42005D - Prevatte

CAMA I. DREDGE & FILLitit‘K )``if' 4
IENERAL 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 . 7cG2 O
❑Rules attached.
:Name /14t (//.4e / e f e ila ftC Project Location: County lb,`/ f� G,ii✓.0
N 2 S�r//.9 ('fee, L/'1 • Street Address/State Road/Lot#(s)
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'/ frov ylv State/V ZIP 2 g i/// /�, i li ('/e.•f Lid' ,
(9/U)✓ad,,62 O'f Fax#( ) .^ Subdivision
:d Agent Ay
4/,/r �/- City ho-/' )!h ZIP 2g 4'
❑CW AixW •PTA ❑ES - PTS Phone# ( ) 5+! River Basin CCU.
❑OEA ❑HHF ❑IH ❑UBA !I N/A
❑ PWS: ❑FC: Adj.Wtr. Body liCeVe 5 C. /«,e /n
,es / PNA yes /� Crit.Hab. yes / no
Closest Maj.Wtr. Body "''"' Sd<!i
Project/Activity 7r1,S 144// C 'ie's - h'e T//f /" ,4 ��,
k�'S -/hl // . KC p- tex/?7/ G n, � . �'.
S �' R / /!Xi /� (Scale: /
:k)length
er(s) r /
,gth 13 x 12
nber I
I/Riprap length .NDIE
distance offshore t;'/';, L' Le.0.."
c distance offshore l r
annel / \ , U'
is yards //� /` 1 y�i 4l
ip Baszc 0 , f \ i
4 \) 64. ''',--..!
7 i . L.1_ V= -------- ' --
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I ldozing lY `
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not sure yes (p 412 Sf 1 e/C L .
. r 'fit
: not sure yes e J r/ C el—
urn: n/a yes I� 0v
yes ig
ttached: yes
ig permit may be required by: Ant CO • 1 See note on back regarding River Basin ru
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Nrane Of Individual Applying For?wit: /'TC Xcl
Address Of Property: /(p 02. S lam;,, �1 t i l�an-4-
W: ,v‘..11n41:9/1 c_
(Lot or Street e,'Stmet or Road, City & County)
I hereby ;er'.ry that I own property adjacent to the above-referenced arooer,,. The inaivid'.tal
applying; for this permit has described to the as shown on the attached drawing the delhelcrpmeni
they are proposing, A description ar drawing, with dimensions, should be provided with this
V
_I gave no objezor2s to this proposal.
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na ,m •, tor. �l nH�sal.
34(?:) unpin l tl rfa��c ref r,�-0+rt r,r•;�;zo_mporse c+ -,
iS Cntai =r the T*t ac
if vein havft u'�C if riiJ?y C,crtifiM !fad a nn 0� t�7r•
W&MR SECMON
I understand that apim-, Citric mooring pilings, breakwater, boat ham lift;.f' or sandbags
back a minirr�im di.sanx � of � digs must be
of 15 from my area riparian a'n'gq i;uiess waived by me. (If your
wish to waive the setoack, you ?}Mitinira? the arri late blank below.)
VI dd wisr to waive the 15' setback.;semen.
I doe' wish to waive dm 15' setbael: requirement_

kW At" RTPAR?ANPRCIP 'R'f' r (� ___ �T 'F'[(` -mr41 MItnit
Nair=Of Individual Applying For Perch: /',- 4Q G/ L . ,'Q ✓at- e
Addi ess Of Property: /‘02 Sp/ .. C - 't_.
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(Lot or Street#, Street o Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individxal
applying for this permit has described to ire as shown on the attached drawing the development
they are proposing. A deutription or drawing, with dimensions, should be provided with this
letter.
I nave no objectiaoas to this proposal.
If u have Lion rat i� i d �lPSICP writ. tC i_Sssinn of Cc tal
�fasla� -m err 7L7 AStn and' al •
,� p�T#minatn*r Nn-th {~s�relinx 2&:c '� ^•� ,- :�r r-� i � t� ivy_
SRrithi •pf n > (`L` 1 A TCSpon �C CY?S1S7d te4 th , .n »e7 eirnPi e,�n
if. m hsrve.i n_pritifice by f rrt-i5eri !v5aij
WANtit Srif'TION
I undersiand that spier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum divan=of 15' from my area of riparian aumss unless waived by me. (If you
wish to waive the setback., you=Kt inidal the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do n t wish to waive the 15' setback requirement.
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