39853D - Riddle

CAA/ DREDGE & FILL
3ENERAL PERMIT Previous permit#
New Modification ❑Complete Reissue DPartial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natural Resources i j ' /�O
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC rj
��e� G /� /Peel- / ���,—
rt Name (7 /�/� � � Project Location: County
i /Jo/ r4,7 ./ z)/"• Street Address/State Road/Lot#(s)
4/",Z,3„ /«f State/UV ZIP 2.Ye e /3Y'/ �lv1--/r / .., /,'
(' /0 ) 981',31l"t/ Fax#(9/0) y.?y/`/92 Subdivision
zed Agent J/01-7,":" ii/' /1i City (2%/0XA00 8r l ZIP 2a
i ❑CW REINCWT fA s ❑PTS Phone# ( ) River Basin e4
❑OEA ❑HHF El El UBA ❑N/A Adj.Wtr. BodyYar0 Hn /?ems h . t(nate
❑PWS: ❑FC: ✓/ /
yes /(no PNA yes /(poi` Crit.Hab. yes / no Closest Maj.Wtr. Body '4 '/% C�r"O't
,f Project/Activity `>) 3-4'4,i rf!cy �O/'/%/-a Z "2/�r / G ���'e7,///'"��
7rf/ < (Scale: / /'.
ck)length g yt(fir
, I P/e; , I
pier(s) i 401,
ength ! 3I)N�,„
f
ember
ffff�r /(� �!
lf . z , 1
ad/Riprap length , i L! ..._._ +... { —
rgdistance offshore /L' ;_tik _ t 4
y.
iax distance offshore —__ _ I _
:hannel 004/44 ,,j6 '''' ' ; '
�N Q 'T ,
1
i---i
jbic yards t
mp i _L
use/Boatlift j ' I
4
rrPj 1
Bulldozing / ' fi
I fir 6 .?y i , I f
1414r/i 'ix/y f 1 !_ /c s�is
T ��
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_ 4pe 0
ne Length �0
not sure yes 9 0 ,. - �t,4s 1,.._:,, i F
gs: not sure yes a —... � V' '`. _ f
)rium: n/a yes „D cn f � -t
Attached: yes (� - /'' i /� / I 1 l Itj
ling permit may be required by: //C).-4/©'/�►A / ,?dt Y( , . See note on back regarding River Basin

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: C4:fr7 E/ 4
ADDITIONAL NAMES:
AEC DESIG: DEVELOP AREA:» 0.j PROJ DESC:
(Will only take 6) (Will only take 1)
WORK: /2/2 , 8 /$ , 2 T
(Will only take 4)
MAINT:
(Will only take 4)
IMP: L1/ y/�v
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED:

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•+)A&TAL MARINF nnnlP.TQllrrl.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Hr.. (.:;- I jv,, ) , o
Address of Property: 1SC) / C o; a
(Lot or Street#, Street or Road)
c /,
(City and County)
I hereby certify that I own property adjacent to the above-referencecLproperty. The indivic
applying for this permit has described to me as shown on the attached drawing the development t:
are proposing. A description or drawing, with dimensions, should be provided with this letter
I have no objections to this ro osal.
P P
If you have objections to what is being proposed, please write the Division of Coax
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 Iift must
set bck a minimum distance of 15' from my area of riparian access- unless waived by me.
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.
Z •9. o5
Sign Name Date

F"i�i'1;: Tisane North — CPk F+ KJ, 91 Sf.324 Feb. 2 @2:1` P2
D4V1510N OF COAST!,
AD,Ih.CEI•••illkIPAISjAN ?RQFRTY 01,APN NQT'1FIctITIONA_V ER FQRM
Naive of Individual Applying For Permit:_�-�r _ -��N ra -t r
Address of Property: t 3 0 t (2o..4 c� � r
(Lot or Street it, Street or koa i)
/
lti}c<3 L._
(City and County)
I hm-eby certify that I own property adjacent to tl ie above•tefereoced-property. The individual
applying for this pcnnit has acsc-ibed to me as show a on the attached drawing the development.they
are proposing. A decor i�tion or drawing,with dim elisions.should be provided with this letter.
f,/ I have no objections to this proposal.
If you have objections to what is being prop mod, please write the Division of Coastal
• Management, 127 Cardinal Drive Extension, (3tm#ngton, NC 28405 or call 910-39-3900
within 10 days of receipt of this notice. No rem(use is considered the same as no objection if
you have been notified by Certified Mali.
v - WAIVER SI TerraN—
•
I understood that a pier,dock,mooring pilings, breakwater,boat house or boat lift must be
set beica minimum distance of 15'from nay area of riparian access-unless waived by me. (If
you wish to wive the setback,you must initial I be appropriate blank below.)
I do wish to waive the l.`sett ads requirement.
I not wish to waive the 15' setback requirement
Si �cry • Date
AiltAPrint N e
NCDEW
Telephone Number withArea rnrie. - - �""'°'"-`."•,""""

DATE 2/(V./ 0 $ BR
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