41495D - Sanderlin

LAMA / DREDGE & FILL N* © 4
a/ENERAL PERMIT Previous permit#
rNew -'Modification L 1Complete 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 I 5A NCAC -114. jZ�a
' Rules attached.
:Name 1ST LL y 'A cl( L4 ,./ Project Location: County O,JSw)
LA 0 5AL V/ sty/ b Street Address/State Road/Lot#(s)
1 opS 4vil L 6E 4 Statel.)C- ZIP 2 8`66 Lt o -5 e—vz E r✓ b r
(21Q)123- / % Fax#( ) Subdivision 0,A P 6 1SL+\b.)i)
ad Agent City J.T;PShTL gEAc ►t.- ZIP 2-2 Li(
CW 'FEW TA E ES ElPTS Phone# ( ) River Basin 9/HZTE
ElOEA ❑HHF {�IH UBA 7 N/A Adj.Wtr. Body f1(urr p S...- b (/n
❑PWS: ❑FC:
0.?no PNA &alp no Crit. Nab. yes / no Closest Maj.Wtr. Body Pk‘‘.1
Project/Activity v S-t ,L_ I-L F 2 / 1 i-j x Z-O J - 1-1 E A
(Scale: II ?i
:k)length (4) )( 3 L.o
er(s)
'gth /0' 0 u rc I1TH '
1I D1 l/nber
I/Riprap length / 01/a V iv distance offshoredistance offshore annel tt
is yards1/�6
;p li( V lI ✓ l;/
�;e/Boatlift Vli41Ik
Ji 01
dldozing V U 11
Vo. T**F I 01 On.P -
WE - -rVPJCHL� j3j?,it
Length C MPI. W /�— 457 Si
/not sure yes no t ! I
notsure yes ©o IZQ/um: n/a yes �� ryeSLL NE!
ttached: yes c.
ig permit may be required by: 'V , I , 13 , See note on back regarding River Basin ru

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: /c , 1/ ,l
Address of Property: a � '�� 5d age/
(Lot or Street #, Street or Road) G
g2A./Vg
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individi
applying for this permit has described to me as shown on the attached drawing the development th
are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you 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.
-/t/6.5".
Siy a e Date
/ AMA WA

i/P, W
i7/ .-t P,`« 3,10 fre^i 01 ;
r/4 R r O f 17%,2 0' / iton. j�()se
I Ser aim* of Keg. /drfes.� �/�
o,rry A./Ave.., ,��
-d�� �� IMPERVIOUS AREAS:
GLA /6)(-.2-a 3420.87 Sq.Ft. HOUSE+COVERED PORC
.� 1908.98 Sq.Ft. CONCRETE DRIVEWAY
f'Gn 3z0 Gae �Nr0
,� / N 5330 Sq.Ft. TOTAL IMPERVIOUS
ram.
!e'A►.SS /a N
(!/�G2 5844.57 Sq.Ft. LOT AREA 75'
/ FROM WETLANDS
1045 Sq.Ft. PORCH & HOUSE
AREA WITHIN 75' AREA
FROM WETLANDS LINE.
C 17.8% PERCENT COVERAGE
CA WITHIN 75' AREA
(TYP.)
I i
FROM WETLANDS LINE.
404 WETLANDti
C
��n S� /�knew r/sus- F-/S 1//?/sTh
� �a 5ETHACK
/�,,�Cfrr, /..;0,G Cam/
0 /_
53 54' 6 �lG AAA Ks A'7V WETLANDS
UNE
OPEN
DECK io
10'SPTD/GK I'510E 5E7-D
N COVERED P RU1 r PENETRATION
CD po5e p DWELLING ON
FLOOD 0 °WftL1N6 8X8 PILES
`�' 2.° .f 8' MIN. DEPTI-
ZO \ E VE v
(EL 12) Id•COVERED PORCH 9' ——- --
neWAY
) ZONE LINE I 49.62'
,"'AL) \ I 6416' I 80.00'
,g/ t
\ 30' M .g .L

R:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
plete items 1,2,and 3.Also complete A. Signature •/�
4 if Restricted Delivery is desired. ;A / ` , CI Agent 3your name and address on the reverse X , (,, ` �" ❑Addressee
at we can return the card to you.
:h this card to the back of the mailpiece, �Aeceived by(Printed Name) C. Date of Delivery
i the front if space permits.
D. Is delivery address different from item 1? ❑ Yes
Addressed'�to: If YES,enter delivery address below: ❑ No
/ ,//,,,,, W/l/T-C // /i/ 3. Service Type _
/ Certified Mail CI Express Mail r. On I COO,3
�Gi PS 7 i 4' /l939/ ❑ tegistered ❑ Return Receipt for Merchandise 0 C ‹
❑ Insured Mail ❑ C.O.D. Lf1 c [ O S
4. Restricted Delivery?(Extra Fee) 0 Yes O 2
_Num _ rn
Per fomservice lab( 7004 2890 0003 7348 2858 zg l`7s a-
13811, February 2004 Domestic 102595-02-M-1540 w = \ \)
•
❑ `'i
. ❑ \.\
: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY W
>)\%
ete items 1,2,and 3.Also complete A. Signature '.
—
if Restricted Delivery is desired. X Dent 03
our name and address on the reverse / ' i El Addressee J
we can return the card to you. B. Received by(Printed Name) C. l ate o Delivery 0
this card to the back of the mailpiece, �`� 0 0
he front if space permits. bU
D. Is delivery address different from item 1? ❑Yes rL
addressed to:
If YES,enter delivery address below: p No Q]
. -1 'N
S "4 kid" L., S-fp-1,)T'h/ 1
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0 r�k i�/r e//c1( D/2- 1.1-1 \\�'
///��� J/ ��� 3. Service Type `CNts
'/VGA6a r-7, v L 0.29 ip_ Certified Mail ❑ Express Mail r
/ LJ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
-EA
4. Restricted Delivery?(Extra Fee) 0 Yes ,• \
v
lumber 7004 2890 0003 7348 2865
o
from servic g H
3811, February 2004 Domestic Return Receipt / .102595-02-M-1540
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