39877D - Salemme

IT CAMA/ DREDGE &FILL
GENERAL PERMIT _ Previous permit#
1 New Modification �1Complete Reissue Partial; Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Reso rces
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7/1/, /Z 4d
[$Rules attached.
nt Name I P✓1 ... ?/per in t. Project Location: County
ss Ni 56, %' r t Street Address/State Road/Lot#(s)
a., �5/4 0State tie ZIP 2-rt,a� Ja lnm-
#( ) Z©I /7/2 Fax#( ) Subdivision
-ized Agent City _ ZIP
d ❑CW VEW APTA ES ❑PTS Phone# ( ) River Basin
): ❑OEA ❑HHF ❑IH C_UBA N/A Adj.Wtr. Body 00q 41:5 6 in!., (nat
PWS: ❑FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body
of Project/Activity /�0/ja, 4,/ jGw f" i ?4,-
(Scale: / -,:
dock)length-
rm(s)
-pier(s)
length
number a,,,, Ca 14
ead/Riprap length
avg distance offshore
max distance offshore J
per'do
channel L 4.� I ..___,._—_.� f,,;ai;,,1 /r i j "
:ubic yards - , ?,? —
i-amp ,
ouse/B rroa,_ J Z )
i
Bulldozing 9/ /0
?I/r, a4
line Length //1 0 k
ZD
not sure yes
ags: not sure yes no
:orium: n/a yes no 1 s: yes no !r{ r/ T i!' 5/,
r Attached: yes (no D.
ding permit may be required by: f 045� ,f/;llC /e `ait a , /( . I See note on back regarding River Basin
/il/l ..L / • //l/ Z ./ A l /J ./ 1.7 ._

GENERA_T; PERMIT COMPUTER FORM
N=N_: Rebe(/' SA a isAR
ADDITIONAL NAMES: •
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=C DESIG: D�V:LAP ARPL-t:_ILO PROJ DISC: R - lZ
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WORK: 6L /Z , a
: OW 144
( -caky=I=6)
ACTION aATLON
D_=GE.&ri+J.R QT..72=:
CAlvf-k MAJOR DEN. :

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DIV�S�19N QF cQA$TALMANAGEMENT
ADJACENT RIPARr I'` ROPERT'y OVfj,1EI NOTIFICATION/WAIVER FORM
me o(I'nd•iv:idual Applying For Permit; . Rt, e . SG, _,42„Vs.\�
:tress of Property: 119 5E 1 ' St-
(Lot or Street #, Street or Road)
Doi- SS I av144 /13V—tA S V,, t c k Co
(City and County) •
:rehy certify that I own property.adjacent to the above-referenced property. The individual
1 ying 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
nit-) 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, mooringpilings, breakwater, boat house or boat lift must be set
a minimum distance of 15' from my area ofriparian access - unless waived by rue, (If you
to waive the setback, you must initial the appropriate blank below.)
0.
I do wish:to:waive the 15' setback requirement,
I do not wish"to waive the 15' setback requirement.
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?game Date

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Kevin Bell
117 SF 4th St nak Islanri NC: 9RdF�

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D(V)S�(9N.op COASTALJv1ANAGEMENT .
AD.iACENT RIPARr lTTROPERTy OWNEI NOTIFICATION/WAIVER FORM
•
me of I•nd•iv:idual Applying For Permit: . 1e-'r1 SA-1,e-vv‘vv\e--
cress of Property: / /9 SE 4\ it S fi
(Lot or Street #, Street or Road) n
ret— �S !atAk / 13Vsojwick CO
(City and County) •
reby certify that I own property .adjacent to the above-referenced property. The individuai
)lying for this permit has described to me as shown on the attached.drawing the development thcv
proposing. A description or drawing, with dimetasions, should be provided with this letter. •
XVX..914 I have no objections to this proposal.
rou have objections to what is being proposed, please write the Division of Coasim
nagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
hin 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
ider-stand that a pier, dock, mooringpilings, breakwater, boat house or boat lift must be set
2 minimum distance of 15' from my area ofriparian access - unless waived by me. (If you
h 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.
' Ati-e
?Fame Date ArCirA

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Kevin Bell

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