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LAMA/ _?I DREDGE & FILL I ll j`. �; -'
IENERAL 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 I5A NCAC PLI S. 7/. . (/e)
Rules attached.
Name ,7>G90" 6;104/' Project Location: County 4/
/33 64e6 C/ • gyp Street Address/State Road/Lot#(s) LO7.
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(9/O)� . Q' Fax#( ) ..'- Subdivision ✓g4;t. v✓ ��
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�d Agent �G�/1 C/l►�-iPs� �$ City v!///�'1f/ f� ZIP 2fl /
❑CW [VfW 101 A %S PTS Phone# ( ) Saftte River Basin
❑OEA ❑HHF ❑I C UBA N/A Body S/ / . /+��,
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❑ PWS: ❑FC: //e Sede<�Closest Maj.Wtr. Body /'l "� v/
res /61 PNA yes / tS ' Crit.Hab. yes / no / /�
Pro'ect/Activity
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innel W�'� I
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te, 2
p /36 S s 65
e/Boatlift / /� I,'
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Length 330.9 / pl jlCl/
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not sure yes ® �1� /P
im: n/a yes 67 n• cCyj /�
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:lathed: yes ® /
g permit may be required by: /C���/ %'7 I See note on back regarding River Basin 1
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mAgiNA
Survey For
Warren W. Barnes
a
07/07/2005 18:57 9107916745 W RICH FAL*. ei
JUL-19-05 12:59 PM MARK2CLCMEHTS 91 0+270+ 491 P. 01
pp,a ION OJ COASTAL Nauarigarzir
�DJAC R.PARIAN1&O ERTY OWNER NOTJFj,A-TlON/W: �,FORM
Ione ul Individual Applying For Permit: .�1 6�/C�7">vl°l� .
•\ dres ;+f Property7_1 1CJ. L+ / i+L'C. 5 .
(Lot or Street#, Street Or Road)
(City and County)
hereby certify that I own property adjacent to the above-referenced.prop rty. The individual
.+gplying for this permit has described to me as shown on the attached drawing I c development they
'ire proposing_ A description or drawing,with dimensions,should be provid a with this letter.
tkr I have no objections to this proposal
If you hive objections to what is being proposed, please write the F'vision of Cbasrat
Management, 127 Cardinal Drive Extension,Wilmington, NC 28405 o call 910-395-3900
within 10 days of receipt of this notice. No response is considered the sa a'e as no objection if
you have been notified by Certified Mail.
WAIVER SECTION �.
T understand that a pier,dock,mooring pilings,breakwater,boat house or boat lilt must be
.et bck a minimum distance of IS'from my area of riparian access-unless waived by me. (If
;you wish to waive the setback,you mast initial the appropriate blank below.)
_- I do wish to waive the 15'setback requirement.
I do rol wish to waive the 15'setback requirement.
Name Date
111A-PRe7t) 4/.E—R
ATA,
Print Name
Telephone Number with Area Code
Ul 17 U u : etlp .1 nni i in ..,.. ...�
. JUL-1.0-190 88:32 PM MARK2CLEMENTS 910+270+4491 P.01
PLVIS1Oti OF COASTAL MANAGEMENT
nt:t.1ACF.NT RIPARIAN PItOPERTYQWNEJR NOTIHCAILQN(.WAIVF M R jQR
1.1 Individual Applying For Permit: 12401C/(Ireer-
.;:lciress nfProlerty: / `% /JI%!,r' e/. _A. ll 14"
(Lot or Street#,Street or Road) '
(City and County)
hereby certify that I own property adjacent to the above-referenced-property. The individual
applying for this permit has described tome as shown on the attached drawing the development thc:%
,re proposing. A description or drawing,with dimensions,should be provided with this letter.
I have no objections to this proposal.
J, LI I J( i&&) is -Co r
If you have objections to what is being proposed, please write the Division ol(.oastal `� c?N
Management, 127 Cardinal Drive Extension, Wilmington, NC 23405 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
I understand that a pier,dock,mooring pilings, breakwater,boat house or boat lift must 1►r
set bck a minimum distance of 15'from my area of riparian access-unless waived by me. f l f
ou wish to waive the setback,you must initial tbe.appropriate blank below.)
do wish to waive the 15'setback requirement.
It I domt wish to waive the 15'setback requirement.
y Ito Ott aerobic,,-. '.'' /-4e J`ex 1:)u/k /N(7,4).
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p_s /on c ; -r7
C; Name Date
. /''1 o.r • n __`-•--— AliTiress
Print Name
5/ NCDENR
1 elephone Number with Area Code
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