33377D - Daniels

LAMA / DREDGE & FILL '� : 176 FIAf'Yb L.0 4U • 0GENERAL PERMIT s,,,.�0t ;...erry, �c )d1/6
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
Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC 1 /• „� l'ICIes attached.
It Name i-wag.tf% --b R N‘ 'kt, Project Location: County 0J1 Sj 0"
b (0 $ ^' pi . P J Street Address/State Road/Lot#(s)
f\J P44S c{'1 '( State ZIP )S ,ram'(4) .11/4`Y1,-4, 4'P (-f'f-f.-
' (y/v) �,a7-07 Fax#( ) Subdivision
ted Agent P,I1 J c ``i Mine City ZIP
❑CW PI* `1 FAA DES C PTS Phone # ( ) River Basin Vn)a tTP
I
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
CI PWS: ❑r{; Adj. Wtr. Body C/AAV+A L (nat
r- Closest Maj.Wtr. Body( `�W it k a>'V
yes / no PNA yes / na Crit. Hal). yes / no
f Project/Activity g 040 I I.}'i A ,t1JN —to E J(i S7 411111110
J it
�(Scale: _
)ck)length_
i
n(s) I 1 - ._ . _ } ,—;f— 4-
-..._.._
— O I
,nth i N`T' I
+tuber 1 f 1
id/Riprap length { L' I I ! T eh'-
g distance offshore
ax distance offshore ( i di _t
hannel L........ ! {- � l _
l
Ibic yards i. i. I
mp __.
1
as Boatli 1 a%X I) } 1
/'jfc ili
I /}- , + l
fulldozing i .-
i ' , i
.ie Length f ;
not sure yes no 1 I I i I .
j
gs: not sure yes no it fi
1
rium: n/a yes no ' �e
yes no
Attached: yes no . II i
ing permit may be required by: f)V G 10 ' . I See note on back regarding River Basin i
'Special Conditions

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: C. {/I
ADDITIONAL NAMES: 'S In,• C �Si�Iy
AEC DESIG: E&../ P DEVELOP AREA: D .C� r PROJ DESC:
(Will only take 6) ———
(Will only take 1)
WORK: . �L 11 I
(Will only take 4)
MAINT:
(Will only take 4)
IMP: p tJ I k
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
C_4MA MAJOR DEVEL REQUIRED: 0 1- "• am —i 3-0(1

I pIVISIOII OF COASTAL MANAGEMENT
ADJACENT RIP RXAN PROPERTY OWNER NoTIFICATNE f WA►I ER FORM
Name Of Individual Applying For Permit: ( 2fi 44/C ,,,7,-- -2,_ '
Address Of Property: 1 ii, / W -P �v A""T
*----t*,rt
Lr/- &f /5 i
(Lot or Street #. Street or Road, ty & County)
3017 - 07A
I hereby certif that I own property adjacent to the above-
referenced ps^ope y. The individual applying for this permit ha:
described to me s shown on the attached drawing the development
they are proposi g. A description or drawing, with dimensions
should be provi d with ;his letter.
OPI ha a no objections to this proposal .
If you hive obis at is being proposed- please writ' till
Diyision ofCl,tat Management. 121 Cardinal Drive Extgasion
Nilmiacrton. No Ca;olin, 28405 or call 910 395-3900 within 1
days of receipt o this notice. No _response is considered the tarn
as no obi action f you have been notified by Certified Mail,
WEISAIGUAS
I understand tha ' a pier, dock, mooring pilings, breakwater, boa
house, lift ore goo must be set back a minimum distance of 15
from my area of parian access unless waived by me. (If you wis
to waive the s back, you lust initial the appropriate blan
below. )
•
e,eP I Flo wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement .
•
ami 47/, 4
49
" at
. i ., I ,�,o ,
Signarj urle_ _ e

DIVISION Or COASTAL MANAGNNZNT
AWACS= RIPARIAN PROPIRTY OII IIR'R NOTXFICA IQ2j f WA,IVER FOItM
Name Of Individual Applying For Permit: Cl/ 1i/ "1 i /L7J
Address Of Property: ?PrC'• a ia J t'"n''' "•-7 ,
(Lot or Street #. Street or Road, City & County;
Job7- 07f‘.
I hereby certifl that I own property adjacent to the above
referenced props y. The individual applying for this permit ha
described to me s shown on the attached drawing the developmen
they are propos g. A description or drawing, with dimensions
should be provi with this letter.
gi 1 I ha-e no objections to this proposal .
1
4.1 . L • • km • . _ • . . . •,- . • • i i•.• _ - • • - ..1 - ii • - p
Division of tal Manaaement, 127 Cardinal Drive Exten ion
WtImiugton. ;:• Carolina. 28405 or call 91.0. 395-3900 within 1
dAvs of receipt • this notice. No response is consissed the saw
Ag no oil-tactics f you have been notified Iv Certified Mail
witIviat QSCTIO
I understand tha. a pier, dock, mooring pilings, breakwater, boF
house, lift or s; . .. .gs must be set back a minimum distance of 1'_
from my area of parian access unless waived by me . (If you wi:
to waive the s-aback, you must initial the appropriate blar
below. )
it 0 I do wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement .
i
i VIM
/) 7 ,/.>_ -7 ,L,L
Ae--ti/i ,-/- / a -„7 - 02- .
.,
ii= \
Siaaaturs .1 / )1 I. /,.n, . Date }`

.1 PILINGS AND MORE
JOHN CgSSIDY
pH: [phone]
107 KATHY ST
SNEADS FERRY,
NC 2e460 3129I
yto the Date c% ' I
p
rder o 5G30/�457
i
BANK
�Nh S a57 liol A
Snoatls FarrY.N.C.2696p n" �
any /
IX
www.firstcitizens.com
.
1111' �"`�1j�C.
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_ 004571327013
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