40466D - Yeaton

CAMA/ DREDGE & FILL Vo 4
iENERAL PERMIT \\v///// 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',oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 71/. /10 O
uses attached.
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1,e 6-7,0)3014 LI y{htOn Project Location: County iy1,---O.
atl X,ni9 Ani,.tf , Street Address/State Road/Lot#(s)
i rlf? ieV ` State /t ZIP jv w3 5:(/ove
(110) 270 /4 2 Fax#( ) Subdivision
Bd Agent City ZIP
CW I rEVV LIW+A L! 'ES ❑PTS Phone# ( ) _ River Basin
E OEA ❑HHF ❑IH E UBA ❑N/A Adj.Wtr. Body .4t/ai/ ,' (nat (fl
PWS: ❑FC:
Closest Maj.Wtr. Body C)l_rf ti
yes / no PNA yes / Crit.Hab. yes /62
Project/Activity ,/'a/)#5 id '%e V, 6; 2e b O t- 74 I T-!✓-.f' J4AOli*)s
(Scale: //
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er(s) 11
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igth TO
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I/Riprap length e: '
distance offshore ...M..R /
(distance offshore (((
0
annel
f ?
is yards
--- )3x/3`
p 6'�{
;e/Boatlift
illdozing /^
zt4o /I X/3 ' /45"X 6'
if;Ai tilt 4
Length 5--- Jf1 _
not sure yes o /`i 443--
not sure yes no f i;i 111115
Jm: n/a yes no / / �
yes no GCr/1/f I✓, K
ttached: yes no
g permit may be required by: i Cf7/l/I"�, See note on back regarding River Basin ru

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONWAIVER FORM
Name of Individual Applying For Permit: eo'•er-e?'7- -1-'i'�'J
Pp ,yin�g /
�,r� ,600.t! •G4 Address of Property: �C.E' 1s3 •G/�G-S A/ J-/ G�41�
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individ
applying for this permit has described to me as shown on the attached drawing the development tl
are proposing. A description or drawing, with dimensions, should be provided with this letter
'/X) yn.. I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cow
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 objectioi
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock, mooring pilings, breakwater, boat house or boat lift must be
bck a minimum distance of 15' from my area of riparian access -unless waived by me. (If 3
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.
g1124-1-1.e--fteti- 2 7 I t_/,)75141 5—
Sign Name Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION!WAIVER FORM
Name of Individual Applying For Permit: -dr-F` T ���9��✓
/,,off &eo . /36'7 ////
Address of Property: ,47sZc 1t15 '�JA`S /-dx"3/•ila-
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivic
applying for this permit has described to me as shown on the attached drawing the development t
are proposing. A description or drawing, with dimensions, should be provided with this letter
Coge 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 objectio
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If;
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.
i /d. /3,t,e 3 -0/
Sign N me Date
_

' 190'
► 165 '
5 ' to property line
6'x2 0'
Floater
13 'x13 '
Gazebo
Mooring piles
• •
15 ' to property line •

Robert L. Yeaton ss 3ois31 ,,
Barbara Ann Yeaton ass $076
1645 Kings Landing Road �3
Hampstead, NC 28493 DAT E
PAY TO THE w
t ORDER OF r?,4 ,,,,vw
-- — J $ ✓M d /y`
4 ---4w— 44, hrivk 1 07,4/4/ tYJ.,e,) :.,......
I.
DOLLARS 8t„.
a look for Micro Print signature Inc.gray type and linework.First Citizens Bank logo on hack.I!not Present do ntu cash.
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FITR�S�-aT' CITIZENS 365
BANK--' FiratCil,zans Sank 8 Trust Company
Hampstaan NC 2B60J
www.11rstdttu. con, /�
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