38593D - Cross

125
LAMA/ ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
9New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources 2oastal Resources Commission in an area of environmental concern pursuant to I5A NCAC 7 A flu
60
� n - ❑Rules attached.
(A!t Name Ui d sr Ci055 Project Location: County J4510,./
Ji f Tuft le Code 61 Street Address/State Road/Lot#(s) 0 t 88
1, e LG it e State a ZIP Z5 337
(` 10) %2 y- 2.37Y- Fax#( ) Subdivision Chted id i c.k 540(el
:edAgent ,(1AJiA b(fSpr City SA Pods Arey 4C- ZIP ZSqik
l Cw 6 EW g•PTA S E PTS Phone# ( ) River Basin is 4i
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body Fa I, 6-0,0/ ( I
❑PWS: ❑FC: /
yes no nn PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body ( A4,40, K Ay
F Project/Activity /3/#1 i -74✓ fi/ie/i 2/4 /-F O//n a,i,"1 .koa 74 [-7` 4.
(Scale:
,ck)length 22,9 k 6
i(s) /Z X /6 .. I -�-.....
i-7
se )
in th — ' -__-+u fir'-, s� j
tuber l ,f�
d/Riprap length } .....}. .-_._ ��� p�-- �e.�
g distance offshore , pt
3x distance offshore !- ..._.{ ..._-- y..— ......-- -I— -r-
1
hannel ` ! I f }
I I
+ � '� �
bic -yards } 1 1- I d._
A Ln
ise/l3oatli /Z�C/Z 1 I t �1 , + f t„e' `
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,ulldozing ` !
i ,..+--f iill
le Length -.- J ;_. - �.__ _
not sure yes i ' t�..�e ' ! I�T4 f
not sure yes t_....._ —— �i ./_`T!!! '
um: n/a yes t ... }.. , {
yes ! „/ I/ S/ A f
Attached: yes no ' . : I I NC, 2Bs04
ing permit may be required by: i (. c /
, C 04)4> - ❑See note on back regarding River Basin r
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GENERAL PERM` COWITEER FORM
CANT?- : Gr0s3
ZONP IAA *S: •VGI v`G{ l�la S0�
►'SIG: C W el") PT e-S DEVELOP AF. k:_ -0 y" PROJ DESC: /2 - I
(Will only tair I)
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ACTION ��aATiON
)GE&F LL REQUIRED: 61((0 } °i N°
A MAJOR DEVE.REQUIRED: / I /0 4 q/ /I a l

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•GFR-07-04 to i >.9 Rr KPI 770 939 6566F. 9.
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+a 11" C 64 Itti giktiAQ$MEN T
Nerve of Individu4 4pplyiro4 For Permit T) 2 <
Atkeis orProp yr Street or o:Road)
Pr-lejaC CCSS14)
ity and Cauca)
haeby emit sl oft propert utacoai to the about-refestaced property.
4'�zYiog for ctleperm t�,t P Pam. The ind�ticwr:
*ail*to sae es:Lowe oatt;e eachcd drs«i d the 4avolc?mt»L1ey
Ito i"posLj, A des Clptiotl at droirs, with dimausicat Mould be pro ido4 with th:s :rte.;.
.11., I have ao oojcotiou to this prapotal.
It yoo hive objeNSose to what is boat proposed, pleue Write the Division at Coast"!
Macsgeeaeot, 127 epilog"Drive Extettioa, Wllmi gtoa, NC 21401 er eta p10495-3900
VW* 10 days of reptottbll boatu. No Mims Ir eoetidered the time go so objecting If
yco bow beta note by Certified Mall
Y aitatreto"d 010 I p K►dock,moot*Asp,brtahwater,lo/t boot:cr bost Iidt must be
bck$Millit11001 es dB'from coy area of pipettes access •auese cashed by me. (If
you'+rilk to wahre lbr$itbe ke you mast Wigil the appropriate bIs 1 below.)
— � ... 1 Jo wish to waive the 1 S`Raul rcgylremazt
-- �---�- I"11;wish to weide the IS';nix k rtssirercent
levy
Sign Name Date
?rim:Nutt — —•
7 ?3� — 18'3- .�r� ,. '
Telephotu N her with Arse Code
9:`,cen ,ahells`lipsrisspropeity

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3y-24-04 06 :42A Jackson ' s IGA 910 296 2092 P .O:2
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Noma of individual 4plyiag For Permit; C y ci 1:, q,02055,
Address of Property: L"S 4t21 Lo.)4c,k Zh.go-e
or &teat 0, Sine or Road)
r ads ` , ul Cp
tty end Coup)
5�t-A.r-Y\p 5 o u r od T'oc ur,Sh i p
t boreby emit that own nropatty gjacent to the tbovarefereoced property. The individual
won for thisparroit hu deuaribad tome se shown on the Vac/Loci droving the development they
t are prnposina• 4 d .don or drswia j,with dimension,should be provided with this letter.
1 hive no ob)edions to this proposai.
if �ane ou b d�aa to what 4 bproposed,Y � please write the Division of Coastal
Manegs teet, 127 Cnrdinal Drive Fite 2
osion, Wilmington, NC U35 or tall 010,3PS-3000
w 10 days of receipt deals notice. No response is considered the same as no objection if
yon ban boon nodally Cortlead Mal. —- —
Lam- 'r - - w
iI
I endsntand that a pier,doalc,mooring pttinp, breakwater, boat noun or boat lift must be
set bck s tnlain=*tame of IS'from my area of rrprrian access.naleas waived by me, (If
you wit to waive tha;setback you must isdkal the appraprista bknk belotr,)
11;
! ) I rio wish to waive the 15' setback r+equlrermot
I 4anni wish to welva tin 15' setback requirement
. _ w— - —
- -74' 13--W e Y
Noma s, , -y -_) Date

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Bank uf:lnseric•u Adiwittn,r
DAVID BATSON II NCDL 7012549, 1087
910-545-5913
158 GRANDVIEW DR. 1 88-19/630 NC
SNEADS FERRY,NC 28460
Date ll
b-02-<q 8070
Pay ! I
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to the older of
CAC. tAunrkerf / 0Qr GU
"' QU1-1 Dollars
Bank of America. . - `1 (/1� Cr /� w
ACH(irr 0590Qo100 .1 J��1c1 VGD�I / 1 ' :. ! /7 •