35191D - Crocker's

CAMA/ 1 DREDGE & FILL _ _ 3
riENERAL PERMIT Previous permit#
New -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 I 5A NCAC 1 . I ram-x-T7
1 El Rules
:Name 0(2,C �-EIZS o ix..A Project Location: County � v' attached. i
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( ) -q'FoD Fax#( ) Subdivision
..d Agent 7Ol.4 Gt.),4 Tr&ZS City W/ H75v/L[,E , A— ZIP 7,874$-C-
❑CW �EW ,PTA ❑ES ❑PTS Phone# ( ) River Basin e
OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body A/GVLJ (nat ttfi
❑ PWS: ❑FC:
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distance offshore
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ig permit may be required by: ►cltllo __,. . See note on back regarding River Basin ru

GENERAL PERMIT COMPUTER FORM
PPLICANT NAME: CIQOCKeRS L*n/j ,dy
DDITIONAL NAMES: Ti9m 11-47TEES
EC DESIG: P 7- DEVELOP AREA D p L PROJ DESC: -' Jr.'ill only take 6) —— (Will only take 1)
'ORK: il-G - 23-/ /0/ -'V,/
'ill only take 4)
AINT:
ill only take 4)
IP: OA) -- 2S0
tlI only take 6)
ACTION EXPIRATION
KEDGE&I'ILL REQUIRED: -D 1/
kMA MAJOR DEVEL REQUIRED: /'� `� -� -��

—v; 1‘ Coastal Earthworks, Inc.
1955 Middle Sound Loop Road • Wilmington, NC 28405 • Phone: [phone] i• Fax: (910) 68CS
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DIVISION OF COASTAL, MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATiOl11/WALVER FORM
Name Of Individual Applying For Permit: Tp vn Waft e ! F S m (AA
�02 - G/,roc k.LAs t_,4iv
Address Of Property: 1322
A- ! ILL--- 1 -e_s- 2oi
Lj ; Inn t C , Z -d 3
(Lot or Street#, Street 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 rtie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
XG I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 North Cardinal Drive, Wilminpjon North Carolina 28405 or call 910 395-
3900 within 10 days of receipt of this notice. No response is consideredilie same as no objection
if you 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 access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do nor wish to waive the 15' setback requirement.

0/2003 00:41 9122311594 LAWRENCE LEE PAGE 0
5/2003 18:43 FAX [phone] His Ratters
Coastal Earthworks, Inc.
1955 MIDDLE SOUND LOOP ROAD PHONE [phone]
YWLMIIGTON , NC 28411
DATE 12-JS -0I
TOf1,,y,sre,wc" Lre FAX # tit -2 C-
FROM: TOM WAITERS FAX# [phone]
PAGES WITH COVER I
RE: -t-a 's .'[ TIttArd a")
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ALrtLe . ; cam. /.�.
446.4"3 "to C-A41,4
t s.Q r..x' rv�� lef{;r • ..- * „ .
PLEASE CALL IF ANY PROBLEMS OR ERRORS WITH RECEMNG
THIS FAX.
C \C I- e
THANKS ' 1 2- 1 ?- O 3
TOM WATTE38..h

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2760 •
i; WORK'',
S INC. ss2�2i2ss�
COASTAL EARTH •
DATE
1955 Midone NC n28405p
W filming a D
w $ 10°�
� NPAY TO THE OBI 2,:r."
" "; ORDER OF ' • A�� DOLLARS LJ a 1
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COOPBANK
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WILMINGTON,NC _ �\ 1.Anir
— - ; FOR 8�; L6900 L030 2��' 2 60 ___ �
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