35185D - Coggeshall

'CAMA/ ❑DREDGE & FILL 3
IENERAL PERMIT Previous permit#
New C'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 i 7 !-1 1 1 U0
{{ jj Rules attached.
Name (� t l I��, .t L. ��(�C C c 5 1 c (I_ Project Location: County r t „l 1 C �
1-{ j 1 Ct lj'hIsvl q- 4. 5 t�j I Street Address/State Road/ Lot #(s) [—of
j\ I tC j I State i,, ZIP 34tO`z. bran' ICLf Cfr'C ( c
Lug) 2,0 5o'f . Fax# ( ) Subdivision br-6,1+(JCt 1 pc,t t„, f"
ad Agent '``��r,rn / \J f" n a City 5 hat ((CJ 0.- ZIP &I4,5c
❑CW EW ❑PTA D ES "PTS Phone# ( ) River Basin L.tt, Jc
❑OEA HHF ❑IH J UBA N/A
Adj. Wtr. Body j t<,c,-6-e_ t+e-- i r✓T at n
ElPWS: ❑FC: � 1
ies IC) PNA yesCo.--) Crit. Hab. yes / no Closest Maj.Wtr. Body 5 k n l l ut-TCf- I l_c_i'/
Project/Activity _v r7 '--, -t C 't' f`i e t.,J bit( k. k c_c ci 0 tic{ [yi4v- -A—t ` ilcire�.1
(Scale: I P 2
k)length 1 T
i
.1r(s)
._
i gth ;_ I ,'
fiber
Y Riprap length 100
distance offshore
:distance offshore
innel
I
is yards i(.
P
e/Boatlift /" I,
Ildozing
../
Length 1 86 t
not sure yes no 1
LCT I
not sure yes no i
Jm: n/a yes no i I3(c (14 t C't i (It Ir C I c
yes o
ttached: yes t o _--L I i
g permit may be required by: I`)r t l(ISL n DtC k ( Ut , l-,-1-v/ • See note on back regarding River Basin ru

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: W 0 \.G- VUOL
ADDITIONAL NAMES:
AEC DESIG: E DEVELOP AREA: _.61 PROJ DESC: P -
(Will only take 6) - (Will only take 1)
WORK: 6 N S(o
(Will only take 4)
MAII�'T:
(Will only take 4)
IMP: 461 &coo •
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: -14141-
CAMA MAJOR DEVEL REQUIRED: 1.1 8 [o'-f- g loy

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DIY IS ION_OECOA.STAL MANAGEMENT
ADJACENT RIPARIAN_PRO PERTYLQY_ti'NER_IQTIFICATION/WAiYER FORM
•
Name Of Individual Applying For Permit: NV. W Lth&r J 0. CD9 JeshGl( I
Address Of Property: 1-01 I 6 r r}d .e..t1
artc,kla.c.i Bruvvow cJL to.
(Lot or Street #, Str et or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced 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.
7I ha
ve no objections to this proposal.
If you have objections to what is being proposed_, p ease_write the Division of Coastal
Management, l LNorth Cardinal Drive, Wilmington North Carolina, 28405 or Gall 910 395-
3 Q_within 10 days of receipt of this notice_ No response is considered the same as no_nbjecrion
i.fyouu have been notified by Certified_Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian arra-ss unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
1 V I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.

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VARNAMS DOCKS & BULKHEADS INC
1574 MONSTER BUCK ESTATES ss 11zis31
/,,:v _ SUPPLY NC 28462
_ _ Q s2101
DATE j
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1 3,111
1/ BRANCH BANKING AND TRUST COMPANY r 6 \�1 �/�J�J�/f/� , ^ ---� Ill
SUP LY,NORTH CAROLINA ��� — /L1 i�i✓/i'^'J —` _.— - —/-W-' ---- --—
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