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3ENERAL PERMIT Previous permit#
<New _Modification _Complete Reissue _.Partial Reissue Date previous permit issued
irized by the State of North Carolina,Department of Environment and Natural Resources O 0 , /5�D
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 214. 11 / 7 I
-� Rules attached.
It Name J Q e 7 e! I Project Location: County e" e)"
100 (,JQs} A efo kA Ltd( /V/' Street Address/State Road/Lot#(s)
'_ ►(..}o.-, StateNC ZIP 283 Zg, '-1 i 0 Eve(4 ,\ Lpiel e
(910) CI 2- 887 LiFax# ( ) Subdivision
ted Agent .S-{ e v'e xi h 4. ill v r ; city-1— f- ci% ` Le°C LI ZIP 2 81 y
❑CW ' EW $PTA s E PTS Phone (qIG )ST12-889`I River Basin eoiC
❑OEA E HHF ❑IH ❑UBA ❑N/A k G �el�C '��I /�
❑ Pws: ❑FC: Adj.Wtr. Body ec; f �+1. / O e na /
yes / no PNA yes / no Crit.Flab. yes / no
Closest Maj.Wtr. Body u 4'�A s alci n e c
F Project/Activity 1QeyoIAC f Sea waI ( Z -'-I OE-t-t -1,0•r ¢x/f-/,',. . / A . 'de ,� r
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:ier(s) / 0( t?X —0,n5pie".
t No
:ngth
me�mber Q / \ /A P��-0,�-,w1.
y)Riprap length j-1 5 ' ' ,,[ p ieri j
g distance offshore Z J!� /6A
x distance offshore*5' I /// /
ian�� ) /� /� S Ae N!
60'X1 144 'x2.5— e- / /5 ' - — .-a�
bic yards !S
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e Length ` % 1"I S '
not sure yes
s: not sure yes no •
Turn: n/a yes
yes +o 16'
\ttached: ye no
o
{____
ng permit may be required by: 'rOVSa .,
l e a C L . Li See note on back regarding River Basin r'

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 10€ 13e i
.4DDITIONALNAJS: --eve Art-f;rlor
ABC DESIG: EsP //
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DE\�i OP A '~ _ C3 . O PROJ DISC: y' - I S only mkt.6)
(Will only mix 1)
WORK: S73 (0) iq Z . S 3H 195
w-ill l only mkt 4) /
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Killo CW' Br S00 3.57
Kill only mice 6)
ACTION Ek�IR4�TO�'
)REDGE&F TUREQU J: 2-/10/0 f f-h 0/04-,
'AMA.MAJOR DEti REQUIR:`7: Z/ l3/ D`i 57,o /0 Li

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
me of Individual Applying For Permit: Gtjtt/Ye 4/ e
dress of Property: 1(O ci-e/yy,c0 ,G/t) 2
(Lot or Street#, Street or Road)
Yfgee Pe/tie%
(City and County)--,-
•
ereby certify that I own property adjacent to the above-referenced property. The individual
flying for this permit has described to me as shown on the attached drawing the development they
proposing. A description or drawing, with dimensions, should be provided with this letter.
i have no objections to this proposal. -
you have objections to what is being proposed, please write the Division of Coastal
Lnagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
bin 10 days of receipt of this notice: No response is considered the same as no objection if
I have been notified by Certified Mail.
WAIVER SECTION
riderstand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set
c a minimum distance of 15' from my area of riparian access-unless waived by me. (If you
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.
n ame
ate AWA

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVERFORM
Name of Individual Applying For Permit: 1/1.1)•;-rwv D! . / •Address of Property: (KD I" LP l /A' e
(Lot or Street#, Street or Road)
��l) �vf � PiT C L
(Citand County),-
I hereby certify that I own property adjacent to the above-referenced property. The individw
applying for this permit has described to me as shown on the attached drawing the development the
are proposing. A description or drawing,with dimensions, should be provided with this letter.
f I have no objections to this proposal.
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 910-395-39(
within 10 days of receipt of this notice: No response is considered the same as no objection
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 s
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (Ifyp
wish to waive the setback,you must initial the appropriate blank below.)
.% 4I I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
t / /11? // 12,V03
Si ame D Avr
/ A/r

BANK OF AMERICA
ANTINORI CONSTRUCTION
896 HWY.210 66 19/530 -/ 0-6HOLLY RIDGE, NC 28445
[phone]
Ggi
TO THE C D FA/
ORDER OF
3 ( 36 $ -C
MEMO /1�0 AUTHORIZED -�^--
S GNAT RE
v II'00 40 5 R11' 1:0 5 3000 19 6l: 000 6 50 5 2 19900