36955D - Greer

CAMA / 'DREDGE & FILL —g-
IEN ERAL PERMIT Previous permit#
'New -Modification Complete Reissue Partial Reissue Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC -71-f /Z D O)
[Rules attached.
Name 'DA V I t /C f EELiZ 1 Project Location: County p ENT)E lZ
)�j.3 6 ' Z,E,,ho C7 J )/E-1 %A. NAf2 feAddress/State Road/Lot#(s) L 0 # 6,
i 1114 IN 4-�/►'r State/U 0 ZIP zb yl Q I
( ) Fax# ( ) Subdivision
id Agent M Aek (JLE/'NCN/ City /I/1 mil)757EIa) ZIP
x"CW XEW PTA ES ❑PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body {
❑ PWS: ❑FC:
es / no PNA yes / no Crit. Hal). yes / no Closest Maj.Wtr. Body
Project/Activity 1212/UAT //C/1 Y /2aAT//Ue, /17oC.k
k)length /Z 7 V� (Scale: / _. L
t0 /
s) /6 x/!, CouEeE lt,Cr1 —racy Lam" I r." ,�16' rioRt
Bth
fiber
'Riprap length
distance offshore NID f� I S /
L Cat?
distance offshore b X 1
nnel &weal), I
N
c yards (�
,_�. —Pl1 c�r0 5 E '
./Boatlift X _._
(dozing
p/ 2
Length 3 + r .
not sure yes no t.- 4 s 41
not sure yes no '',' Mii C,
m: n/a yes no �----- yf \L-
I
yes no 37 f .5 flQE4-/Nc
[ached: yes no i .-_
permit may be required by: QF/V or t7 Ova&)71" . I See note on back regarding River Basin rul
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GENERAL PERMIT COIVEPUTER FORM
'PLICANT NAME: r. �)
)DITIONAL NAMES: 614 IC c-lril-ei,,--t
EC DESIG: (. (A./ (-A--' PT E.S DEVELOP AREA: 3 PROJ DESC: f-/)-
ill only take 6) —
(Will only take I)rORK: , (� q ./ &- , (c- )(7((
ill only take 4) f
'ice f � , ( (n iyf
AINT:
'ill only take 4)
AP: U w -5 P"(
ill only take 6)
ACTION EXPIRATION
RE'DGE&FILL REQUIRED:
AMA MAJOR DEVEL REQUIRED: 0 I -DO"°L( 0 Y-D-0 ,0 L(

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
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Name of individual applying for permit: (��, U - jn r
Address of property:5 / ?of 9oi * t-c I- ,j acI s)c ntttr5
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 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.
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Print Name
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Telephone number with area code

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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1;2,and 3.Also complete A. Si \
item 4 if Restricted Delivery is desired. X11I'L1i
, ❑Agent
• Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. • ed (Printed Narn) C. pate of
Delivery
■ Attach this card to the back of the mailpiece, C /�i l/ "" '7r
or on the front if space permits. ,`` '
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
Ro&or (,l A M-
4 , 3 , ?e2-occ-- Lf
HA , f1eaSeAt S c 3. Se�iceType
Z 1 9-jq- l!1 Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) El Yes
2. Article Number 7003 2260 0004
(Transfer from service label) 9929 3334
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540

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