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CAMA/DREDGE & FILL .•
;ENERAL PERMIT Previous permit#
INew Modification I '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 I 5A NCAC '7 N. 1100
K�� �Q � ,` ❑Rules attached.
:Name h G t/'T7 _ Project Location: County O n S(o_'
3 b 53 6et i/A biw t Street Address State Road Lot#(s)
�‘1 4 a n StateNC C ZIP Z 0 3 Z 6 Pia '7 S '1'I 1 574,c c-i-
(4l0 )Sq a-l71-iff Fax# ( ) Subdivision 11 t,
sdAgent S-fe.ve Ah4;"6r ; City Su✓-C C>" \j 'I _ ZIP 2 1
❑CW XEW Q TA $ES ❑PTS Phone# (`4le)59 r1
0 � I q8 River Basin LJ 11 c
❑OEA ❑HHF ❑IH O USA ❑N/A Adj.Wtr. Body C el 41 9 / (nat
❑ PWS: ❑FC:
yes /(o PNA yes / no Crit.Hab. yes I no Closest Maj.Wtr. Body 4 s w°✓
Project/Activity 1<e)0(4 ce eX,'S 4..�,., 6 u/kieet I,,►-l.h;-.‘ 2 ' tAJm 1 c't.'' a
ei a✓J-} (0 G er-1>a h1; e.k f mr/►'o -�a✓ e a► S i^) C)r i S./•) (( -1(v"'(Scale: I `l^ ;
k)length
;s) * ,1 I( p er -.1-✓V C--4 v r*
a.r(s) iseXlS4 ►r
,gth �� G N4 L
fiber (Ai I I e I CV er/e
c l,a�c L,ctl pI44.1v✓�3
ftiprap length 60' c id S S /
distance offshore Z.1 4, Sa✓vj e C IC VA 1;a n 12,X 2.' ,n►f c� f o'er.
c distance offshore Z ' A S 11' X 14 l"t WV'w. . 1 iksu '!
annel /� / 13► �d��a jf � 1lVG� "'Q�f
3X (
is yards 0,
P �,�.1�/�d. 1c-33
e/Boatlift N p.W Eu1 i)c ex d 60 i 4'
4II.• l-f(4•.i, FL' L # 't uts if' �i j
Ildozing oh'I(Ilest rt- 7 S' 00!_
i A. .
1660c-1;o,
Al
Length‘#515 I A EA Li, a --)
not sure yes no
,L /
not sure yes /7O 9 S ,^ c L
im: n/a yes �,i✓A ( /7
4CIP , no
ached: yes no EX;-14 i.,,) D O A4 Rev-MI 4e Tom- el M rK41 4'C I i I I _.
g permit may be required by: SV/-< C14 Y I I See note on back regarding River Basin ru
GENERAL PERMIT COATPUTFR FORM
PPLIC__N NAME: K‘z vl h Non
DDITION=?NAMES: �� {evc ;ry� ; 6✓'t
EC DESIG: %' E�l >�-T� ES DE\SLOP AREA: D .0 3 PROJ DESC: t" - I I
'ill only La::n) — —
(Will only tak.: 1)
ORK: 3 H G
ul aai y i �)
HINT:
ill only -)
a 01 ji ( f--} ( 99r
ii only-a:--6)
AL!ION = ATION
LEDGE&FELREQ I J: Z/ /r7I ny" 5/l7l (?
2vIA.MAJOR.DE 7-L REQUIRED: `-( i 7 /e 4 5) 17] 0 q
1
J '
//1t No \r19
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Av
rot v 1¢/ prei ,
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i PI
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91-1 Gi - .(z.S- 4/(6
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al 4 S ::,, ,,,.1.4 _52 oZ, )
. A/1 t i s ')'/-r---47) i /(1,.62 - \'\
I-1/1. •-$• rI I 11-1.+L 'n F`1.:I' 1 .
DIYJSION OF COASTAL MANAGE ANT
ADJA� NT RIPARIAN PROPERTY OWNERNOTIFICATION,'WAIVER FORM
Name of Individual Applying For Pe-mit: l--,.,„ yc +4_
Address of Property: (..)"1 s T" S T
(Lot or Street#, Street or Road)
SuvV C N.0 2.2vy S •
(City and County)
I hereby certify that I own property adjacent to the above-referenced--property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
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 Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 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.
1 understand that a pier, dock, mooring pilings, breakwater,boat house or boat lift must be
set bek a minimum distance of 15' from my area of riparian access-unless waived by me. (If
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.
Siga Name Date
()27 /77 /4)z7i»7RPID ArertA
Print Name .....�
?2. 3;2 - -3 NCDETii
WPM Crimea Corremoorr or
Telephone Nunnber with Area Code
ISION OF COASTAL M?A AGE\IF.NT
.aDtACrNT RIPA',IAN P c)?ERTY OWNERNOTJFICATIO?/WAIV R_FOR
"game of Individual Applying For e nn e{ IN 14r,Ae_„c u+�
Address of Property: -v ') 5 T" S T
(Lot or Street#, Street or Road)
Surf CA-4 M C 2 4"5 -(City and County)
I hereby certify that I own property adjacent to the above-referenced-property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing,withh,dimensions, should be provided with this letter.
O Vf I have no objections to this proposal,
If you have objections to what Is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28403 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.
WArargEMON
I understand that a pier,dock, mooring pilings, breakwater, boat house or boat lift must be
set bck a minimum distance of 15'from my area of riparian access-unless waived by me. (If
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.
-VSb! is D
am ate
Sign e
fidi CA4 CI /4 /14t A:17A
•
Print Name .�.�.�
NCDER
folveitsmarit
Telephone Number with Area Code
.
L16
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V
p�o CONSTRUCTION
327-GE NC 28445 BANK '3475 OF AMERICA
4068
66-19/530
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• UTHORIZED SIGNATUREi
ap
530pp 196i: 0006505219