37884D - Greer

]CAMA/ ❑DREDGE & FILL -r
3ENERAL PERMIT Previous permit#
JNew _-.Modification El 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 15A NCAC
O Rules attached.
it Name Tc�k ;PiG r ce✓ Project Location: County f e, cA e
j 3 3 G�o►Z P I' v (4 Tn+e 4 14' 1 a 4o f Street Address/State Road/Lot#(s) 4`'S e.4►¢n-4 t I
Jr/eft: i114Or // State NC ZIP Z-6 4°l 3 .b 05 .s'D7 ref' i 24
Walk (‹RI
an t4 43'L4IO C Fax#( ) Subdivision
:edAgent 11/)i')"k C Ie."-c»AS City NAr-.(S4 enef ZIP Ze44:
%CW >ON 4PTA *ES ❑PTS Phone# ( ) River Basin rot pe
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body tilik) In/ at ,
IDPWS: ❑FC: rl k/hi
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body nn
F Project/Activity A)c L^) 1:e-✓ ", a( -rice) I,r ci dock
,....-
(Scale: /'':7
+ 1 J --Co', X 4' c✓___ � 4 41 ___ -
Kk)length 5 k 1 ""' nV L Vv�l
1(s) /Z' k l 2 ' 44 21"�,..0 �f l i' �"/eet—tee
` + 1 .J ,
rier(s) t
:ngth I I � _
mber ' ( { ._ II 2/X/1Z jA2
d/Riprap length 1
g distance offshore i._.._ j i_ ._ ,_ ....) l._..._I
ix distance offshore __.-.._( 1
}}
Flannel I }
bic yards }... I t __._ i
1
._
I
rse/Boatlift
:
,ulldozing i 4_ I
I I
_. __....._
i,
le Length `�Li ....- -f r ,' ` /j. E,,,,i, k i 3 /'►�Q:l
not sure yes no i r r
s: not sure yes /fo 1" -i
m n/ayes O -...- 1 a _
•iu : l
.,_. j �
yes no 1
I
Attached: yes no ,
Ing permit may be required by: PC nd e✓ C pm n-4 1 . 1 I See note on back regarding River Basin r

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GENERAL PERM]TCo R FORM
?'PLIC_-N i NAIVE: a v r e e
�a r e C S
•
AE1 only*a=IG: C.,1Ai !E t41 f T�ES DEVELOP 4 R 4_0.0 D 2 PROJ DPSC: 9 _ , I-
_— (Will only mkt.I)
woRx.: F17, `75, TE /Z/ fz-
�=S r�, � 6 •
(Will only a. 4)
� G _3C�= 108 Lw1 I�
(x:i1 only o)
aLlION IRA?ION
DREDGE FILL REQL J: V j o l r y q 11 31 ��}
CAM A.MAJOR D. n REQUIRED: 41 13/ C q 13/

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of individual applying for permit: a,(,(,Le� �� r"l �J 6/j1Z a-
-Address of property: (/..a �
I hereby certify that I nwn 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.)
V 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
(Does not apply to bulkheads or rip rap)
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
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.
•
grag 97a , 1 ` ,e •
Signature �^ Date M
Print Name
V6-340/
Telephone number with area code

t
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAVAIVER FORM
Name of individual applying for permit: )cl3 647 G)
Address of property: PC
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.)
1' 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 von have been notified by Certified Mail.
WAIVER SECTION
(Does not apply to bulkheads or rip rap)
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15'from my area of riparian access unless waived by me. (If you
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.
t() l'►'\1n,., —3 a_ U Li
ignature Date
1-(0u , i 61\ 0 11'1Cp1? &s h
Print Name
9 - a8a1
Telephone number with area code

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