42033D - Schooners

!-CAMA / \REDGE & FILL • , .l`Y® 4
iEN ERAL PERMIT Previous permit#
New Modification .__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 '/ //(:)`)
C n. ^�` es attached.
:Name X 4 YI< < i), WA-�ri J 0— f 0O4 Project Location: County 1?&1 s t j;CK
/y 11— /y/( AbtR wad Ij St. 5.1l • Street Address/State Road/Lot#(s) /9 iv-/f0/ ,
(.Ff}N P !3(/I State.' ZIP arl(y y//r L,/OO7 � • s-i-
(1/U)37 Ip' .I Fax#( ) Subdivision S(..X*J-'A ( .evil.
ad Agent SC it/ /314/NS Cityd(Fg r./r. 3.6+(// ZIP 'Yt
cw Ng* [ .P A s/ ❑PTS Phone# ( ) River Basin I k %be
OEA ❑HHF ❑IH UBA ❑N/A Adj.Wtr. Body AJ In/h./ iiip r
L PWS: ❑FC:
yes / no PNA yes /) Crit. Nab. yes / no Closest Maj.Wtr. Body ���✓h/
Project/Activity 64-0(4/84,) i/fit 'A.+
(Scale:/ _ ;
:k)length
er(s)
igth Q,
nber 1,} �/ ey '
tiprap length i`)0 �� pcaJ `\ p fig
i vji ell y
distance offshore a '` r�
x distance offshore 4' �`
annel ''" ' .. "."'
lic yards _ - T
'p cYis-h "A ' 1
se/Boatlift
illdozing
P L- �-
p
Length �J"
not sure yes 0/�
not sure yes 0
urn: n/a yes no
yes
,ttached: yes
ig permit may be required by: 4 N'VSh4/;CO t.0 . . See note on back regarding River Basin r

.
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: /`�yv1 a_DvaQ
tio
Address of Property: /9/V — /50// /vo,el/c c O <T $ L j
(Lot or Street#, Street or Road)
064,13-e_te--.-_,- g-F=0-0# n
i .. ?044
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individuu
applying for this permit has described to me as shown on the attached drawing the development the
are proposing. A description or drawing, with dimensions, should be provided with this letter.
,,�1-- I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390
within 10 days of receipt of this notice. No response is considered the same as no objection i
you have been notified by Certified Mail.
WAIVER SECTION
[ understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
;et bck a minimum distance of 15' from my area of riparian access- unless waived by me. (I
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
VA)4 r I do not wish to waive the 15' setback requirement.
4040441- iki .u- -(24-.— 7 6 '2 > —
iign Name Date
A .) 'I ) _` . ,__ I - 1._ . I , _ , V A

ADJACENT RIPAgLAN PROPF .TY OWNER NOTIFICATION/WAIVER FORM
ame of Individual Applying For Permit:
04.J
,dares of Property: /9/4( -/M 6, /e/i1D6
(Lot or Street 0, Street or Road)
,✓,C. �65
(City and County)
adjacent to the above-referenced property. The individ
hereby certify trot I own propertyJ
ipplying for this permit has described to me as shown on the attached drawing the development t
ire 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 Cos
Management, 137 Cardinal DriVe Extension, Wilmington, NC 2$405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no object(
you have been nodded by Certified Mail.
*MAR SECTION
I understand that a pier,dock, mooring pilings, breakwater, boat house or boat lift mm
set bck a miainsem distance of 15' from my area of riparis° 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 Llama wish to waive the 15' setback requirement.
Ku? ,AZt - 3 - c'S
Sign Name Date
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