41531D - Walters

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'CAMA/ , 'DREDGE & FILL L 0'
iENERAL PERMIT Previous permit#
1fiew Modification Complete Reissue Partial Reissue Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural esources
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 y•/JC 0
[Rules attached.
Name C14 yb p M 0 N IA/A I11 5 Project Location: County 84ryvSt.di<-1(
P o . 3 0,l a (, Street Address/State Road/Lot#(s) 9 5 /2 0Ai k
GC (f V,l(-P State/le ZIP 7 Sc 37c—_
( 0_ ) If- 7O75" Fax#( ) Subdivision J ;�n
:d Agent K e W ; I I,•4vyn 5av City (�€ 4N .V'v/'e /
L
1 ZIP 2 40
ii CW h.EW q.PTA E5 ❑PTS Phone# ( ) River Basin (y li b;
❑OEA ❑HHF ❑tH UBA 7 N/A Adj.Wtr. Body_a _k-- W (4 ti4 / nat r
PWS: ❑FC:
'es / .o) PNA yes /69) Crit.Hab. yes / no Closest Maj.Wtr. Body Ai-IA,k/
Project/Activity 4c-ict 7-J N p ± (On..(RE-tE -N F= ri S`/-7'V - k / P +'2 4 P vVq I l .
I iw (Scale: / / i
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er(s) c 1"�c ��/1
igth tx1` t'��C'/J r
nber
•pra gth 36 3
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distance offshore sc r
K distance offshore 5 t J V 3p
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annel 'Cj- G l qc p N fi�
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is yards 4 e gt'
ip
1A,6 f
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illdozing
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Length 3d 3 I
not sure yes Co 1.
not sure yes 0 /` t
um: n/a yes P9" ' (1 i11 `, '-j��`r rt�'1N�6 L
ttached: yes Q �—r—� i A V is
ig permit may be required by: D( 4 / S4//z '3C=A r u 'See note on back regarding River Basin rt
0 .

/2005 FRI 9: 32 FAX [phone] MURDOCK & GANNON CONET U00
viiewildim
R-28-05 THU 02 :55 PM RUSS AND SHORELINE 1.3107545886
mmoii.
I OF C AST r.1ANAGEMF,2NT
.a a.CENT R P AN PROP TY ow
TI I ON1VEr IVL
Name of Individual Applying For Permit: e Lya boor
Address of Property: VIAoM d
(Lot or Street#, Street or Road)
daEw4-) �s 1� bPAc-
(City and County) � `'�c C O�
I hereby certify that I own property adjacent to the above-referenced" ro e
applying for this permit has described to me as shown on the attached drawing thdevelopment j
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 Con:
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-3953�
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 , -
[ understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
get bck a minimum distance of 15' from my area of riparian access-unless waived by me.
rou 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.
r
—
Date
;.,t Xr . AP.TrA

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: C bouv.N (Ai i41, �eJ•5
Address of Property: V.Acrir•
(Lot or Street #, Street or Road)
OCe4 sle_ bevack Ektu
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you 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.
4 -28— Oj
Sign N Date

OnfLLv I I C,IYV GOY CIO
PH.[phone] DATES O 61
C e N 2 l $ 100
PAY TO THE ORDER OF ^ I
CS L �UrrL J� �o t`fir S -�- S.
DOt AR:
SECURITY
SAvINGS BANK �,s 3(
ShaiIotte,NC 28459
FOR C►4.M.A- ?et-\N.-•N- CI po-r r W A\kets "(Ai
uu'00557311' H: 253 L7 L4301: 0000069 20 LH'
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