42024D - Skinner

CAMA./ - DREDGE & FILL 9 L
;EN ERAL PERMIT Previous permit#
'New ,Modification _.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 15A NCAC —I 1-\ • i 1.—..0J
Nules attached.
Name Si51-12.. v l=. Se-T►•).J& /L Project Location: County OIJSLo
;p I j 9 l0 5/ Street Address/State Road/Lot#(s)
4.I (..Z r y Stater)t ZIP 1.24 y5 Lol t c1 6-114 S 1
( ) Fax#( ) SubdivisionOLb S C7TLt 2-5 I t.+k 1•l
;d Agent Pt r.711 rX .t 10 Atli Pa City Cju Q.c , `' - ZIP Z3 LI y
❑CW yfEW *TA P ES ❑PTS Phone# ( ) River Basins`AQ& C
❑OEA ❑HHF ❑IH ❑USA N/A Adj.Wtr. Body$714►-'-)P SJ ir,r.., > (nat
❑PWS: ❑FC: /
(es /(;) PNA yes �1 Crit.Hab. yes / no Closest Maj.Wtr. Body +✓ v\/
Project/Activity iJ ('ra G L. 3 X / L S'f&-i7 .L6J w N.,J Or C l ,so- a r
(Scale: ► :. 3%
:k)length
(s) 3X I (,
er(s)
igth
iber '
I/Riprap length �� K/IA
distance offshore
(distance offshore
annel
is yards Nt W '1 P
I90w ti
a4:oat ' I.. _ f �k1 i, r"r
dldozing I
Length 1 `Y
not sure yes no k,,.4 vj
. not sure yes no
L
um: n/a yes 4331,
yes
ttached: yes `.'7
ig permit may be required by: Q_F C• •J . _See note on back regarding River Basin ru

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1 ''/9

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
me of Individual Applying For Permit: &-e_t/ ,E,a-cv—
3ress of Property: (o(
(Lot or Street#, Street or Road)
$ct_ ' M
(City and County)
.reby certify that I own property adjacent to the above-referenced property. The individual
lying for this permit has described to me as shown on the attached drawing.the development they
proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
'ou have objections to what is being proposed, please write the Division of Coastal
nagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
tin 10 days of receipt of this notice. No response is considered the same as no objection if
have been notified by Certified Mail.
WAIVER SECTION
derstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
Ick a minimum distance of 15' from my area of riparian access-unless waived by me. (If
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.
N VVV Date
.�C AMA

- DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
ne of Individual Applying For Permit: 5-4.-V-t S K) J!X/ CR
cress of Property: GI (9 Cr"17fi
(Lot or Street#, Street or Road)
c(dVrc; 7 i\J , c ,
(City and County)
reby certify that I own property adjacent to the above-referenced property. The individual
lying for this permit has described to me as shown on the attached drawing the development they
proposing. A description or drawing, with dimensions, should be provided with this letter.
fx A --9-4 t '
I have no objections to this proposal.
ou have objections to what is being proposed, please write the Division of Coastal
iagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
tin 10 days of receipt of this notice. No response is considered the same as no objection if
have been notified by Certified Mail.
WAIVER SECTION
derstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
,ck a minimum distance of 15' from my area of riparian access-unless waived by me. If
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.
-q
03
ate"
Name ate
AMA
WA

• SNtAUS FERRY, NC 28460 66-19/530
[phone] J , —ii_)A/
•
PAY TO THE _
ORDER OF A/C D £N� $ Ztx7 cieD
lf�c� /yl)NARi='0o /f-c, DOL
MEMO _."7;711-74 --)W4A71?:/
AUTHORIZED SIGN RE
11'00 4 7 6 511' 1:0 5 3000 L 9 61: 0006505 z L 9 90ii'