39056D - Foster

7,CAMA/ ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natura Reso es
Coastal Resources Commission in an area of environmental concern pursuant t A NCAC 1/4/ , =�'% )
❑Rules attached.
it Name 64,/. FU4/-t"tr/ ,r Project Location: County r'Jf (e:,r 4�
�i G 3 9- b), b.zo c[n 0,.4 Street Address/State Road/Lot#(s)
>a'i- 19/t 4 of State Aie ZIP 2€601
V'at)) 271 `1027Fax#( ) Subdivision
zed Agent P' //felt I-e City ZIP
i ❑CW 'SEW VPTA [$ES ❑PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 4444 ,lac.ifA/ (nat ,
❑PWS: ❑FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body 4 CIvW
if Project/Activity Do; `d;h., b6 4 6%14- -fD 6--.s//4, it,),',.,' er-- ///4
(Scale: /'X
Eck)length
pier(s) C�""
�i _ i
engthI
1
umber ro �
ad/Riprap length Prorez"^ , . _id .......h }_
,g distance offshore ,ity L . I
lax distance offshore .
:hannel Nrr
ibic yards
Bulldozing
j
f t
I
i i
.. — I
ne Length /20 j — 1 ..i_ - . G -
not sure yes no /2 0
gs: not sure yes no
mum: n/a yes no
H
p
yes no — .- — j
Attached: yes no ( -
ling permit may be required by: Q`1_ 4- /4#1/ . n See note on back regarding River Basin

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GENERAL PERMIT COWL.. TER FORM
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-..DDmO1:AL NAMES:
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Vame of Individual Applying For Permit: 3 7ie.
kddress of Property: G Y 3 Li li/, ,8 �, Or,
• (Lot or Street#, Street or Road) -
O q W n w,"c k
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individua
Lpplying for this permit has described to me as shown on the attached drawing the development the3
re proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
f you have objections to what is being proposed, please write the Division of Coastal
lanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390C
rithin 10 days of receipt of this notice. No response is considered the same as no objection ii
ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If
)u wish to waive the setback,you must initial he appropriate blank below.)
of i-y C x;Stiel3 ,016/-
\ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
9- —o
gn Name Date
A - r A

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
N1ame of Individual Applying For Permit: ,c7,e 1/.e. / s' 7 r
Address of Property: 66.?4 &,4C1i t c,
• (Lot or Street#, Street or Road)
0/9 k XS2-,-94 o) >1/c_ giti eks
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individua
tpplying for this permit has described to me as shown on the attached drawing the development the]
ire proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
f you have objections to what is being proposed, please write the Division of Coasta;
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390C
vithin 10 days of receipt of this notice. No response is considered the same as no objection ii
ou have been notified by Certified Mail.
•
WAIVER.SECTION
600tL-pt eu;s7tt'5 A,
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
bck a minimum distance of 15'from my area of riparian access-unless waived by me. (II
Du wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
gn Name Date
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