43334D - Yates

'/(li-1AMA/ DREDGE & FILL l/
3ENERAL PERMIT Previous permit#
w _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 7N. /20 0
[Rules attached.
t Name L e,✓1o",J ), )(f Project Location: County,1,Z tINS t✓/C/'
VS'' ...S"• C49x/e,J kV, Street Address/State Road/Lot#(s) L-71, 2 /3
, )ji 71 t e Q3 "4c Ij State$C. ZIP 2 9 5Y2_ ph' j t. _722—
(71O)2.3 2-z o 2Z Fax# ( ) Subdivision RI V 04. .$eg V/ f 145 e
ed Agent lea,C7 h/ Q# t Pe/ City,,,5tier 9 ZIP 27 94
..ew wkL4 rA ❑ES ❑PTS Phone# ( ) • River Basin 1.4/ri
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PWS: ❑FC: //
yes / no PNA / no Crit.Hab. yes / no Closest Maj.Wtr. Body LUf/� +4 ,t,d /C I ly R
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igth ,�1 —iii. -*
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I/Riprap length C N .`
;distance offshore d CO ��
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ric yards v -.Srg.1 71 �1 �r
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lg permit may be required by: e4 tugs iv,c 1? (- .a..!, See note on back regarding River Basin ri
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DP M IN:' MINGTON, NC
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HEARTHSIDE DRIVE
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aA I. O _QM___ACRES ACRES o I 3 I Lot 212
ill��,�; 36,003 SO. FT. I M I
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1,,ol•60 0 • MATCH LINE
y0.. N 88'01'54" W 103.95'/ ' -
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Riparian Area da •5�6 G°��\ao(/�///
For Lot 213 v 5� �O1 /
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// For Lot 212
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LR RiveSSea ILO
1915/1200 CURVE RADIUS CHORD LENGTH CHORD
/ C1 50.00' 30.18' N 61'3
/
.END I Survey Of Shee

I, Samuel T. Inman, Professional Land Surveyor, certify
that the ratio of precision is 1' 10,000 +i and meets the \Lot 212/
minimum standards of practice for land surveying in
North Carolina.
Witness my hand and s at thi 17 day of October, 2005.
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5a uel T. Inman, P.L.S. ,4.� ��.. r�'�, 4:) I
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• I RECEIVED
h II DCM WILMINGTON, NC
co\ Lot 213 ? NOV 2 1 2005
Lot 214 3
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Riparian Area I Riparian Area
Associated with I Associated with
LOT 214 I LOT 212
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LOT 213 I^
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FC
Name of Individual Applying For Permit: ME Loa 60 -j-5 B Jdzs e --a,
Address of Property: Lo 1 o?(3 ) a , ?44s�
(Lot or Street #, Street or Road)
5 ee 'B2v45' wick Coot, ltd
(City and County)
I hereby certify that I own property adjacent to the above-referenced_. ro e
applying for this permitdescribed P P �'• The
has to me as shown on the attached drawing the develop
are proposing. A description or drawing, with dimensions, should be provided with thi
X. I have no objections to this proposal.
If you have objections to what is being
b proposed, please write the Division o;
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-
within 10 days of receipt of this notice. No response is considered the same as no ob
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift
set bck a minimum distance of 15' from my area of riparian access - unless waived b you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
XI do not wish to waive the 15' setback requirement.
bll3Qc
Sign Name Date

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
IIComplete items 1,2,and 3.Also complete A. Sign:..
iv
item 4 if Restricted Delivery is desired. X / r ❑Agent
II Print your name and address on the reverse Lt-1- t
so that we can return the card to you. 0 Addressee
• Attach this card to the back of the mailpiece, B. Rec_ved by(Punted Name) C. te of De ry
or on the front if space permits. '( �'.
1. Article Addressed to: D. Is delivery address different from item 1 El Y=..
If YES,enter delivery address below: ❑No
)l Moeller
61.79 011-er iu r (774
/l r ' 3. Service Type
0/aY ❑Certified Mail 0 Express Mail
❑Registered 0 Retum Receipt for Merchandise
❑ Insured Mail Cl C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from sea 7005 0390 0000 2578 2374
PS Form 3811,February 2004 Domestic Return Receipt
102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signaturp
item 4 if Restricted Delivery is desired.
IIPrint your name and address on the reverse X ❑�6er�t
•
so that we can return the card to you. -7-� Addressee
• Attach this card to the back of the mailpiece, B. Recely y(Printed Name C. Dat of Delivery
or on the front if space permits. `I(, C�/ /c J2 FA v-
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
If YES,enter delivery address below: CINo
e% Re,c)il2d
�+ x \e_v, Ile_ A00o85C)
3. Service Type
❑Certified Mat 0 Express Mail
0 Registered 0 Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer fromseMc, 7005 1160 0002 8064 0905

•
- ...gin: ,,,..... .._== - 0 S e c u r i t y enh a n c e d d o c v nn e n t. See 'ba c k for d e t a i ls.115
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1' NEILON & ROBERTS BUILDERS
I> P.O.BOX 6813
ill SHALLOTTE,NC 28469
Ii >I PH.910-232-2072 DATE 1i Ii.$ !rs--
I PAY
A TO THE t2-- I
m ill ORDER OF 'v
1 OlV____ ,g...t.4 0/;,./0
81
FIRST CITIZENS 865
BANKFirst�Citizans Bank 8 Trust Company
ShallottoN.C.28459
i www.firstcitizens.coom v
le FOR CAM leizrA:4 Ld T oI glees' 5:2
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