrs 8 ,a......
• BankofAmeric��'
ACH RR 053000196
1:053000 (9-61. t 0E69548 ? 330 0093
•