41537D - Washburn

LAMA/ DREDGE & FILL j.��Ci 4
i E N E RAL PERMIT Previous permit#
Kew 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 I 5A NCAC ^) N . /' C>0
LAGres attached.
Name I 'ejt. Val chtmINN _ Project Location: County /3/C yn.SWICK..
071 f CIAS-I .D(`'`, S`f - Street Address/State Road/Lot#(s) ail E , C3'
!iC.A1 - _. &I, StatW ZIP /6`I
(7P to 7 5 y-.. ''-' )-Faxes#�( )�f Subdivision
:d 1P At Agent 7 F, 1 EA City O(E44A, .5/E + f-Cl{ ZIP a-iey4
❑CW E 4 ❑ES LI PTS Phone# ( ) River Basin ( tow
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body CA'104-I 0 FF -A,(nat �1
❑ PWS: L7 FC:
yes / PNA yes / Crit. Hab. yes / no Closest Maj.Wtr. Body fr+ ►'✓�
no
Project/Activity 4?i Lilt it b0C-IC
f
v ,�,,p (Scale:/r=
k)length t' l b tA'1 PIP -- ----
(s) g' )(ao' F/o47'
er(s)
igth
nber G
I/Riprap length NA ,\ / it/
l -
distance offshore _ t /�
K distance offshore 47
annel i
is yards C 4 A' iii Il
ip I
te/Boatlift
+J, I 'a
dldozing tL !
Length n.-,0 I C C/c-v`u (AA ( ( (0-L(fe..g 1-1/4 1 (
not sure yes no
not sure yes
um: n/a yes
yes nj
,ttached: es
ig permit may be required by: OC Fit ti j S/-P 8 e.'k 0 . I See note on back regarding River Basin rt

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: creVF f esr ie. 4 peAre ✓k-
�--c
Address of Property: gal ( ect -r SEA S772 ET
(Lot or Street #, Street or Road)
Cic.E►ct/J / LE SE, y Ai( 21
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The indivi
applying for this perm f 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 Coo
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.)
N`ki( I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sign Name Date
AAA

09/11/2005 16:17 3105751107 E4STCOASTPEAL.TY PAGE 02
•
DIVISION QF COASTAL IvlAtTAGEME I
A .DACE fl1 1PARIAN PROPERTY QWNER NOTIZICATICNLWAI_YER FORM
Name of Individual Applying For Permit: SrEV Q�.. ,4 f 1164grAlispjef(
Address of Property: o2 t( 6•40wr
(Lot or Street#, Street or Road)
r.%kid E '&79 CH" Aie • zaie:e9
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The individua
app lyinP 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.
) 41A... I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management,.x27 Cardinal Drive Extension, Wilmington, NC 2S405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection it
you have been notified by Certified Mail.
4 V S G ON
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
set bck a minimum distance of 15' from my area of riparian access-unless waived by pie. (If
you wish to waive the setback, you must initial the appropriate blank below.)
4
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement.
AMP
jr--c4„,je, )44/4. , ,
Sign Name 1Date
A 41 I I r
&4‘.1 0,0664k.
Print home
910 . 2 - 2136zi _ NCDENR
Telentlone Numh!er will", Attu !'l,r1 hyow.cts

•
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SETBACKr SETBACK
° NW., LINE FROM
LEADER LINE FROM .... DOWNSPOUT
DOWNSPOUT \ lo
30'BUFFER LINE r 30'BUFFER LINE
el •
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7 6"PVC CLEANOUT � 0"PVC CLEANOUT
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RA III"FILTER FABRIC .0a - o #57 STONE WRAPPED V�
Z "TREVIRA III"FILTER FAE
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TCH '� a� 24"WIDE DITCH
.BELOW PIPE 12"GRAVEL BELOW PIPE
ABOVE PIPE _ J L C 6"GRAVEL ABOVE PIPE
ON EACH SIDE OF PIPE 6"GRAVEL ON EACH SIDE OF
4BOVE GRAVEL ABOVE PIPE r 12"EARTH ABOVE GRAVEL A
JH DETAIL)
RG (SEE TRENCH DETAIL)
t u , r C
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LOT 26
/ 75'AEC LINE
)r/ 3 75'AEC LINE
GRAVEL DRIVE I—
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6"PVC CLEANOUT w 'AA.I` z
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PAY ORDER HOF ", i• � 46/G'4! t A-liA14.Q 45/' FPS I $
BB&T
BRANCH BANKING AND TRUST COMPANY
SHALLOTTE,NORTH CAROLINA V/ LL
66)ki,„1,5 _ems Us lU . of •
$i ,
1:0 5 3 L/.O' L L 2 LI: 5 2L/JLOG GO L8 16 78 2
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