42049D - Townsend

"-LAMA / = DREDGE & FILL No 4
1ENERAL PERMIT Previous permit# 7H, )
}flew Modification 1 Complete Reissue Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural R urces ,�,,
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7/4 J, 6 .J-7A/
es attached.
t Name 15IS/ji 7 4A)/1$PN le Project Location: County Z/rvrr S t✓ �isc
/qn_tom• 6£ h f ii/'i Street Address/State Road/Lot#(s)
VI 4 n 4 State ZIP 2f06> „-rr E
(i/O) Z79 - 30Z?Fax#( ) Subdivision
ed Agent City ZIP
Cw IrEW EFTA L- PTS Phone# ( ) River Basin frI/
OEA ❑HHF IH 1J UBA N/A Adj.Wtr. Body "Q/k)/,O (nat k
PWS: ❑FC:yes /‘r) no PNA yes Crit. Hab. yes / Closest Maj.Wtr. Body a•e%rl
Project/Activity ADM eel L -ti 00/'t /149e ;' 4,s7te✓
(Scale: "y
:k)length /10 A S _ _T- s,e*/
/ i
(s) k a,
er(s) .6 0
igth / /� q Y1 'r. 1Z�iZ
ber !'T/iV 0 `1fl )‹_--
i/Riprap length _�_ 0 V
distance offshore I
x distance offshore
annel )(21,-
_)to x5".
iic yards
1p M
se/ a Z)� / -tlift /
illdozing A
700,71P,- 8'x it)
Length VV.
not sure yes o‘ 0,T- r i 7 7 J t , .r I _ r if /. di r , 1
not sure yes no / G 0/
um: n/a yes no t /!t/v 0 r41A�', VA
yes no
ttached: yes
ig permit may be required by: DA cp See note on back regarding River Basin ru

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: S19.m TQ Wri. e ,�£
Address of Property: / 9 0 $ , 7' c A t- r,
(Lot or Street#, Street or Road)
0A-1i j-S'L,46d� eve (arvr)Sic'CII 3
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individuh
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.
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
you have been notified by Certified Mail.
WAIVER SECTION •
I understand that a pier,dock, mooring pilings, breakwater, boat house or boat lift must be s(
bck a minimum distance of 15' from my area of riparian access -unless waived by me. (If yo
wish to waive the setback, you must initial the appropriate blank below.)
t-V I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
C'1vmt, uul) 12 , Loo 5-
Sign Name Date
- , T. I /

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
\tame of Individual Applying For Permit: SO r►1 / )C mSe „L
kddress of Property: )9'0 g L)_ A,A t
(Lot or Street#,/Street or Road)
•
pA'1i YSCA04A' (ervvisiv;ch )
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individua
applying for this permit has described to me as shown on the attached drawing the development the:
ire proposing. A description or drawing, with dimensions, should be provided with this letter.
.g2' I have no objections to this proposal.
[f you have objections to what is being proposed, please write the Division of Coasta
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390(
vithin 10 days of receipt of this notice. No response is considered the same as no objection is
(ou have been notified by Certified Mail.
WAIVER SECTION •
[understand that a pier,dock, mooring pilings, breakwater,boat house or boat lift must be se
)ck a minimum distance of 15' from my area of riparian access-unless waived by me. (If yo.
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.
sign Name Date
�1 . _

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