42069D - Whelan

CAMA / DREDGE & FILL Af( L ��`' �-
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.ENERAL PERMIT Previous permit#
New Modification 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 ^/ • `• '
Mules attached.
:Name 0.,14(L LS \\/4 E.L. A,..) _ Project Location: County Pc �b S" (j,,.
2 l 1 L L A,F"t1S to CO LA t"'c Street Address/State Road/Lot#(s)
aLat&t4 StatelJL ZIP 21(0) 9 10►1 N• OE la lL JC-12 R-D -
( ) Fax#( ) Subdivision
ad Agent City 5i-a.F y _ ZIP ZSL)
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❑CW '(EW [ A ES ❑PTS Phone# ( ) / River Basin pt
❑OEA ❑HHF CJIH UBA ❑N/A Adj.Wtr. B N M P sa v`•41 ( s r
❑ PWS: ❑FC:
yes / "® PNA / no Crit.Hab. yes / no Closest Maj.Wtr. Body itw
Project/Activity Z -.p a. 6 X t 11 J f I t tL K.1 J io i 2-1 T. )i r.K11> !L
Z- ATLl A.7- (Scale: I "1
:k)length to X ►'A0 flew, n SVtiwh/
(s) 10 x 20
er(s) 10 � .
igth
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I/Riprap length
distance offshore 41111 6 I
K distance offshore
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is yards IL `'
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Length 52+ r
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Mbyes no 1}
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not sure yes
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urn: n/a yes
yes CD
1tached: yes 0
ig permit may be required by: S(A 9_9 .i 1\/ . 7 See note on back regarding River Basin ri

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DIVISION OF r°Q.STAr. IvI N rIE? ENT
AnIACrNT Z?IP R A .1 PRfThElry r.�e...r... .-.�,..- -,.. .
"-`�" 4� . , ,• Ll� � tau, tv it i7`N/WAIVERFORM
Name of individual Applying For Permit: I}/A/ ; T, _ate" 4 C:105 Y&, Oi h M
Address of Property:. 4qr ,4, IGJ' , i d 7/Awe, 4q,i
(Lot or Street#, Street or Road)
(ritV arld COLL'Ityl
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this has described to me a s showntheu ,
permit on 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 r n
Division u`A fi}!
Management. 127 Cardinal Drive Extension, W.i gt NC 28•nw. 31�Ci:a`�i u
....... ....., �+.luis,gcUu, �.�. 4awu� or CRjI11U
Wi+k"" 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAX ER S TI
I understand that a pier, dock, mooring pilings, hreakwater, boat house or boat lift must be
set bck a mfnim itn kkt_nee.of 1 * from m .a_e., of riparian--d��-�` � from ��•3 area c ipinriSri access-unless waived by me. (If
you wish tow themust initial t
waive use setback,you he appropriate blank below.)
44(74 i. I do wish to waive the 15' setback requirement.
I do riot wish to waive the 15'setback requirement.
•a•• Date
�4n //A/ b. )/-s5LA/ / LL 1
Print Name T/Ag-ss1

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ADJACE PROPERTY 0- IMF .47,1TATE,44NT
:ram/ ,T Ce AOSI7 .92te
rt6retiy certily that i own property FdiPe-ent tr.) CiO,C,171,4le jA yeeleZ I 494/ ,a
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(Ncit-ne Gf Property Ovillitic)
rop;xty .•:.-)5_:,ate,..-.. al ZortC lie(k di /1/,/t/i / A vAP' 4Fve
(Let, ook, F'tattd,-etc,)
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t vikiterbody) 'f-cown and/or c.; uritv)
eie ili45 Oee,eribeo to me hs SOWS below, the..-lev.fr-tornent he iz zront.-/sirleVitizi_lot.-ation,
Id,+-have TKY objections to Ns propose!.
DESCRIPTION ANDIOR DkAiNiNG OF PROPOttED DEVELOPMFNT
(Ti -be Red in by individua1 propoeing development)
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Print-artvr--,ae- Name
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66-85-531 147 8
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Dollars 8 G.--aBack.
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3057650 L478