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41561D - South
EAIVIA/ DREDGE & FILL N® 4 NERAL PERMIT Previous permit# w Modification Complete Reissue Partial Reissue Date previous permit issued •ized by the State of North Carolina,Department of Environment and ral Resources.oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1ii71 • //er i u/20(J , ❑Rules attached. :Name .. 1// /9 S/�. f L Z G Project Location: County /4'd-t/ //4 't fr/, 3/2. (GP l'Sr Gt/Gf(j _/'. Street Address/State Road/Lot#(s) l'," `rfSc/4//i & 4State ZIP 3 /2 (-6("5-e- vie y 2. (9/V ) 254,goo- Fax#( ) Subdivision_ / Bd Agent f�' c/Jl!t h City I /'*b/'//•/ rlllt ZI P 2-8 7` (lbw B'€w lPTA ES ❑PTS Phone# ( ) S01/ River Basin ���0 ❑OEA ❑HHF ❑'IH ❑UBA ❑N/A Adj.Wtr. Body ZGYfr7/-7/ / (nat M ❑ PWS: ❑FC: /f yes / PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body C1IfrvorV//�' .�4<' Project/Activity C��57lnee L/IZ / q � . ✓A, ,27"/ 7/ Q/ r / f / Q t.X/ �//, 4 $7 e/ /'vl/ •e i*4 44,sc.aie: k)length (p j,,� / 1. e61i; _ _.-- (s) �`'tilt c Cahn€ er(s) / igth --+ __- Ple'r 144 L./ .r nber / 1 f 1 Riprap length distance offshore (distance offshore ® —^�--..� a snnel_ IA l DrPDcsM/ 0V/ is yards P '(: /Q 2 e/Boatlift it 14- " !, ` Ildozing , //GrTr. �d"/iL/f //.,H , i. 1 e'X/'7I' 46•r/EX Length �# / ` not sure yes e,f9 •is / A / j / 1 not sure yes im: n/a yes Y1 r /r! 1 • 1 r yes & 1 3 1.2 C_.Lj�I,�!!1•sy ,P!"• + l ttached: & no Se,6r i /7 "5T., II tC g permit may be required by: /1i/', ,4 p '4' Bewe •► See note on back regarding River Basin ru J / ,• r�/d 1 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM � � Name of individual applying for permit 5ni .J! i L" Address of property 3 i ;A o 316 C1h PA" BA.i / 4Ii 3aa.." NC 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 of notification. itis/je Please initial below if you have no objections. gis',t Jjus 1h I have no objections to this proposal. flu-have objections to what is being proposed, please alta lie: Coastal - Management 127 Cardinal Drive Extension, Wilmington, it C. 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,lift or sandbags must be set back a minimum of 15'from my area of riparian access unless waived by me.(If you wish to waive the setback, you must initial the .47, ap 'ate blank below.) I DO wish to waive the 15' setback requirement. I DO NOT wish to waive the 15' setback requirement di,c,-- s---/e Uc Signature & Date fi /c/ / vf Print Name • ,� > t Te{e.,h rueimhor WI Are9 Cede r • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM - __ ___ -- i rit J. Neme cif indivdUal - ' , for pem , 1 � Address ofproperty 3l� 'v0 3i6 �'IA46P ,fin, f„Awii 73Y11* Z3 n/ � J 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 drawin! 1 = development they are proposing. A description or drawing, with imensions should be provided-withthis letter of notification. itP . 1f your no Obletiorls•AS 4 s **Iv 614 ns to llihat is d,y pose w 1e y "Managetnbnf,12i- nab-Oiive-Extensio i Wilmingti k N. C. 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,lift or sandbags must beset back a minimum of 15'from my area of riparian access un = --= - • by me.(If you wish to waive the setback, you must initial the ap• • lot blank below.) ` I DO wish to waive the 15' setback requirement. I DO NOT wish to waive the 15' setback requirement. ,I; Q Akti slyi- tq Signature & Date tO I o ji tk Print Name , MS Iwarine Contractors, Inc. ' • • Complete Marine Construction Servii For Over 27 Years iV LC j'04 /, CAPT. ED FLYNN - . - DURWOC � "�G, Piers, Floating Docks, Pilings, Bulkhe Boat Lifts, House Pilings, Repairs P.O. Box 868 Phone/Fax: (910) Wrightsville Beach,N.C.28480 email:efly 1 i►16 PA# allow Lou irmilh 4NO 3116110611 OA- G�All)idb1-, ;wail Bola 144• M 1`L NA-' 1ls / slat 2�NL r--7,—, id 5.*YtiFloor —. -�- - 5x1d Floor a_ID , -1-__ toµ s \,i J * \i, V. V ki 1 NV'�(l Sd ( 5a 'V 4 y `(� y w /� Pt fl `© ... : ,/ .ii V t;�(is7 BauIUhrn7 (eAtf41 Te STaLstfr U� Ls�LSj Co.fi/L' s STATE OF NORTH CAROLINA / Department of Environment and Natural Resources 127 Cardinal Drive Extension Wilmington, North Carolina 28405 (910)395-3900 File Access Record SECTION ,)C�y1 TIME/DATE g `oa t°' 2f/O5 NAME �C'�/1 _ ( a�,/' r REPRESENTING: /, Guidelines for Access: The staff of the Wilmington Regional Office is dedicated to making public records in our custody readily available to the public for review and copying. We also have the responsibility to the public to safeguard these records and to carry out our day-to-day program obligations. Please read carefully the following guidelines before signing the form: 1. Please call at least a day in advance to schedule an appointment to review the files. Appointments will be scheduled between 9:00 a.m. and 3:00 P.M. Viewing time ends at 5:00 p.m. Anyone arriving without an appointment may view the files to the extent that time and staff supervision is available. 2. You must specify files you want to review by facility name. The number of files that you may review at one time will be limited to five. 3. You may make copies of a file when the copier is not in use by the staff and if tim permits. Copies of 25 or less are free. 26 or more require payment in full for all copies made at 10 cents a copy; Payment may be made by check, money order, or cash at the reception desk. Conies can also be invoiced for your convenience. 4. FILES MUST BE KEPT IN THE ORDER YOU FOUND THEM. Files may not be taken from the office. To remove, alter, deface, mutilate, or destroy material in one of these files is a misdemeanor for which you can be fined up to $500.00. 5. In accordance with General Statute 25-3-512, a $20.00 processing fee will be charged and collected for checks on which payment has been refused. FACILITY NAME COUNTY 1. Sr�ei / / 1- c 3<2 CuceIdy /'/H Co 2. 1T' n DATE 2 \ PAY TO THE '��/12 I (/h ) • ORDER OF UC /{r�,�, ov� ' DOLLARS E RBC Century R RC RBC Century Bank Wrightsville Beach,ach, Z- NC 28480 FOR l JYI f 2 31 116000 3 L 68 Slim 1:0 5 3 1008 soi:lo 2 7 200 580 9ii' •