40495D - Snipes

, InyAMA/ DREDGE & FILL r4:,'' 4.
kENERAL PERMIT Previous permit#
flew Modification Complete Reissue Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources t/
oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7 ff ./)0 U
43RGfes attached.
:Name ;o kN . SN, pe l Project Location: County 64 tinf hv((,/L
7 o A 1 I iN L( ,t, c . / Street Address/State Road/Lot#(s) 1---o 1 y„)
Ole c State NC ZIP .. 740L( DNN\oscil'
(q I?}'7 3( - 10+? Fax#( ) Subdivision D WMe5 C.4i" E
'd Agent Ci+f{ liaaQti City fP l Lp P.- Q t 4 ZIP ;4 14,
c v V4rA J•e ❑PTS Phone# ( ) River Basin Z.4 rl7 ji
❑OEA ❑HHF ❑IH E UBA ❑N/A Adj.Wtr. Body 4T14 LA) OriDr
❑PWS: ❑FC:
yes / no PNA yes /�io, Crit.Hab. yes / no Closest Maj.Wtr. Body ArWw
Project/Activity Atv44' f;e' p/w47544, -Doy< , �Z.Erju / ( '' ck' b.-f1
(Scale: = S
:k)length "--1f K 85 -- h. "---..—..
(s) IS 'Ps i(ovP4&O 15'rti,k,
er(s) ser- ACrC a. I.IS 4coF e0 r SE'
igth 711....7-40' I
nber ( +�' • �`
I/Riprap length 46 X( • • N,
, /5,/ ;N.
distance offshore t t P Is. , 1 s€-r mac.
K distance offshore 15
annel /4 C ""m""` i'Le
,ic yards \
'p yr I 0)
s Boatli l4,rx jI1, , Pi fp
4 4:, ' wig P- rt
dldozing
Length /!X ' it
not sure yes Cc) .�'' ----- 4 UC'� 4. �V_ /
not sure yes �iyl 1
um: n/a yes (\ C £ t Y7f f t.iAL(kA y
yes o r V—
ttached: yes o
ig permit may be required by: / 4," r3..Q4cif See note on back regarding River Basin ri

AUG-09-2005 TUE 02: 12 PM FAX NO, P. 03/
AUG-09-2005 TUE 10:53 A11 COASTAL CONSTRUCTION FAX NO. 9108425470 P. 02
DIVISION OF COASINAMANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NQ' TION/WALER FORM
•
Name of Individual Applying For Permit;
Address of property; 3 a,v b+ ?'
(Lot or Street#,Street or Roe
(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 been notified by Certified Mail,
•
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set
bek 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.
>C _ I do not wish to waive the 15' setback requirement.
Sign : T Date
(_t—o---r l �.vNriscn �°��^''z'P''```) rcirA
Print Name P C- l

•
•
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse
so that we can return the card to you. ❑A ent
• Attach this card to the back of the mailpiece, rtnl\\ Addressee
or on the front if space permits. a
D. Is delive .•.ress different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
PaC—d0 1ov 36
CD )_c\ C. 3. Sery e Type
l}-��- Certified Mail __Express Mail
%AU t.L( 0 Registered k3"Return`` Receipt for Merchandise
O 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number(Copy from service label)
a
9oo4 10 coo 3 dt 3
PS Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952

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U.S. Postal Service.,
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SuMiy,NC 28462
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