39031D - Edwards

CCAMA/ L]DREDGE & FILL i/
3ENERAL PERMIT Previous permit#
KNew 7:;Modification ❑Complete Reissue Partial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7/+. I ZOU 7 N 1100
to Rules attached.
t Name -ben t A,./ .A a - S Project Location: County �
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4 to 74- t'J/ /d cat bi I VL Street Address/State Road/Lot#(s) /L^ fI Aid
5-1A-p0-(d State A/C ZIP c/u/V e r'S/de
(0/D) ,eft liiii g Fax#( ) Subdivision
red Agent 6rcg 6c,{�� City 1/CLI n&17%W'1� ZIP /
❑Cw ItW O XPTA XES ❑PTS Phone# ( ) River Basin l-.un
❑OIEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body tac, z-e-)c cl#C/9 ae../ a-)
❑PWS: ❑FC: LOG.k.C.c-iciv01/-ve'C A
yes / PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body __
f Project/Activity Co n S t c 7 (k_ken i P/E'er `e- Bock...
(Scale: /s
)ck)length_36 Xrj /
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w0-0,:i ,...____1_>___ , ,
)ier(s) I (o X 2 ' 1 1
:ngth —
imber T ' • T I, 1
id/Ri ra length Rip rap gt i / ((e� _
'g distance offshore (.... ' ( 1 ;
ax distance offshore _ I IF
:hannel sI i
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II
use/Boatlift � f �(,
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3ulldozing ( \ ' j j V V , 0
r51
i 14:p. - r
le Length
not sure yes 0
1I
1 .
gs: not sure yes t.-. ... �. i
1 �Vl {
limn: n/a yes aG( a
Yes T —r —! 1 i ( �—
:
Attached: yes a i 1 1 i I ,
ling permit may be required by: 75774/,�v/C.t (p , ❑See note on back regarding River Basin I

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: k i \ CA w c4..t ct k
ADDITIONAL NAMES:
AEC DESIG: CS e-1A---) DEVELOP AREA: .( PROJ DESC: E -1
(Will only Like 6) (Will only take 1)
WORK: Pe 3( x 5 _ 1
(Will only take 4)
15 I Z, 12
MAINT:
(Will only take 4)
IMP: /516 53O
(will only take 6)
oIV Z/2-
ACTION EXPIRATION
DREDGE &. FILL REQUIRED: qlf/o`( l 1'`40t-(
CAMA M AJOR DEVEL REQUIRED: S/(t(Gc.F 1114-10 1F

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: 0012 Ed ct 'res
Address ' Of Property: /6 Y Zit r S.' �� Sv� c , ;s ;oL Vas-,,,.,i'D%A)l.
(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 me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
•
i I have no objections to this proposal .
If You have objections to what is being proposed. please write the
Division of Coastal Management, 127 Cardinal Drive. Extension,
Wilmington . North Carolina. 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no objection if you have been notified by Certified Mail
WAIVER SECTION
L understand that a pier, dock, mooring pilings, breakwater, boat
louse, lift must be set back a minimum distance of 15'
Erom my area of riparian access unless waived by me. (If you wish
to waive the setback, you must initial the a
aelow. ) ppropriate blank
I do wish to waive the 15 'setback requirement.
L I do not wish to waive the 15'setback requirement.
ea) e 5' G/ 46)/a4-)

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