40464D - Styons

'CAMA/ I DREDGE & FILL ;,' .
3ENERAL PERMIT Previous permit#
]New Modification I (Complete Reissue Partial Reissue Date previous permit issued
•ized by the State of North Carolina,Department of Environment and Natural Resources d y-�
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC WI.. / U
nn [i4Rhles attached.
t Name 106 v Ste,qsn s 'E' 5i p iv h i, 7-Ev) Project Location: County 10e,1�jr
((�al 5" ii biti S tb.Ht�(1.+1 Li+ Street Address/State Road/Lot#(s) __
IGn1 64-e4 State ,ULZIP 24 3 5-4`��G
(q1 o) 3(I7--71�i 9 Fax#( ) Subdivision
ed Agent City ZIP
Cw y EW IOTA 4ES ❑PTS Phone# ( _ ) River Basin_fjQ/
OEA ❑HHF ❑IH ElUBA ❑N/A Adj.Wtr. Body ,/41� `" (plat Lr
PWS: ❑FC:
Closest Maj.Wtr. Body OL.sy
yes / no PNA yes / A Crit.Hab. yes / ry
Project/Activity //ov90 5.1 �ro j',r c�' 15 1Zo .°1t v✓t J�/a.c f�✓ Ov,� an./ G4
IT /,'I./-, (Scale: /���
:k)length
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er(s) i f— PT'_,.�p 0 �' .7 t
igth //
nber X/` 7
(-- ` ilf ,I/Riprap length
distance offshore _
K distance offshore
annel
lic yards _ (
ip
is /3 x /-3.
_ f.
illdozing I ! .
I
Lengthy
not sure yes no /7 24— K, n,4
not sure yes no
um: n/a yes no 64A/JJ b1, AV*
yes no
ttached: yes n
ig permit may be required by: /4///4/ (/, See note on back regarding River Basin ru

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: lR1u 5 i yoN15 4 ��n PH/WI E TAVt,I
Address of Property: 17 KlAiCt S Li4,0TOWN ROAD
(Lot or Street #, Street or Road)
IWO T6/1-D , p EfiJOET COCA)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development thi
are proposing. A description or drawing, with dimensions, should be provided with this letter.
. I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-391
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
•
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (Ify(
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.
Sign Name -Date
//c'$-oZ 14/7 if/ ?- /P AMA

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
vTame of Individual Applying For Permit: RLA. STt-ION 3 k 5?C-p(-lft j r Ti4A,/
\ddress of Property: 1-7,9-5 K1f1/416.5 k4AJ1 WG- RO f
(Lot or Street #, Street or Road)
EVA-►'hD5TCn-1J PEN pet Cou o
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individua
ipplying for this permit has described to me as shown on the attached drawing the development the
Lre proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
f you have objections to what is being proposed, please write the Division of Coasta
vlanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3901
vithin 10 days of receipt of this notice. No response is considered the same as no objection i
rot.' have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be se
)ck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ifyo
vish 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.
>i ame Date
CA3Nw AW-WwA.

4
_: 6__5<e_b a c 1_1 r__d r _-I s. ❑�-` _._ _ram .wsz_.�- — _�,_ �
ALLIED MARINE CONTRACTORS, LLC 08..03 1442
910-367-2159
101 PARLIAMENT DR.
WILMINGTON,NC 28411-7130 1 S . 66-19/530702
NC 'a
PAY ^f
DATE
TO THE
ORDER OF_ �,I 'V NC o
hoe,
_--------- \,- --DOLLARS 8
Bank of America
4i�ACH R/T 053000196
FOR S 7:10" S rel",�. T f 6t� , w k,
11'0014420 1:0S30001961: 0
00684 74 3 7 38n■ ri