40462D - Smith

'CAMA/ DREDGE & FILL N9 4
3ENERAL PERMIT Previous permit#
New JModification 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 "717// I Z04
Li t1fes attached.
t Name /A)G/*At itti fi^ Project Location: County ,,4 /✓ .c I.t t/;(d
6D02 jjt'' ) /,1('4 / 4,--� Street Address/State Road/Lot#(s)
)s A ... 1, ti,1 State AYE ZIP 445— — ??<1 hi
( ) —rilletMO 7'01-If 3 Z Subdivision
ed Agent AMP City _ ZIP
Cw EfeEW CPTA aie ❑PTS Phone# ( ) _ Ri er Basin _
OEA ❑HHF ❑IH ❑UBA C N/A Adj.Wtr. Body ✓, (nat
ir
PWS: ❑FC:
yes / r PNA yes / 0 Crit.Hab. yes / 6,1 Closest Maj.Wtr. Body 'V
Project/Activity /Y11166 PAf Apt/ 1, YA 7— /t ad AI lAb 7/-4, dam' IVA 7' L.74
(Scale: /'!
:k)length 300 y 5-' _
(s) y 1r,L /ON/i0 eli7/ *#I' 6/14
er(s) O O
'gth -40 4/ , Lit
nber /� #/6, it r �fp�T�-1 Tt
I/Riprap length Z
distance offshore
K distance offshore
annel ,- tLtEs '
sic yards
/o x/a 3D0 x
ip Pam'`
re/ oath ''
Ildozing ,r/
7w*-e, /II y/O
Length ;U I
5-0,,not sure yes
not sure yes 4002 Cam')e5f r+(7 e k_,7r
urn: n/a yes
Yes
ttached: yes •
ig permit may be required by: Of/4 Z / h ) See note on back regarding River Basin ru

/ .
Q C1,
Q 0
, 0\ )
C' Li-7))a 4 CZ, C)�

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
�
Name of Individual Applying For Permit: (� ,r- ti �-
Address of Property: (d0�- ,J es+ b e c.C1-1 D
(Lot or Street#, Street or Road)
C7�1-Z S C.v ) 1J C .
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The individ
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
C?-,_c‹ - 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 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.
a.Ax 3 2`) Zoos
Sian Name Date
AMA

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: /rl//y/e ,c(<Rre7/--
Address of Property: CON -+ c C1i Dr .
(Lot or Street#, Street or Road)
C sSCf)-10 g sYQ— .
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The individ
applying for this permit has described to me as shown on the attached drawing the development tl
are proposing. A description or drawing, with dimensions, should be provided with this letter.
Ile) I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3S
within 10 days of receipt of this notice. No response is considered the same as no objectioi
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 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.
Q4
\
mi-
Sign Namq ate
1 /\ A _ r, AMA

•
•
•
•
90'0 .ii'it 43t25 :1/ 21? 't07E50:'
'.:
o
- ----- pr1h:, Drat�
,Ill Ia /d Jd �O� Il
�� HNIIOUVO NIHON'ONVISI>IVO
44C7/7/47
-
o f s s v ,o ANVdWO3 isnat 8NV ONDINVB HJNV88
70?IIIII LE S
9 4vvip0 00
,437A,o a,,,.o,
10o'00/ s r D Al