42050D - Vaughn

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`'CAMA/ DREDGE & FILL \/\1 'Nt° A
;ENERAL PERMIT Previous permit#
'New 'Modification IIComplete Reissue CPartial 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 7A,!/ ;
ues attached.
Name6/1./j v 4jr Project Location: County r.*sai �c4.
/1D 514) //46/t Street Address/State Road/Lot#(s)
aa,1 State ZIP ZW611 iiy�
(gja ) 2?-3 3/5 Fax#( ) Subdivision
ed Agent City ZIP
ii Cw I E6v ETA ❑PTS Phone# ( ) River :0r
Basin G
OEA ❑HHF ❑IH 7 UBA N/A Adj.Wtr. Body 4.60'i$ G.f ow/ (nat#
PWS: ❑'FC: L/114)
yes / no PNA ,ye$.}/ no Crit. Hab. yes / Closest Maj.Wtr. Body •/T
Project/Activity //D #J fiy94(r,,rt0.0r-74 67 4''15 s j iviikkQW
(Scale: r
:k)length
(s)
er(s) .%'
' �f
igth 'i ie'fr'"j (4 f:ei
nber !''Tr`dy,} •
?Riprap length /05-- / ,,'S
distance offshore - ''j
x distance offshore ""•"'
1 j., d v tv a/ ---
annel 4 < r — f _ r L" I - e
T
iic yards
,p l/4) `'ei' ,4 '-1 U° f,
se/Boatliftd
,7 �I
,: r
illdozing ) t"J ,>r 1}�J;..f ),1 /JI,4C?d iekni
J,I O, A et;4/ S.
yy
Length b6"—
not sure yes •
not sure yes
um: n/a yes
yes
attached: yes •
o
ig permit may be required by: /24 1 ,. IAA Q\ See note on back regarding River Basin ri

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: G-re) Ve kyk
Address of Property: pp 5/ J )'—
(Lot or Street#, Street or Road)
jkr j in/fn./m/0C
(City and County) ��� APAAC,11
[ hereby certify that I own property adjacent to the above-referenced property. The individu
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.
4sf-r I have no objections to this proposal.
[f you have objections to what is being proposed, please write the Division of Coast.
VIanagement, 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
[ understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
;et bek a minimum distance of 15' from my area of riparian access-unless waived by me. (1
iou 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.
e1.--ev. - 2'7
►ign ame Date
r-A9//..O/ T=,. ///,I/ /i77 i , ,-j«L / /. I/ .

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Lme of Individual Applying For Permit: (c v _-i
'dress of Property: 1/0 54o 1 _._
(Lot or Street #, Street or Road)
Oil 5tP+,) gi011ikadC
(City and County)
Lereby certify that I own property adjacent to the above-referenced property. The individua
plying for this permit has described to me as shown on the attached drawing the development the:
proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coasta
anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3901
thin 10 days of receipt of this notice. No response is considered the same as no objection i
u have been notified by Certified Mail.
VAIVER SECTION'
inderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
t bck a minimum distance of 15' from my area of riparian access - unless waived by me. (I
u 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.
1t7M-
gri Name ate

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