39765D - Price

L]tAMA/ DREDGE & FILL
GENERAL PERMIT Previous permit#
4.1iVew -Modification ❑Complete Reissue C,Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources 11�Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7/Y- .i.) 00
[3,Rofes attached.
Lnt Name 1 ice. S E FR; C 'E Project Location: County 2/Ift-S Lvj C(L
,s I I r7 K 1 I(A-IQ/�(V k7 1
pL,�-hj 5€ Street Address/State Road/Lot#(s) q O_CI_
sf (key State/�"4�IP //c�3�.�
#(`�10) $ 7 y 9Uys (6 Subdivision 0(,4 -- Z / ' l✓( 7L
ized Agent G R f cE (QNv� City Cl(C 4 r- �-t�c� 4C I-, IP
,d r dw [fW }.P
TA Iota ❑PTS Phone# ( ) River Basin 1
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ PWS: ❑FC: Adj.Wtr. Body �/� �1��C A I Vki (nat
yes / o ) Closest Maj.Wtr. Body / y PNA yes / Crit.Hab. yes / no ""
of Project/Activity /r I l .O ,/e/Q
length y 1')S (Scale: /
lock)len h
'm(s) /6' k/6.' ( 7 'a v f'/q !N'4 7 ., c 4.4. L.
pier(s)
length
umber t .,_-
aad/Riprap length / 1.
ivg distance offshore
nax distance offshore
channel
ubic yards
amp
case/Boatlift
n
Bulldozing
far/ /b ;r/tt
7�
ine Length 7.5
not sure yes 6c)
rgs: not sure yes
)rium: n/a yes
yes n
•Attached: yes no
ding permit may be required by: (9C'4,. ,rs/P jc f/ See note on back regarding River Basin

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DIVISION OF COASTAL MANAGEMENT
' ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER K_-
Name of Individual Applying For Permit:
�\ k�
Address' of Prop�rty: �������� _�-`�^l�� ----- -
^ ^ . -�-��~-�����-���------------------ -
(Lot �
_ Street . , Street ~. Road , .^ ^ / _ ~.`
vm ^ n»
` -
I hereby certify that I own property adjacent to tke
referenced property. ` The individual applying for this perm^
described to me as shown an the attached drawing the develwp
' ` e 9r osi A description or drawinG, with dimensions, s
/ f� -roy this letter"
.~~~ '
~~__ I have no objectives to this proposal .
If you have objections to what_ is being proposed, p se w/-
' �J�
Division of Coastal Management , 127 Cardinal Drive �^ ^ensi o�
Wilmington, NC 28405 or call 910-395-3900 within 10 days " '
this notice,' No, rvsponse is considered the same. as no obJ pc
you have been notified by certified mail .
�. '
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__ r—
� .
__ _____________ ____________________________________
'
'
' WAIVER SECTION
�
�
I understand that a pier , dock, mooring pilings, breakwater ,
house, lift or sandbags must he sat back a minimum distanco
from my area of riparian access unless waived by me' ( If ,o
waive the setback, you must initial the appropriate blanv a-
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback rqqu"rement .
. .
-----------------------------
____-__-_________-_________________________-_-_________--_- '

. . .
' -
`
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER F�.�
Name of Individual Applying For Permit :
Address* of Prophrty: ���.t���1 � ���� VIA
^ _....._.......... ...=___=
(Lot or Street #, Street or Road , City � [�
� - �
I hereby certify that I own property adjacent to
referenced property. ` The individual applying for this pe, ./
dewribed to me as shown on the attached drawing the de,elc,-
... are ng . H description or drawing, with dimensions, �
ith this letter.
I have no objectives to this proposal .
"
If you have objections to what is being proposed , p se ^^ .
' �]�
Division of Coastal Management , 127 Cardinal Drive �: � en`sI ..
Wilmington, NC 28405 or call 910-395-3900 within 10 days � -
this notice. No response is considered the same as oo ou~ '
you have been notified by certified mail .
_-_-____________________________________--______________-_- - �
� .
-- -------------- -------- -------------------------
' WAIVER SECTION
6
I understand that a pier , dock, mooring pilings, breakwater ,
house; lift or sandbags m'/st be sat back a minimum distanc �
from my area of riparian access unless waived by me, ( If 'o
waive the setback, you must initial the appropriate Ulan; �=
________ I do wish to waive the 15' setback requirement .
I do not wish to waive the 15' setback requiremezi .
.
----------------------------------------------------- - ---

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