39873D - Scronce

IC ='VIA/ DREDGE & FILL 6/
GENERAL PERMIT Previous permit#
zz+New _Modification -Complete Reissue —Partial Reissue Date previous permit issued
iorized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7#. //Q® 7 4 /ZPO
,l -Rules attached.
J4 'ant Name I4 •x rD n .e Project Location: County Ar-1/*,56•►Je e
ss Z/a?t Z(01' zi, 14 e Li- 4j/ Street Address/State Road/Lot#(s)
©Kfi4GnI State/Pt ZIP 2I(„,7 _ s,FiA e
#(9/0 ) -70515" Fax#( ) Subdivision
-ized Agent 7 n i y 4rry City ZIP_
d ❑CW NkEW [PTA 5rES E PTS Phone# ( ) River Basin
OEA ❑HHF ❑IH L UBA ❑N/A Adj.Wtr. Body /9/OA) (nat
❑ PWS: ❑FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body
of Project/Activity ,,,p„i � �;tr Lam,'/A 7-_, .,i)f/[7�h-. / �/Oi se p%� f 4..f e
v!/��P ,/ / (Scale:
dock)length 74e)'X 5‘/
rm(s) /OX/Z
r pier(s)
I length J ')
number 4--- f_ lr /2 • 4
fUX2
9d/Riprap length /�y' ,tov n
�rJ�. o
avg distance offshore
max distance offshore IIE Ia x /Z 1-{t ii
channel _
cubic yards
ramp Boat /Z X �Z A" 7� 1e .`
i Bulldozing
rY/Dk / /DX,-
dine Length 60 dG0 GCS• 4 0. i
not sure yes
)ags: not sure yes no
torium: n/a yes I:)
ZJOYE- //A`47'IJ/` Z/PZ el: 1
>s: yes rf/Q
ar Attached: yes no
Iding permit may be required by: ;Ai,of ,1,1.141..4,6.4,1( See note on back regardir3g River Basir

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GEN-ERAL PER COMP LITER FORM
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A.DD1i1O^_?NIL/YES: • ft /
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Cal only:a :6j (Will cniv tai:c?)
WORK: x5 N
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ACTION ION EX?L�=_�1 ON
: DREDGE&I —1",REQ i ''D :
. CA-NLA.MAJOR DE SQL =:

•
. ..- . . .. ArnerCafl Fish Company
3ip , ;::'`'.;ti • P.O, Box 11046 c
- Southport, North Carolina 28461
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DfV1p NOp QOAS1A viANAOEMENT
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ADJACENT RIPAki I PXOPZ QWj I NOTIFICATION/WAIVER FORM
Name of-Individual Applying For Permit, .c i, ' )
.Adcress of Property: ZIC`L a_\Q 4 1J -
(Lot or Street #, Street or Road) ll
.S)1O • co
(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 a ttached•drawing the development thev
are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal,
P P
If 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 been notified by Certified Mail.
WAIVER SECTION
•
l uuderstand that a pier, dock, mooring'•pilings, breakwater, boat house or boat lift must be sec
bck a minimum distance of 15' from my area ofriparian access - unless waived by rne. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish:to:waive the 15' setback requirement,
_y _- I do not wish"to waive the 15' setback requirement.
z.../4/z7v
s!vi, Name Date ATTTA

DVIS19N QF COASTAL,MANAGEMENT
ADJACENT RIPARI l`PROPF T'Y QWiIEI, NOTIFICATION/WAIVU FORM
Name of Individual Applying For Permit: .' \ r\2_ c ,v2p,Ca_
duress of Property: 2-1C 2 ; ',),AfL 4 \j, i AiN
(Lot or Street #, Street or Road)
• (City and County) •
hrreby certify that I own property .adjacent to the above-referenced property. The individual
ipplying for this permit has described to me as shown on the attached drawing the development thev
'Sc proposing. A description or drawing, with dimensions, should be provided with this lerter
I have no objections to this proposal,
f you have objections to what is being proposed, please write the Division of Coastal
Ytanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
vithin 10 days of receipt of this Donee, No response is considered the same as no objection if
•ou have been notified by Certified Mail.
•
•
WAIVER SECTION
understand that a pier, dock, mooringpilings, breakwater, boat house or boat lift must be set
Ick a minimum distance of 15' from my area or'riparian access - unless waived by me. (If you
v ish 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.
Zg, zoos�enPn Name DateA/TA!( �qu U,r«", of pod, Lo„us u S

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature ,,
item 4 if Restricted Delivery is desired. X ,J C��' . „ C,Agent
• Print your name and address on the reverse C'j Addressee
so that we can return the card to you. B. Recdved by(Prin d Name) C. Date of Delivry
• Attach this card to the back of the mailpiece, /
or on the front if space permits. ae ra-I Yl^-AS 1-(Z 0S
D delivery a.-.-ss different from item 1? 0 Yes
1. Article Addressed to: •
If , - -, - ery address below: ❑ No
W \LLL A S . - thAS h 0`
w1 - a e4
� � C ❑ Mail ❑ Express Mail
y `N. �rr Registered 0 Return Receipt for Merchandise
^'7 ". \ El Insured Mail 0 C.O.D.
Cr ? 4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number / r-f Q
(Transfer from service label) ��/er(0 0J (pp / ! GlS
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

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