38999D - House

v
CAMA / C-DREDGE & FILL
1ENERAL PERMIT Previous permit#
1New _1Modification ❑Complete Reissue EPartial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Resources n
;oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC / H • //CD
1 C]Rules attached.
t Name C 1'1 ci/ le-5 1-10(Air Project Location: County OhS'o LA
-- 2. S''' 14 4 2 Ha v- e‘e✓S)t^+ D/ Street Address/State Road/Lot#(s)
el t+}e V.1 jre State AJ C., ZIP 2 83n LI 13' 60 rG 1Dr-
Do) LI8`( `4,0jFax#( ) Subdivisiongo 64,4 T s-/, re (4.-v:4/ Z.e PV$ina
edAgent 5 (cye Al-tr r, City .fvlegCft �C✓ii ZIP 2gti1
❑Cw ,W )PTA ES E PTS Phone# ( ) River Basin t' ll ''
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body `/A h G I nat
❑ PWS: ❑FC: C k+A GZ LA, :C JL
yes PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body
no
'Project/Activity Net./ /7 v/kh C a O( pD,'- i o.-
r (Scale: "'2
:k)length
i(s) -
ier(s) i I i i...
; i ! l i-- _— ;
ngth i I - l I
rber .
yl Riprap length's 85 ' ^`,. I _ /
;distance offshore 2. ( frif 7 ("1
x distance offshore 7, ' it��_ , ��t..__._� (-)fit''T
tk sf l
cannel
I
)ic yards
I I . . ___
np
se/Boatlift I j I iIuur5bII_.__c
ulldozin8 ! _MT / 31 �� / 1)�. '0I i
i
61'
� �__ r W Ear _
e Len y,+ t
not sure yes I — 9 cJ a i i
lA!�"1
s: not sure yes no F j
._
ium:
yes no 1. h 1 ; ' 1 1 1 7. ''' ,
1_1,
_,
\ttached: yes 1 /, i
ng permit may be required by: (' n S j t'"/ Ile"off/ . ❑See note on back regarding River Basin n

•
GENERAL PERMIT CONIPUTER FORM
2PUC. 1� CtAct( cs N o r,._s e
1.DDITI ON.t?\A- `S: v h h P r
DE SIG: Oi0 PTA �5 DEVELOP A R-=4:_ Q PROD DESC: F- 1
(Will only mkt 1)
(Will only ta::o)
WORK: 13 1-1
(�uloaiymi.==)
NLA2\i:
(G 7l only tai=4)
•
nvT: I G �35-O ,S"73 ISO'
(will only _6)
ACTION �IRAITON
DREDGE' &Fes,REQU'IItr` ): `?l Z l0 `- 16/7.4 o`t
y.: CAMA NLAJOR D�':L REQUIRt-D: '7 /z/ n 4 I C'/ 2 /d 4

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWN R NOTIFICATIO "WAIVER FORM
Name of Individual Applying For Permit: T/
Address of Property: g9
•C'a4/1"V1, `.'�
•
(Lot treet#, Street or Ro
7/I./ (.,
(Ci and County) C/
I hereby certify that I own property adjacent to the above-referenced-property. The individ
applying for this permit has described to me as shown on the attached drawing the development to
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 Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3!
within 10 days of receipt of this notice. No response is considered the same as no objectioi
you have been notified by Certified Mail.
\ WAIVER SECTION
\
I understand that a pier, dock, mooring p. • as, breakwa , oat house or boat lift must
set bck a minimum distance of 15' from my are • arian access- unless waived by me.
you wish to waive the setback,you • It-jai the a opriate blank below.)
I 'sh to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
lign Name Date
0_ I,%"i:_ .�C I if o tn,. A w

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: �'�,�'(G,4 / v d-�// ee
Address of Property: / 3/ L jd� .S /�� -
(Lot r Street#, Street or R )
/tK ( r"r
(City and County)
I hereby certify that I own property adjacent to the above-referenced-property. The individ
applying for this permit has described to me as shown on the attached drawing the development tl
are proposing. A,description or drawing, with dimensions, should be provided with this letter
M./4 I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cow.
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3!
within 10 days of receipt of this notice. No response is considered the same as no objectioi
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, doc ooring pilings, br,akci,ater, boat house or boat lift must
set bck a minimum distance of 15' my a of riparian access - unless waived by me.
you wish to waive the setback, you m 'tial the appropriate blank below.)
I d sh to waive the 15' setbac uirement.
I do not wish to waive the 15' setback requir ent.
/—diGe 12 _ -b
Sign Name Date
i iIIi " . Q. < ,a I AW WA

\71V/3L/-3Y/O (
TO HE / ' ) 3 " g
ORDER OF\d� � l/Cl']/ /[ �/�I"-��,,II $ D
6
MEMO 4r ,321/y AUTHORIZED SIGNATURE PR
C:l 1.r 44re � 3/y41
v004 26010 1:053000 i96i: 0006505 2 i990y