41564D - Popkin

'CL,cjNIA/ !DREDGE & FILL N9 4
3ENERAL PERMIT Previous permit#
New Modification Complete Reissue Partial Reissue Date previous permit issued
sized 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 .914//J
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, ❑Rull ttached.
:Name �r7C� ��4-1 Project Location: County_ , /Thpfi//
7�y 4/, C4rf/lr/ Street Address/State Road/Lot#(s)
1//�4*Y/', geree4State /e ZIP 78/23 ,44 . N",/ /".
(T/D ).2.5Z.39 i Fax
es#^( ) c-- — Subdivision
Bd Agent ,‘Cl/ //s H/? City A/`yi4,0e /�rlr% ZIP Z81-(g
✓?grA e'Er ❑PTS Phone# ( ) _$ 'Pt River Basin 11,,,a,
❑OEA ❑HHF ❑IH El UBA ❑N/A �g�`` /1
PWS: JFC: Adj.Wtr. Body y h1�7/1r/ (nat
ies / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body �'r e?li///1 �f
Project/Activity C s/i"Gi 74
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k)length 6 X 1,3 / , .4
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/Riprap length _ /p y
distance offshore® lir �(OPo�e , i,/efj
c distance offshore , (�
annel ip/eK- / 9,4 Pe ge
is yards 7.444,��,.:
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e/Boatlift
Ildozing ..-----.....,,,/—
ele/Qa?.lr O' r k p/ar rt'lti
a ›r2q / do"""- set./1h-1/ i'/`
Lenge /y / X/ �1 �
not sure yes ® /� `f L� �/l C/Gi��ht
not sure yes poi,,:;,
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im: n/a yes ��j ! _ Pr. (& . , , , , >
yes Cy' .2o/ v.D�,+a /ri..
:cached: yes V
g permit may be required by: 144^/j''4 f$vj//1 67P 1,5. 1 I See note on back regarding River Basin rul
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FRS Marine Contractors, Inc
Complete Marine Construction Sery
For Over 27 Years
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' iiiikkld k Orj ifil CAPT. ED FLYNN i:, - DURWO
5H j? , Piers, Floating Docks, Pilings, BulkhE
/// /,iC�wn �� Boat Lifts, House Pilings, Repair.
I C►�U p P.O. Box 868 Phone/Fax: (91C
i Wrightsville Beach,N.C.28480 email:eft
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit 2' '4
Address of property 309 Al, (/ /Oi j low)119v,) i3L9 IUG,
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me as shown on the attached
drawing the development they are proposing. A description or drawing, with
dimensions should be provided with this letter of notification.
Please initial below if you have no objections.NL'0 et/Lid/gift
t/ i /gift I
VV I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, N. C. 28405 or call 910-
395 3900 within 10 days of receipt of this notice. No response is considered the
same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,boat house,lift or
sandbags must be set back a minimum of 15' from my area of riparian access
unless waived by me.(If 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.
1'.1 r f(ac Signature & Date
0(4'74 00--, Print Name

•
R:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY .
Mete items 1,2,and 3.Also complete A. Signature
1 if Restricted Delivery is desired. El Agent
X
/our name and address on the reverse /,!• C, ( . C•( ❑Addressee
it we can return the card to you. B. Received by tinted Name) C. Date f Delivery
i this card to the back of the mailpiece, -, �
the front if space permits. Sh • f (c'x -i H•-'A',- //a/C
D. Is delivery address different from Rem 1? ❑Yes
Addressed to:
If YES,enter delivery address below: 0 No
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3. Se a Type = 0 o O-a
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Certified Mail 0 Express Mail 3 3) m -4
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f/ 4/8- ❑ Registered 0 Return Receipt for Merchandise ] m
"''/" ) 1/pb ❑ Insured Mail ❑ C.O.D. ] o m
✓ 21 7 L� 4. Restricted Delivery?(Extra Fee) ❑ Yes XI
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Number 0 gc, 1) obp V3 {f O,5 ,9 "i J .cmipp =
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3811, February 2004 Domestic Return Receipt 102595-02-M-1540 % "Cm C en {
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