37886D - Barnhill

.CAMA/ :E1 DREDGE & FILL "li(-/
3EN ERAL PERMIT Previous permit#
New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized 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 9 r I I C
n ules attached.
It Name c"T7 b^'‘c3 "/t✓1 kl: // Project Location: County 0 on S 1 a w
Po 0 k //5""O Street Address/State Road/Lot#(s)
) lI/, ait1J4Ofl / StateNC ZIP .'7$ lZ 60L 0 ( -1 `` 5-4(2S2) (l 2-34 66Fax#(?_SZ)'l R Z 213 Subdivision
:ed Agent City —Cu I I C :4 i ZIP 2 PP
❑Cw EW $TA MES ❑PTS Phone# (Do )3Z8 -Z296 River Basin Cc.jC
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GENERAL PERMIT COMP TFR FORM
APPI.IC.ANi Ki -: -D-ok w�C C �3(� c 1/1
ADDIilONA NA S:
..A-EC D:SIG: r DEVELOP AREA.:_._ 1
(A:�onlyzak--s) ��C� _ O PROJ DLSC: - I I
(V,TI only take I)
WORK: 13 H 2-5-
(Will ociy mre 4)
M4Ni:
(HMI only a::c 4)
•
z : OUl tt 4 N& Asa.
(uul oni.3;:5)
Ci1 =DIRA_TT ON
LT ._DR &FILL REQUIRED: `/l/3/ P q g1,7/0 hi
CA A MA JOR DE-..I,REQUIRED: / , ?/ T q l f 3I n

06-2004 02 :01 PM HOLIDAY CHRYS MAZDA 910 3473347 P. O
BARNHILL ELECTRIC Ft% 919-792-346F Apr 06 '04 1.3:`3 F.Oi
DIVISION OF COASTAL vL N6GElV EN
wACE. RlpitLRtAN PROPERTY OWNER NOTIFI TIONiVI%AIYE FOIth
Name of Individual Applying For Permit: 77Z1/57 . te /7/
Address of Property: h' ô, :- /�`C/ z- i'
(Lot or Street 0, Street or Road)a
(City and Co )
I hereby certify that I own property adjacent to the above-refe renced•property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing, with dimensions, should be provided with this letter.
have no objections to this proposal.
on have ob, lona to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 2S405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
pat have been notified by Certified Mail.
�AIV�.R StcTff
I understand that a ,dock,mooring pilings, breakwater, boat bonne or boat lilt must be
set belt a minimum distance of 15'from my area of riparian access-unless waived by me. (If
yea with to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15'serbs.ck requirement.
I do not wish to wave the 15' setback requirement.
ign Date
Prim N -
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