37839D - Huff

ICAMA/ ❑DREDGE & FILL-1,
3ENERAL PERMIT Previous permit#
INew _Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources r7
:oastal Resources Commission in an area of environmental concern pursuant to I5A NCAC I H ' 1 C D
❑Rules attached.
t Name kj , A I e x r►-`or e ✓ v-fc Project Location: County -Pe N 4 e"-
-Z.0 '7 & p e te o w tie a A _J7 t . Street Address/State Road/Lot#(s)
j :h-1 o State N C. ZIP Z 8 3 Z 8 3e A -,w o n A .,-
(411e)5 4 -6835Fax#( ) Subdivision
led Agent 1Z,0 q G✓ I u,ekti City ..S.1J/4 G i ZIP 2 8 4/1
L;CW W �TA <ES ❑PTS Phone# ( ) River Basin C C
CI OFA /�❑HHF ❑IH El UBA ❑N/A
Adj.Wtr. Body —ro eSa 1 I So v►') Df (ni
❑PWS: ❑FC:
yes noJ PNA yes / no Grit. Hab. yes / no Closest Maj.Wtr. Body I o fSa ) I .So ti L rA
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ng permit may be required by: S• r-t C.-l'Ty n See note on back regarding River Basin rl

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Ra6cle 144, PNy Ro.E
Name of Individual Applying For Permit: 'n k. 4 )yf 2 S. Gil - ilL eX A I1 D fie `/
Address of Property: /,?-3 Bench/woe . ,4Nl P/
(Lot or Street#, Street or Road)
ca F Ciry, A/c
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The in&
applying for this permit has described to me as shown on the attached drawing the developmer
are proposing. A descri tion or drawing,with dimensions, should be provided with this let
c I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of CI
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mi
set bck a minimum distance of 15'from my area of riparian access-unless waived by m
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.
� � y
ign ame Date

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: . 111A5 41e 4 fro,,e A
Address of Property: j1 b fid�
(Lot or Street#, Street or Road) �-[/el
5iip (, ry Nc-
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indiv
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lettt
[/ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co;
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-:
within 10 days of receipt of this notice. No response is considered the same as no objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access-unless waived by me.
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.
4 /4 /74 .
gnameDate
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EXPLANATION AMOUNT 5524
PHY & CO. 11111111111.1.11111111111 IN��
kD,NC 28443 11111 al30X- 399 = 67-219-539
1703099
/ 6 DOLLARS CHECK
/`lr0, "`, �lL� AMOUNT
CHECK
THE ORDER OF
DESCRIPTION NUMBER
e -, ME $ /� I
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3-7S a
MINA FIRST tir
iTEAD,NC 28443 -• ---- - ---
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