42803D - Weaver

1/ _ - 9
CAMA/ t-DREDGE & FILL ;. .
3EN ERAL 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 ,1`
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC - . 1 Z-" 1 NI pJ
❑Rules attached.
[Name Cj AQ.y vs/ A I E ILL. - Project Location: County ©,JS L o -
60 c.C.) (0 T 04 ST
Street Address/State Road/Lot#(s)
LA2F Gil' `1 Statew1L- ZIPL2,`i45 CS 9 TH si
( ) Fax#( ) Subdivision 0 t-J 4,-e-r-i;1...e.►l-5 "P=.j g
ed Agent f O-(L ti o Pr. (t'!PoLS.J& C.a.-S 1 - CityS6.e-C 1.--11-I ZIP LS 4 4 1;
❑CW A S ❑PTS Phone# f D 4
y�T �, ( ) • River Basin �
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 01 AL L 6T 4-1�-,•. 17 (natal:
ElPWS: ElFC: PN 3r
yes 11211 PNA yes 4154 Crit.Hab. yes / no Closest Maj.Wtr. Body
Project/Activity T,X—` („x 31_ wit +...- (2\ F i 1-.6 G Pr ,c} /a)3 X i$ % ()) 3 x Li
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q „1-I r..,-Fr(Scale: I f/2
:k)length
(s) b I( 31—
(,1 "IS, ,;
er(s)P ) 3 Y 241
•
nber
I/Riprap length P i .
distance offshore 3 I
K distance offshore )i , ,___ ,
annel — —_ : 14 I3�
is yards . • .
ip ( ove k ')� 18, ZY
114 01- .,vo R.x n
illdozing �0 4 \
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yes no vt+y( ,�/+> t >
not sure yes
n+
im: n/a yes 4
yes L
ttached: ye no -- !
g permit may be required by: HQ..ir L.i'`1
S � _.j See note on back regarding River Basin ru

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04 04 06: 40a p. l
• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVEg.FORM
game of Individual Applying For Permit: Cu� 4 4q ve,
address of Property: t`' 5/,
(Lot or Strwt#, Street or Road)
c, C/6/
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individual
pplyma for this permit has described to me as shown on the attached drawing the development they
re proposing A description or drawing,with dimensions,should be provided with this letter.
I have no objections to this proposal
you have objections to what is being proposed, please write the Division of Coastal
lanagement, 127 Cardinal Drive ETtension, Wilmington, NC 28405 or call 91O-395-3900
ithin 10 days of receipt(Willis notice. No response is considered•the same as no objection if
in have been notified by Certified Mail.
WAIVER SECTION
mderstand that a pier,dock,mooring pilings,breakwater, boat house or boat lift must be
t bck a minimum distance of 15'from my area of riparian access-unless waived by me. (If
a 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
aName Date
G/p A ei-i4-411 -7"e9-‹ A s'1 , }" A! A

,x
3 'x 29
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Vt/ AlLYil Pill aft/4 timat Tv Gov,OYV*-
RE/Pc
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SNtHUS YtKKT, NG Zt$40U bb-19/biU
[phone] ,2 4/ ao4
PAY TO THE ,/�ORDER OF 1�N. C• (��1- E. - NIj�`\ • $ ",/ . c
J
2.11
AUTHORIZE IGNATUR
MEMO
(L-863- Z IfOL-
v00490 70 1:0 5 3000 196': 0006 50 5 2 L990ii'