42344D - Vlasov

S /1119(f �T
CAMA/ J DREDGE & FILL N? 4
IEN ERAL PERMIT Previous permit#
4Iew _JModification __Complete 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 15A NCAC H
/ © les attached.
:Name S 2 (E1- \/L .V Project Location: County �` ''
j S AZ L-VTR-W Da—. Street Address/State Road/Lot#(s)
1 SI L bf-'i— Stated L. ZIP ZF$LI(QC) 11 SAS L v S E v./ &_
( ) Fax# ( ) Subdivision
&A P E Mi-A^ob
?. 0d Agent City • I:QSAZ 11.GA4.-C. ZIP .o`1(
❑Cw Aw A ❑ES ❑PTS Phone# ( ) River Basin \AtftrE
❑oEA ❑HHF n IH ❑UBA ❑N/A
Adj.Wtr. Body )VA re% Q ` •�D
❑ PWS: ❑FC: '
des ye no PNA no Crit.Hab. yes / no Closest Maj.Wtr. Body �u V
Project/Activity `-1..,�s1.4.LL lI x 3 tc, QS LA?/ j Z )( -k7 '"r E a.b
;.'1- S -i L_I Ci 1, 11) ) 2- X IZ ? ►T -t Z l (Scale: t, t'-'
:k)length LO x 3(O
(s) 1 2..1( its i 1 t
er(s)
Igth Wilt O u r .J) —
nber —.-----_ 1
I/Riprap length
distance offshore
K distance offshore
annel 2.0
• •
icyards it
' It
_ , . t-.
ip
0 :ref 5
rLk /L ,
illdozing b
itt ii
Length )t::>." t c
arIPIIP yes no i A
� I
not sure yes ® .
urn: n/a yes I Il I I I
yes —t �__ __� _ ,... F .. j_
1ttached: yes
ig permit may be required by: N • ).P.54'11.-- 13 S Ad-I* . See note on back regarding River Basin n

)VVIO 1 ir•-•,,v i i \ J ..
;11a twat_ . i
Wmn4 ' 11 1°1
I i .
Cit •'' 00'• -
0 , r' • I
I ,
-'4.- -----7
€-'—j-TT-----r;'--lkk .,,.. 1 i.;I" 4 A, ,it't, A
•
—.•
i:
i#8 ir 1 1. ..,:lev "'? licvi,
9
/1
1 ' .it.- ,
.''' . ,... ...,..
.., ,,,,„:: . -
f W C" P
"N.4,111 1-,x5 1,3i'
lif Vit4.041 gl
1,
5-171007 5 .) 000t
1
1
I I
i
1 1 I
1
,,fi„,/,,,it,-) t.',11 Wolf.) i I
.,
1 -, ,
Nel t,-eva. ).' oc,d9
-77) 1 , ..,..
I
I . 1
j : l
9'1 fet) 1')'51•411 ft - I 1,—.:i

/JUN/27/M0N' 12: 13 PM TOWN N TOPSAIL BEACH FAX No. 910 328 4508.. P. 008
DIM Si ON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTI -IC A,TI .
Name of Individual Applying For Pennit: E &e ( J LA S v v
Address of Property; i S P\ L V t w V V
(Lot or Street#, Street or Road)
N (To L Lc Nc • 2 - 173
(City and County)
•
I hereby certify that I own property adjacent to the above-refeirenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
. 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 Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the sane as no objection if
you have been notified by Certified Maid.
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set
bek a minimum distance of 15'from my area of riparian access-unless waived by me. (If you
wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
• I do npt wish to waive the 15' setback recluirenient - . -•
•
r eaw .moo -- -

)5 08:40a Don Groff 9196666666 p.1
FU3/27/,ION 12:13 P'i TOWN N TOPSAIL BEACH FAX No, 9:2 328 4 B._ ?. 008
DIVV]SJQti OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PRO?LRTY OWNER NOTIF1CATJQN/ AIVER FORM
Name of l.ndividua].Applying For Pe n 1: $E .6 e ( 'J L A S 0\ ,. ,
Address of Property 1 1 S AO t- VIEW D l V e
r,Lot or Street#,Street or Road)
• Nogk (T-0 Ste - ,-)circo , NC 2k173
• (City and County) .
T,leery certify that I own property adjacent to the above-.efeireroned property. The individual
applying forthis permit has described to me as shown on the attached drawing the development they
. are proposing. A description or drawing, with dimensions,should be provi&d with this lett r_
(;) �rJ
°*' '\I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or mil 910-395-5900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.. .
WAIVER SE UON
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set
hck a minimum ditstanee of 15'from any area of riparian access-unless waived by me. (Tfyou
wish to waive the setback,you must initial the appropriate blank below.)
J.do wish to waive the 15' setback requirement.
n I'447ty do�lut wish to waive the 15' setback zacltaireraei�£ -- - . .- . ..
A off , c 4I7 2e /2ii / _...-�.

VLASOV 1688
LASOV
8-8917 88 18/530 CC
NC281173�CE �t_� q l
ar 2, Gvo J Date
Ne PE— ' I $ (0V, 00
kum.k-a 0,40° Dollars LJ g°4
HOVIA
CAN!7 Cv/ot, ' CO
1id k";f ("1300 L✓✓✓83l: 1867 238 L L L688