39090D - Arjean

Ce4MA/ ❑DREDGE & FILL
IENERAL PERMIT Previous permit# r
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued `
ized by the State of North Carolina,Department of Environment and Natural Resources ,` , //G2O
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �'1
❑Rules atitaihed.
Name ,4/^ !G`+ /9(' Project Location: County ,' i- ffasefrer
.96y ' nr ,,n., r . Street Address/State Road/Lot#(s)
Gij/liii-ii.' te., State 4/e#ZIP 2*4/1/ 74'1/ 111i'�)teGrs, ifr• - ' '' /;
( ) . b,Ool/U Fax#( ) �''—_ Subdivision ✓J
ed Agent C_.-.4i-4f 7,/.4'9,41e/C1.-- City l/t/4,,i' ��h ZIP_ 25//
❑Cw tw kTA ❑ES ❑PTS Phone# ( ) 54/1rl River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A i 1
❑ PWS: ❑FC: Adj.Wtr. Body C vcr /T S /ram (net /�
res / f3So PNA yes / 6Crit.Nab. yes / no Closest Maj.Wtr. Body �� 5 t�Cl�
Project/Activity . •�/�l 7 lJt '4,- ZW c !?P id-7 i^G✓✓�ip1, en, r
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distance offshore -ELd 41/?7r
c distance offshore y
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ic yards t�^fI
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not sure yes
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Jim n/a yes l/ 1 ..._^ 'I__S ...C r j?� `
yes 1 i„, , I / 1- I I
ttached: �J no 1c. i I � 1 1 1 i 1 1
g permit may be/required by: /P 677 . ❑See note on back regarding River Basin ru

06/07/04 20:56 FAX [phone] DAVID N MCNELIS 0(
Z00"d 990Z"ON X2i/X.L I4:GO 60/E0/90
pMSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNERNOTIFICATJON/WAIWER FORM
Name of Individual Applying For Permit: Al,a'4/W/A/ v
Address of Property:. TDY ,M s . /i 7 va dprrrsrJA✓
(Lot or Street#, Street or Road)
(City cid Contu5).-- _
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the development they
are proposing. A description or drawing, with dimensions, should be provided with this letter.
✓ I have no objections to this proposal.
If you have objections to what is being proposed, please write the_Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3940
within 14 days of receipt of this notice:•No response is considered the same as no objection if
you have been notified by Certified Mail.
WArvER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be sal
bck a minimum distance of 15'from my area of riparian access-unless waived by me. (If you
wish to waive the setback,you must(initial the appropriate blank below.)
1 do wish to waive the 15' set requirem .
I do not wish to waive the 15' setback requirement.
Sign Name Date �'
fx‘w.4or 0
�si4}� AVA •

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO 111-ICATION/WAIVER FORM
Name of Individual Applying For Permit: ,4/4T2aal/ alowv67es A -7a
di
Address of Property: 7oV J,Q, / Pr/a 4 7-~ 54ra,)w.s ion/
(Lot or Street#, Street or Road)
MI.04/A✓GrOA, / /1/EA/ Wobvevar -47 e4,,T7
(City and Count)-;-
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development till
are proposing. A description or drawing, with dimensions, should be provided with this letter.
A 0 I have no objections to this proposal.
ilq
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-391
within 10 days of receipt of this notice: No response is considered the same as no objection
you have been notified by Certified Mail.
WAVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be sl
bck a minimum distance of 15'from my area of riparian access-unless waived by me. (If ya
wish to wa frii the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback req
uirement.
ement.
I do not wish to waive the 15' setback requirement.
VS(.0/ g,‘ 4
Sion Name DateAVA

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GENERAL PERMIT COMPUTER FORM
APPLICANT N ME: 119re14.
ADDITIONAL N A_NES:
AEC DE SIG: DEVELOP ARE : e "22 5 PROJ Dr SC: /2- l/
. (v,u only take o (w only�
�J � 1)
WORK: S 74
(WiB o:h•tale 4)
MAL2 is
(R iTi oar'•,--)
ENE): - 13 1 2-
(w fl can-take 6)
/4G
ACTION EXPIRATION
DREDGE€FT.L REQU ri
CAMA OR DE E,

WRIGHTSVILLE BEACH, NC 28480
Sept 16, 0466-85/531 .
DATE
DENR I $ 100.00
�v V%H t IvC. G U _j, 4L,i �,u,IU 1�' .t j,.,S' � f �“J . i Q
DOLLARS u T
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RBC r
Century
RBC Cenlura Bank
' Wilmington,NC 28
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