41570D - Tulis

1CAMA/ -- DREDGE & FILL !`t.T9 !
3ENERAL PERMIT Previous permit#
New Modification L_IComplete 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 I 5A NCAC H., ? Z 0
yRules attached.
t Name 1-gc..(-9-1 1"1,„ LZ S Project Location: County 0► D•..-)
y 5 o Lb VI V L-A&P L1 N G Street Address/State Road/Lot#(s)
T. State 0 4. ZIP 2.8 y 0 1 - S" 01.1) \la Ll�to(s& LA IV E�
1Q1%)328-° 3 1 Fax#( ) Subdivision \lzL-L la G o1 S-r'i,,-.-, '4_
ed Agent City ti•1-, '>. ZIP Z8(N
Cw A ❑ES ❑PTS Phone# ( ) River Basin I441.--ri
OEA ❑HHF IH ❑UBA ❑N/A Adj.Wtr. Body'iA r n SJ%,,✓i.) 1- r
PWS: ❑FC:
yej/ no PNA / no Crit.Hab. yes / no Closest Maj.Wtr. Body AZ
Project/Activity '1 t,,)'1 A t. L 8 x 1 I 0 n avi.' (r 1 c)L
(Scale:It' - 2
:k)len h
(s) i X I f
er(s)
igth -
nber —
1/Riprap length ---- --------
_ ,,
distance offshore
x distance offshore
annel 1 \ I--- --- L..— w
ric yards FI rf
ip , ,7
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se/Boatlift }
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illdozing
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not su yes no
tr
not sure yes ,::..h. f '!-
urn: n/a yes (`
yes no
attached: es no � —_-
,
ig permit may be required by: A 1'- + See note on back regarding River Basin rt.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: TERRY J', !UL l S
Address of Property: 1 I 0 C?> V/LL qG e 4 AJ E
(Lot or Street #, Street or Road)
A/6RTN ToPvi-it Suiat, 1(1cC G n SLo4 O0s?7'V
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individ
applying for this permit has described to me as shown on the attached drawing the development tl
are proposing. A description or drawing, with dimensions, should be provided with this letter,
✓ I have no objections to this ro osal.
P p
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 910-395-35
within 10 days of receipt of this notice. No response is considered the same as no objectioi
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
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If y
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.
i1I ii ,/)ii`---2kino,„I S1,7 1/c

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAIVER FORM
Name of Individual Applying For Permit: SE gpy 3. Tr j.
Address of Property: It-AS OLD (f l L L,tl C.E L/},J
(Lot or Street #, Street or Road)
NOkrt. TDP'SA U_ 13101CH, JG O )5 ocJ Cou ti`Tyr
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individt
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 Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-391
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 yc
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.
fl A r \ 2

•
SITE
OLD VILLAGE Z64
A
rn
rA
in
CANAL
16.6'
NjW00D/� H\GN`l1Ay Z10
j N c•
EIP N61'25'17"15.7Dts-K6N.86e'
� 70. 1'
�' � , ' 8.28' 0
09�E_��
APPROXIMATE MEAN // 7O.63' -- --@— _
VICINITY SKETCH
HIGH WATER LINE 3.73 NOT TO SCALE
4,, .10 s TH CK--- EIP
S ,03
A
N Q
w ✓ TEPS
cn
N co 8.5' Ic.L1, ''— 0)
WOOD .
4 WALK 4.3_o
LC)
WOOD T) CKI / .7'
'r^% GONCR{ -�tLOW// ?
� � % / W
0 to
CO
40.2' rr)
(3) O)
LOT 26 `cv `•�
Cn TWO STORY WOOD _ (0 rn LOT 28
N ON RUNGS OVER CONCRETE,7 rn N
Z A ENCLOSED BELOW FOR (n
GARAGE do STORAGE -.4.---H REMOVE
CONCRETE
10.0' , 15.2' 1 1' 20.0'
-In
PORCH,N3 �I .. PORCH
COVERED NOTE
PORCH01 REMOVE CONCRETE ON EASTERN SIDE
. "! OF DWELLING
\ . 1r�PORCH
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