43327D - Pate

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ioAMA/ DREDGE & FILL
3ENERAL 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 7/1. /2 oO
i,,Atles attached.
t Name e0,/d J p&ye- Project Location: County E4 w,s c LVIC Je
72 1,3 Cooftm D..4 c Street Address/State Road/Lot#(s) 2 Cod Cofu
7I 01� A Statei^/C ZIP 21 _5—`
(7/9 )b 2Y• ( V7) Fax#( ) Subdivision ...��
ed Agent Cityat o�I,/ .J I f 6'Q, c h ZIP 28y6
�.GW ❑EW L P rA *ES' ❑PTS Phone# ( ) River Basin 114001 J
OEA ❑HHF ❑IH ❑URA ❑N/A /r �/��
Adj.Wtr. Body CA /ftt O (nat`f
PWS: ❑FC: ,Q
yes no PNA yes�o Crit.Hab. yes / no Closest Maj.Wtr. Body �/ / hi,11
'Project/Activity aZ i ,1,4) Pi/Da C ie
(J� 2iif -7/X Ill (Scale: / �,
:k)length 7 )l JI '
i(s)_
ier(s)._ 2 0
I
ngth f LORT g '
Tiber
1/Riprap length
distance offshore
x distance offshore A� I
cannel
>ic yards -
ip --
se/Boatlift r
1 S'
ulldozing [ 4 d J J y 4 Ti 4 '1 u y �. __..
l0gt 7 X2o ' 11* 4 444 4 V' '
Length s-V 1 B N I t
mc-
not sure yes
s: not sure yes & ^ CI-
yes1con„ . /cum: n/a yes 67 8 I' 3 U')`'g
\ttached: yes
ng permit may be required by: OC 0/9 PI ,1S 1 e 6,0,�6 4 See note on back regarding River Basin ri

DIVISION OF COASTAL MANAGEMENT
•A DJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
arne of Individual Applying For Permit: ,,,D ��u y pfk
ddress of Property: I 3 etvue oR1
(Lot or Street #, Street or Road)
Doek,,, idc
(City and County)
Hereby certify that I own property adjacent to the above-referenced.property. The individ
'plying for this permit has described to me as shown on the attached drawing the development tl
e proposing. A description or drawing, with dimensions, should be provided with this letter
J 1 I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coas
anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3S
thin 10 days of receipt of this notice. No response is considered the same as no objectioi
u have been notified by Certified Mail.
WAIVER SECTION
nderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
bck a minimum distance of 15' from my area of riparian access - unless waived by me.
a 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.
one: p--S4 z
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Name ) /
n Na
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 2 P.4A/vy Pie
Address of Property: 42 69/VC' 'la b Ir,
(Lot or Street #, Street or Road)
•
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The indivi,
applying for this permit has described to me as shown on the attached drawing the development 1
are proposing. A description or drawing, with dimensions, should be provided with this lette]
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 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 bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to aive 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.
z.,(..te-ie.,6 ' A.r
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f 66-1213-531
t DAVID R. PATE NCDL 2467439
1 7213 CATAMOUNT CT. 919-676-2077
If g RALEIGH, NC 27615 //i 1
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