41496D - Stephenson

'CAMA/ DREDGE & FILL )
iENERAL PERMIT Previous permit#
New _Modification Complete Reissue Partial Reissu 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 ISA NCAC 1 u
• 1 2-'�
Rules attached.
Name Va,to w >rf E.PPE 6.."1 Project Location: County 7.64—Q ./
'135'9 °tip N i . Street Address/State Road/Lot#(s)
if GS'f'-J _State►X ZIP1B'4 q c.d. q 5 °ITu ST
*) 101e-lila&Fax# ( ) -_ Subdivisions►A sc--r--Lt2S £4 -t+
:dAgent \ iaT 1 Gowi.S i— Cityi1.; (L''i - ZIP Z&I Li(
❑CW L›EW XLPTA C ES n PTS Phone# ( ) River Basin �?E h.
❑OEA ❑HHF ❑IH ❑UBA N/A
Adj.Wtr. Body e„avat.- LSTIA,P S3�...6(nat
❑PWS: ❑FC: /
yes r �'` PNA nil" no Crit.Hab. yes / no Closest Maj.Wtr. Body ATV 1•`'
Project/Activity �r'S%-A4-L I Z YI Z,. gl._ , . x I s G'Nr.,ciA....--- ex eyC 2 i lox I
i<rLat D i) (—IL x 12— 9E' l ta✓r`' (Scale: I''e /0
k)length
:s) ITS xIZ
gth _
---- ' (_)A 1\4 L' ' -' ' .---- -----
fiber
I Riprap length
distance offshore - ,�
distance offshore _ 3 11
innel *"
is yards t
i E 12 ---yA71
• i i e..—,- .,�
p_. 3'
e/enai Itfti e -16
Ildozing 10 r
/ \
Length 7 S
yes no I i
not sure yes pp p
�- a
im: n/a yes
(a) i 4_
yes
tached: ecs..7 no _
g permit may be required by: L 14fi . —I See note on back regarding River Basin rul

,55-
1 0
i .
,.._.• -
/1---- ip,
p3 3A� IZli,ol \ ' yl•yV 'y a
ri
a 0 -

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO 1T17CATION/WAIVER FORM
V
I,
me of Individual Applying For Permit VA 04 •,S [ EP t/C' )S c M
cress of Property: ° S`i +( T 9 s-/ c A4-41-4 . J
(Lot or Street#, Street or Road
S LA e F cry et,/ LC
(City and County)
reby certify that I own property adjacent to the above-referenced property. The individual
[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.
DU have objections to what is being proposed, please write the Division of Coastal
tagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
in 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
lerstand that a pier,dock,mooring pilings, breakwater, boat house or boat lift must be
do a minimum distance of 15'from my area of riparian access-unless waived by me. (If
vish 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.
" & I—i0A
, 1 �-�crS
Date
-� f i i - AQ=A

•
awl
/ 71.41(e)
�l�
-Taawat!nbar was BSI atp amend o;tlsw lou op I
luamazmbai vegTas,51 2q2 ofk!Rivi o;tisIm op j
(-Atolaq zluelq a;eudo zdde atl;p plui;shut noA(313cq;as aq; a q tt o; qspo
jj) -am Aq paAFAt ssalun-ssaJae neuedu jo caie Am tuoa,I,ST;o aatte;scp tantnItqut u xa
aq Isnta ail pot!.zo asnoq pot! 'ia}8eulsa[q '�upd 2nuoom'op'.taid eImp prawn
NOLL) S U AIVM
i1Ew paia0 Aq parr ou uaaq aeEq
uolpafgo on se attics agJ-pazaptsuoa Si asuodsa t ou_ -aaton srq;Jo;dia3oA sAeP OT ur
006£-S6£-0T6 11113 io corn JIs `uo3uPuIiM `uorsnara ae za Ivn piwD LZT 'Minoan]
Ie2seo3 jo uolswa aq; alum amid 'pasodond gulag si ;ggas o; suoiafgo aAcq no
-Issodozd sTtp o;snogaafgo on annq I )
%tam' sip tpjm papinold aq pInogs `suoisitatmrp tp M Dupt ezp zo uopduosap y lutsodoid
Aaq;}aatudojanap atp nuUnttzp palm=atpuo smogs se atu o2 pagUosap segruuzadsTq;ioJ r tnAj
reTIPIATPul auj -Aliadoid paottaiajaz-anoqu alp of luazufpe AAadoid tttiao I legA Xjpiao Again
(ATuno3 Pm D)
r07 Sr/o l,1 Ai
(Imox mo TES `#2aa2s.ro zoo
)'- "iv -N!S 1 l �� < 3 t-, :410doid Jo ssazp
l� .S ly 3 Nd;j N N t4(1 :4?uzzad l np!AIPIII3o atn
JAI2IO3 IK1b/NOLLVDJ?IT T ON 2TaNA O ALLI3dO21d r[�I2TKdI2I ' dfQ�+'
lr3J�I�IHYII'IVZSVOO 3O NOISIAIQ

SNEADS FERRY, NC 28460 66-19/530
[phone] S 2/y
PAY TO THE "�I /' l n1 Q
ORDER OF ' ' l�• �/ t 1" t \ $ ld B• iL
/9N6 ALA) /)a.E� /)o tc.�R1 "S
MEMO 7//
I/j / AUTHORIZED SIGNATURE_
/ 100047330 1:053000 L961: 000650E 2 L99010
•
•