42394D - Reeves

CAMA / I DREDGE & FILL W N9 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 15A NCAC 7/ ZOO
ules attached.
Name,Teri? IC P e 1115 Project Location: County tip ♦,"
as 6 0451:111+On Atv ., 124, Street Address/State Road/Lot#(s)
I ny5404 d State it ZIP 2Vitil Wif 4Aivtg+pH A r eS /2 0
eta)770-5331 Fax#( ) Subdivision LOr17 Ai ti-1
:d Agent "4/k Am PA45 City 1 4,,, s40.t 4 ZIP 08
4freW !1TA Ass PTS Phone# ( ) River Basin eorie )
OEA HHF ❑IH ❑UBA N/A Adj.Wtr. Body 4-1 WI.' (nat /r
PWS: ❑FC:
/ no PNA yes no Crit. Nab. yes / ( Closest Maj.Wtr. Body dee&�l
Project/Activity ,y0,0eIt /4i e ✓
(Scale: N73
k)length 704 X G'
:) AtwW
gx20 A..+e.- 6,4e4-`n41
sr(s)
1
igth
iber y �""
/Riprap length _
distance offshore
c distance offshore
annel
is yards V y
P
,e/Boatlift 11
Ildozing
IY
Length WIZ / K 7
not sure es no �f�X V
not sure yes no y, 1#'
im: n/a yes no
yes no
ttached: yes o /
g permit may be required by: t ip/ [D. See note on back regarding River Basin ru

0 10 05 09: 21a Pat Hughes 949 723 5211 p. 1
DIVISION OF COASTAL MANAGEMENT
ADIACENT__RIPARIAN PROPERTY OWNERNQIJFICATION/WAIVERFORM
Name of Individual Applying For Permit: �- ' 1 aV C
Address of Property: - )N 0c n.\ a
(Lot or Street#, Street or Road)
Pt tv be R 3 14A re ‘tiN r) .
(City and County)
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.
I have no objections to this proposal.
U you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 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 bees notified by Certified Mail.
WAIVERTITTION
I understand that a pier,dock, mooring pilings, breakwater, boat house or boat lift must be
set bck a minimum distance 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. '
; \r.e ss `� `�-o S
Sign Name Date
1./.)A5‘41cvUCIN 9jCS22S , TNCr A
lVA
Print Name
0 `tea o 3 NCDENR
15w�00.1611 AIM 44111WI1M.�1b b.
Telephone Number with Area Code

-
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of individual applying for permit: ec V,e6(A/12-
.
Address of property:ead Oti&i ec / AI A7G z�r-93
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.)
V 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, North Carolina, 28405 or call (910)
395-3900 within 10 days of receipt of this notice. No response is considered the same as no
objection if von have been notified by Certified Mail.
• WAIVER SECTION
(Does not apply to bulkheads or rip rap)
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance 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.
`.
Signature ----1-j�-1Le
v 0 rs-c_.-caz„,>G-,�- 1____
I Print Name
. Telephone number with area code

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