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CAMA/ _1 DREDGE & FILL
GENERAL PERMIT Previous permit#
f INew Modification iiComplete Reissue Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7 H+ /L UL.
X Rules attached.
nt Name z5'!I v, i +'t-C4 6r i Ct. Project Location: County 3nf/15/0k.. �...
s 3/L.it Dli{t 5{yce 4-, SI.t? _ Street Address/State Road/Lot#(s) 3/24
ih4./ib` -C State MG ZIP 2�'t/,2 I G f �7rGe ��,tJ
#( _o )8y2 -72'79 Fax#( ) Subdivision ,''•J • 03 i e.w0'U d
ized Agent City 55liat t,0ffe. ZIP 2$gfc,
d -cw $sW XPTA ❑ES ❑PTS Phone # ( _) River Basin L-t t Pt
LI OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body . ht,._-t(o c '_i yr_ r nat
PWS: ❑FC:
yes / no PNA es no Crit. Hab. yes / no
Closest Maj.Wtr. Body '51'a IL o4-ft. k I VC,'
)f Project/Activit
y ty ,fix ,-,d Ex.l5fin5 1�t er F..0 Pcc t-C f—lva -I-7nG bocl1
(Scale: /'3
lock)length /1CW t! lel* 42,
'm(s)_ /O)r$ i A__Wi F r.....- ' _ jti.tcal ct, —
pier(s) 1t K!! LX 4S41 i __ I
length { 1 — �- I
I
umber I t '�- --. Eyisf�` i — 1
:ad/Riprap length 1_ _• .�i 1�L- T �i / _
vg distance offshore , V r 4 /f y: �— — ' i•of 4
-tax distance offshore - -. {- I — i 1-"I I ' I5 _• _j
channel i 1! V �I' { L�" _ ,F. I
- _ _}y,,� T
'Y Yt o, y..� I
1 Yl I
•
ubic yards F-_. i —� —._
. !D
I 4 i I I j a
amp .. — - --1
._..
i
use/Boatlift I 1 I
Ii y
I I 4 b1t• .
f- . .. .
Bulldozing IiI
Nll
i ! ..L__A. 1 !
ine Length �� 2 a._ 1 V — I -- -
-. Ili ._. f el_ 6. I
not sure yes no i Kt* Z L
igs: not sure yes ,
�rium: n/a yes I _ I { a tir ......... ..... t 2.'L
yes no __L. t 1. de-Ail
•Attached: yes • .
ling permit may be required by: 5Yz.r i)5 ccll C k. Caz[K.- • L See note on back regarding River Basin
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GENERAL PERMIT COMPUTER FORM
,APPLICANT NAME: p7/1 6r1 G2
ADDITIONAL NAMES: d K cc. 6ri Ce
AEC DESIG: DEVELOP AREA: .0 / PROJ DESC: /D -
(Will only take 6) —— — (Will only take 1)
WORK:
(Will only take 4)
MAINT:
(Will only take 4)
IMP: oz() H
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 575/04< 8/s/Ov
CAMA MAJOR DEVEL REQUIRED: 5/6.-/D£/ gr/5/o4

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DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORD
Name of Individual Applying For Permit: �j \ �,� Gt.. l Cr-,
Address of Property: 3 LLE D k l v E , VJ
(Lot or Street#, Street or Road)
5VPPL ) 1� C. af34in ZI1?V1O S ‘
(City and County)
I hereby certify that I own property adjacent to the above-referenced_ ro e
P P rty• The ind
applying for this permit has described to me as shown on the attached drawing the developme
are proposing. A description or drawing, with dimensions, should be provided with this le
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-39!
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift m
set bck a minimum distance of 15' from my area of riparian access-unless waived by it
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.q irement.
I do not wish to waive the 15' setback requirement.
Sign Name Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORT\
Name of Individual Applying For Permit: B I 1 L G RI C E
Address of Property: 31 Z# j31._,U C E7 R I V E 75\0 )
(Lot or Street#, Street or Road)
SLPpLL1 } J L 4-42. . ' 13R0 5t.01C
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The ind
applying for this permit has described to me as shown on the attached drawing the developme
are proposing. A description or drawing, with dimensions, should be provided with this le
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-39!
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift m
set bck a minimum distance of _5' from my area of riparian access-unless waived by n
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.
_ZzifA y,4.c/0
Sign Name Date
ni _ _ � T. AAA

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