38417D - Atkinson

LAMA/ ❑DREDGE & FILL
3ENERAL}� PERMIT Previous permit# ,---
New iModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 'r
;rized by the State of North Carolina,Department of Environment and Natural Resources • /�Gv
Zoastal Re o rces Commission in an area of environmental concern pursuant to I5A NCAC ('
7e. rf ,, l n ' ❑Rules attached.
t Name✓ SCb f/ X?fiC%*i SD/Y Project Location: County /v{— 17 .,-r'aue.
9 y 2 LI `/5/,ei'.14a.5 (pie/' Jr Street Address/State Road/Lot#(s)
/41//rtiir, l)h State/I'IC ZIP 2 V ' 5 ?'L1.Z I/ F/54er„ .-, c/r t ` S
t U) q ,$1/6, Fax#( ) ' Subdivision X.,',./717,e" �C3/h 71
.ed Agent 7I�#ir /��7/4City A�vy. * ZIP
❑CW YEW IPTA tS ❑PTS Phone# ( ) SG..."- River Basin C C
I
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body Gam! Je
es / no PNA es / no Crit.Hab. yes / no Closest Maj.Wtr. Body ' "1/y
f Project/Activity C e.K 5-4-4,e fi fQ' 9/�Dr,.. 4-e H� S 7(e, G�64r ti
/ / / -i 1 Air . (Scale: Ail)ck)length )C al?
1210 le, x ?o! Url I . 1i. IT
_ i
pier(s) ____F______ i
angth lif_ : i 1- ii
r
F
ember
i I -4
id/Riprap length F __-- -_
fg distance offshore 1-
lax distance offshore _ _t- /���.t4 1 - -
:hannel L f 2?: {---'- '- -_�........._
i
;__ ' �
1bic yards TTT��� y
use/Boatlift ,"qt/ ' ..
� it.
7-
t I Y^
3ulldozing 1 I 4 _
.iropmSfed34---- ike, ! 1 if 1 ;
21)(16, t ' 2' /6 t 11
' J_G � Mt4.- , i iti i 44
ne Length v 4V • f —1_ 1 , i
-- 1 4 _ _ I- ---.- ; t
..
not sure yes
gs: not sure yes ® fire. . ,
•
irium: n/a yes ® ' Xi? /�PL/�,
yes ejs
Attached: yes ey E [�
ling permit may be required by: R 6,• ^)See note on back regarding River Basin
..., a ,, _ _

SEP-14-04 10 :59 PM I 630 668 8189 r. ez
111k_1�i(l.1,ci1..t..l.rR .t'AL-M A:�� �i�i•�tr> 'i:
4taucal'L'.B.I.' Fua PROP ,R:l.1 .0'f:l: t. ' nfICA7lC2Il:`.WATIC'V_FOuhi
Name Of Individual Applying For Permit
Address Of Property; .21A47 4" e_� / /c
C / 4 Aie oz avoS
(Lot or trees , Sheet or Road,7ity & County) [l
I hereby certify that I own ra p party adjacent to the above-referenced property. The individual
aPPiYing for this permit has described to the as shown on the attached drawing the development
they are priming. A. description or drawing, with dimensions, should be provided with this
Ieurr,
I have no objections to this proposal
c tcl what is bPingnrnnncp p r;rn r}t. 11� a :hianag .._ ..a
hm.ent, 127 Nosh :ard n9 Th i r$ming nn net}, ('■.J &4 call 94 40;
if unit}+■vr �+. � hyr.e.rtifirkma
ilmarmaissmignisaimgmagmeigiagiassamnbeall
wjayER Se:C, ran
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
setback a minimum distance of IS' from my area of riparian*Daces unless waived by me, (If you
wish to waive the setback, you must initial the appropriate blank below.)
Ir 7-1'PK- I db wish to waive the 15' setback requirement.
Ida-not wish to waive the 15' setback requirement.
/4cee, / 7;11;iiir
Date
V C�c i.. r Ci. Nl E `c. asimansimask

630 668 8189
SEP-14-04 11 :00 PM I
Al
ALL-U-1 ',.1. '.t} I& 'ft.(1211,1V.1.1 .().‘ . .IC. U 1',Kt l_ AIUILls:.“11R)1U131i
Name Of individual Applying For Permit: , 1 �-�f � 77 -,
Address Of Property: / `f)'/ 1 z,4t4-+,,, (it:ek ) ( -
act or'reet #, Street or Road, ity i County)
I hereby certify that I own property adjacent to the above-referenced property, The individual
apPIYing for this permit has described tote as shown on the attached drawing the development
they ire proposing. A description or drawing, with dimensions, should be provided with this
Ietter.
te
I have no objections to this proposal.
•
nn C,rs til3igagie—mZatr 2 —Worth cardinal
i2fime Wilfrine4nH liortLCiznliwa 'l1tdACSOS
eta a. • • / . J. . 6 !• •. • l the itsznajS nr1.01XitiatiO/3
ifyatbuta.bauzawifind byzarqleti moil
sommiumminiummonmemp,1 —`-
zunancluari
I uadoratand that a pier, dt ,k, mooring pilings, breakwater, boat house, lift or sandbags must be
set back Unin131143 distance of IS' from my area of ripazisu access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate biattk below,)
I do wish to waive the 1S' setback requirement.
�., I cheat wish to waive the 13' setback requirement.
immonmememmeaminimpammommummonnierrommieleumeniummolooms
Almarmairesemimmawinammaseige
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GENERAL PERMIT COMPUTER FORM 3
PPLIC.4 NT N A ,Se /.?
ADDITIONAL N MES:
AEC DESIG: DEVELOP AREA: 4, 2 ! f PROJ DESC: f- /Z
(va :ke6) ---- (WZl only take 1)
WORK: Pk /z ('' Z ,
(R-03 oa v uke 4)
mA ;:
(Nvu ::4) -
Imo: L✓LI 15�
(ail only take 6)
0 W 152
ACTION PIR4TION
DREDGE€ FP.T REQU RED:
C_4NL?MAJOR DES El.RI.' =7:

♦111111111b'1V11F 1Vt. LvzV✓ - - orwn..n�ww
Date
Pay to thekel EA/R / �✓O'
order of $ ! C90
Dollars 8
I ix
WACHOVIA
Wachovia Bank,N.A.
For�wachovia.com,,[�
llfie 3� 1„— oft --. � _
�:053 /0 LEI 261: LOLOL0442L60011' 33