40473D - Wrenn

ICAMA/ __!DREDGE & FILL N9 4
;ENERAL PERMIT Previous permit#
.New Modification Complete Reissue —Partial Reissue Date previous permit issued
lzed 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 7/id l�
n,� QGles attached.
:Name''I C�-t'1 r�'9 �/tf m1 _ Project Location: County 44910 u.Ve L CO,
T30Z c. 4di 1 4. Street Address/State Road/Lot#(s)
011 IS It h 1 State 4ot ZIP o _ 4 /r1
(q/O) 271-307 7 Fax#( ) Subdivision
ed Agent City ZIP
❑CW w i rhA 4 PTS Phone# ( ) River Basin 6?
❑OEA ❑HHF -IH -UBA N/A
Adj.Wtr. Bodyk (nat
❑ PWS: ❑FC:
yes / PNA yes / 65 Crit.Hab. yes /� Closest Maj.Wtr. Body �L�t h
Project/Activity b€1,04t// 4pi 4V ¢ 440 '1 ii' 1 )LD Pwr`I 71/0, A e,
v
(Scale: r!
:k)length
(s) /0 x/Z AlW
61)
er(s)
igth
nber 0 . 0
/vX ft (_- yl5-
i/Riprap length _ ���r /
distance offshore )t)�
x distance offshore A 0 v/ O
annel
iic yards
ip
CY,51-.N
illdozing ��
a Length lifev
not sure yes o tit......- L /f0' `�
not sure yes no il S iiile h
um: n/a yes no 7 1
yes no '3l9 , c/a IA f
ttached: yes / / )/
ig permit may be required by: 6rf/L S/I II I See note on back regarding River Basin ri

nrvisiox OF CO&STAL M ANN&c EMEr.T
ADiAC'F.NT RIPARIAN PR(1PF.RTY OWNER NOTIFICATION/WAWFR FORM
Name Of Individual Applying For Permit �L/ ' 5 6—)R V
Address Of Property: ,3o,2 b- 7AC//Ta,e
G,,f,x fs49,) , A/c exa,.�s,,<<,(---
(Lot or Street I, Street or Road, City&County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the development
y are proposing. A description or drawing, with dimensions, should be provided with this
le
I have no objections to this proposal.
If you have nhjertinnc in what is hying prnpocM pleace write the, i)ivicinn of Coastal
Manaoement 177 North ('arrlinal I)riv Wilmin9otn�n Nnrth C.rnli n 74A� nr��� vltt' qc
3900 within 10 dayc of irrupt of thic notice No response is concidert the same as no objection
if vnu have been notified by('ertifieri Mail
WAIVER SECTION
I understand that a pier,dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back 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 drum wish to waive the 15' setback requirement.
- Ds
_______ Ott

DIVISION OF CY)&STAL MAN&GEM NT
ADJACENT RIPARIAN PROPERTY OWNFR NOTTFICATION/WA.WFR FORM
•
Name Of Individual Applying For Permit: �i7�<s CJE£/4/
Address Of Property: �3r✓,2' l�A fJ%��,e.
(Lot or Street#, Street or Road, City&County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described toitie 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 prnpnsrtt please write the Division of Coastal
Manaysm nt 127 North Cardinal Drive, Wilmin mn• Nor h C'aaolina_ 78405 call 910 395-
'1900 within 10 days of receipt of this notice_ No nwronse is c nnsideae d the same as no objection
if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier,dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back 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.)
AI do wish to waive the 15' setback requirement..
1 doot wish to waive the 15' setback requirement.
y - I8 - ems
Signature ,) _ Date _

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PAY TO THE �I///ORDER OF $ 142 !
A /0 � _ M� QQT} "OD DOLLARS LJ a.m.r u
COASTAL FEDERAL BANK
SOUTHPORT,NC 28461
MEMO P � RP
j, , �3y/ 0 73
1: 2E327235Si:32E8000872o 2703
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