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J,CAMA / ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
JNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
Zoastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
a L Amp
, Rules attached.
it Name f✓wile✓i`c4. U t> O Project Location: County / ,1�P✓
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001 01de "D,.r.+- 0y . Str�eetQAddress/State Road/Lot#(s) ZO/ Q//i✓e
Ya of tl6746*Id State .'tti ZIP Z� Y /10i
(qVV) Z-'70—7/ ax#( ) Subdivision Z�S
:ed Agent t etol ,f�t� City #a in,t PiA 7, ZIP
❑ 1 CW EW X.PTA El ES ❑PTS Phone# ( q/D) 270 2/7Ziver Basin C F
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 4 /6110
❑ S: ❑FC: i,.e,e/ /� (nat /
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body 4X ��
f Project/Activity Ail)•+7 S:.a71G C]04 7144
(Scale: li '
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d/Riprap length .. T , '• 1 -0 }/.. 41
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g distance offshore LL
ax distance offshore , .. _ -_
hannel 1I
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ibic yards 1
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ie Length /74 i i..
not sure yes er ///✓
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;s: not sure yes U
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�rium: n/a yes I i / Ohle y4;h '� -�
yes
Attached: yes no ' ! I I — i 1 1 r�
ing permit may be required by: 40 (6, . 111 See note on back regarding River Basin r

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GENERA 1 T PERM COMPTJY R FORM
ADDITIONAL NAMES:
AEC DE SIG: DES SOP Ala- _D. d I PROJ DDSC: 1" - /Z,
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ovni only zak.:6) own'only lai:?)
s,-oRK: /3L /3 X/3
(Willo' z 4) •
MA NT
: pcv 169
( -i only,.--6)
ACTION
DREDGE&PILL
R:Q 1PED:
CA_NL&MAJOR.DE r REQUIRE):

if)i DELTA DOCK AND BOAT LIFT ..
TA DOCK & BOAT LIFT ,/
WILMINGTON,NC Li DA, ('�j4 ;lj s bQ Phone: (91Q 686-9700
WILMINGTON, N.C. 28411 Fax: [phone]
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004) Ave' O8y4'3 7 } \
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t)IYTCIQN OF CO4STAT, M4N4GPMFATT
4 TIT A('F,NT RLP ARIA INLPROPF.RTY OWNTER NOTIFICATION/W4INTER FORM
212 a
Name Of Individual Applying For Permit c'p ,;c r"" V. /../u &
Address Of Property: ,77-6 i O t- iD 6 to, et c .-)
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described toilie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter. I
•
dIte have no objections to this proposal.
IL ;�cri�nc tc, wh�i is h ins
T1�P�'fCP vrrt FL IfTVlctnn
of rn�cr�i
3
this nr� . r Na r cnnnc is ncidPr ' t
if vrm have h: n notified by Certified Mail r
WAIVER SECTION
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 rrmsr initial the appropriate blank below.)
/�/ 0 I do wish to waive the 15' setback
requxremern.
I On not wish to waive the 15' setback requirement.

DIVLSIONJDF CO4STA , M&N4-GEMMENT
gi)JACF1"I' RTP4RIANJRc)PF,RTy OWNER NOT rATIONIVF'4TVF.R FORM
Name Of Individual Applying For Permit: 4
, J
Address Of Property: 0 D "c C7
7 i11111 i.:� i7 A/C- tl y 3
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced pro
applying for this permit has described to the as shown on the attached drawingm development
individual
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
•
I have no objections to this proposal.
1f you have ohjecrions i i irP
•
if you have trin notified by Certified Mail
WAIVER SECTION
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 rnmt initial the appropriate blank below.)
I do wish to waive the 15' setback requirement
I do nnt wish to waive the 15' setback requirement.

Setrrli enwenteJ /•ermitrt, fet titl /rrall7 7.
r
DELTA DOCK & BOAT LIFT . 5700
402 AQUARIUS DR. 910-886-9700
WILMINGTON, NC 28405
/ Z O y 66-30/531 96
DATE 986
•
3 AY
f0 THE J'f/e 9 J €
ORDER OF /!/ IL/, /�.
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FIRST CITIZENS 361
BANK ri"r rpdMsnN it fMrd Carripnnp
www.flrstcitlzens.com
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