39075D - Edwards

iCAMA/ E DREDGE & FILL
.iENERAL PERMIT Previous permit#
New —lModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Res es ��
:oastal Resources Commission in an area of environmental concern pursuant to 15 NCAC /( oo
[� ,J ❑Rules attached.
t Name 146 n '�'J V e{ [:/-n wq r i` "5 Project Location: County 0 Sirtx/
"s.5 Jae U k y{f t e- N 4/'.j Street Address/State Road/Lot#(s)
k► c .-, IU C ZIP 2.. S? 1 l 1+ si.
lt. � State Z S ��� I
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('nt 1n)32 4fill
1-11.42-Fax#( ) Subdivision �+
;edAgent !'t,'c44_e1 / , VY t-f City 57v I F C►'4- ZIP 2-8yi
❑CW ❑EW ❑PTA XIS ❑PTS Phone# ( ) River Basin elec.
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body G_4 IN.et 1 (nat /
❑ PWS: ❑FC:
iAl
yes /R PNA yes n Crit.Hab. yes / no Closest Maj.Wtr. Body n ��
f Project/Activity New A,iIlckce? ( #a ref Ince eX'r?�.,1y; net'V bV/k�ettX
p04 i'1 e) i 54►`r.1j /i t4 f t O''1 J (Scale:/'t'A
ck)length
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ier(s) I
ngth 1 v-1 n I
mber
d/Riprap length V k,S
distance offshore - Fi ►•.
ix distance offshore _!. y....._
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not sure yes j T i I i
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ium: n/a yes no i I 1 i — — I-... F —
Yes ; + 1 i {
Attached: y no . I I /, i i
ng permit may be required by: _ U r-F ( '44 7 . [1 See note on back regarding River Basin n

- GENERAL PERMIT COMPUTER FORM
A?pi 11C A.N i NAM : 1-1 o O v eY- Cd kir? ed
ADDITIONAL NA_vIES: i c 1 e l 111 .'11,\.t -
AEC DE S1G: S DEVELOP ?Wiz: D D .3 PROJ DESC: P _ I
)
(Will only ta:c 6) (Will oniv takr 2)
WORK: 1-3 N Cr,S
(W:i oaiy 4)
MTh T:
(Will only mkt 4)
DVT: HC-, 11oo
(will Daly= =6)
ACTION? IRATION
DREDGE&FC,L R.:QUIR J: l .gO/D Lf
CAMA MAJOR DEV L REQUIR ED: 0 131 I n 4 13 o f lit+

-24-2 04 12:27 FROM: 93276471 TO 917e3z575343 ?.12
1
aafaCtratialAtilditatatham
4 TAc p N P
Nine of Individual Applying For Permit:.114,aheratztzedsZ___
As of Property; /Q 7/ a
(Lot or meet#.Street or Road)ap5f-adn2ers.4*
.._
rly and County)
I hereby oertt ►that- own property adjacent to the above-referenced property. The individual
appiying far thlape rmi hes daaribed to me us shown on the attached drawing the development they
are fig. A desctdptton or drawing, with dimensions,should be provided with this letter.
I have uQ objootims to this proposal.
If you bare objoetleins to what is Wag abagaa�t, 12'f C r,dbu!DrivePt"eP�+d, pl'"10 writ. the .Division of CoastalM within 10Exhalation, g�, NC 28do0 or WIslo�ib-39DO
daysof pt of this noting. No reopens.b considered the mina es no objection i
you have been Will by Certified Mail.
I endoraesnd that a pier,dock,mooring pilings, breakwater,boat house or boot lift mot be
set bek a minimum dlfttlaoe of 15'from my twee of rlperIaa seoem-unless waved by me, (If
you wish to Wet %thaa.theek,you mart Initial the appropriate blank below.)
do wish to waive the 1 S'sack rurtaemeat.
IGill=wish to waive the 15'setback tua.uirement(f 4e7"
Sip Name
. A
g /
Print Name
30.3'3(aS- ( lialabitpriPlara
Telephone Number with Area Code •""`
S:loarnateholtsiripariesrpropeety.thn

4r rC
/ (1) pSi'2
ity and Cou ) -----
I hereby certify that own property adjacent to the above-referenced property. The individual
applying for this perm t has described tome as shown on the attached drawing the development they
are proposing. A des ription or drawing, with dimensions,should be provided with this letter.
5,g. , I have no of jections to this proposal.
It you bsve objections to what is being proposed, please write the Division of Coastal
Management, 127 C rdinal Drive Extension, Wilm1n ten, NC 28405 or call 910..393-3900
within 10 days of receipt of drbr notice. No response is considered the same as no objection if
you how been notiffie)by Certified Malls
•.,___ �_, VAI V ER SEC 1 ___ __
1 understand that a peer,dock, mooring pilings, breakwater,boat house or boat lift must be
set ink a minimum d
/1. ancc of 15'from my area of riparian accesA-unless waived by int, (If
you wish to waive the setback,you must Initial the appropriate blank below,)
ft
51 V I o wish to waive the 15' Setback requires nt.
11I=wish to waive the 15' setback requirement.
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Telephone Number with Area Code Yf" �°`"`
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SIV GrVJ 1'tt1r1I, IVl4 2f'bU Litt '._'f 1,/y 4b/ it
Pay W tl I 1 r ,�yr� ,r�
Order of'. —1 $ 7C(? C/
0/02
ROBED 1 M.OR KENDRA L.MILLIS •
MIST CITIZENS 45/
/� First"thg Bank 28460 Company
/\N I� Snw .fir NC 2Ize •
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