38504D - Harris

9CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
ZNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
Prized 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/ . /ZED
❑Rules attached.
c r' ( -M S / 7:- Project Location: County nt Name h�— b�. ,,if << � � � 7'6i i'),SIJiC,�
s /o Lc�Gvc/v,/7 C C c , %t' Street Address/State Road/Lot#(s) ,/3 9 a
/eC-J -c r r-, State/ /G ZIP .235 a LJ6374 `7 --/e- )c ' I i'
#(,15.1) /s,37-?'/ ? Fax#( ) Subdivision :._1C 57 U%4,zq`C e.i 6c.:/
ized Agent c/ kit;.55 City ..,�-s/c l�/ J ZIP*,2 •e711
d ❑CW yCgw $PTA ❑ES ❑PTS Phone# ( ) River Basin L/< ,,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body Al/I.JeJ (nat
❑PWS: ❑FC:
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yes /'no PNA yes /0 Crit.Hab. yes / no Closest Maj.Wtr. Body "twIA)
)f Project/Activity i - -7 574<--ec7L /`✓/c-, - a.lc/ ,e)GC.4 6,f-,evre nik20
(Scale: /'..
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•Attached:
sing permit may be required by: I 1,-?SLc)/CAE. a . I I See note on back regarding River Basin

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: /7-2c
ADDITIONAL NAMES:
AEC DESIG: 82 ) 17 DEVELOP AREA: .C% PROJ DESC: P -%
(Will only take 6) (Will only take 1)
WORK: Pa /i 2 5
(Will only take 4)
7-4- /2, 2/
MAINT:
(Will only take 4)
IMP: G t r7 72
(will only take 6)
ACTION EXPIRATION
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DREDGE &FILL REQUIRED: 4•09•Gif 7- Zg•
•py
• CAMA IvLAJOR DEVEL REQUIRED: 4f•29. 044 -7, 2 g •o

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit:
Address Of Property: Z3 1 Q WEST" 7 & cvoo, W 'C
StipPL c
(Lot or streJ , City#, Street or R Road, W i t
pad, & County)
I. hereby certify ' that I own
above-
referenced property. The individuale applying yadjacent to the permit has
described to me as shown on the attached drawing the sdevelopment
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 praaosed , please write the
Division of Coastal Management, 127 Cardinal Drive Extension,
Wilmington , North Carolina , 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
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 must initial the
below. ) appropriate blank
I do wish to waive the 15'setback re
quirement.
I do not wish to waive the l5'setback requirement.

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONJWAIVER.. FORM
Name Of Individual Applying For Permit: ' M,� /
Ca A'4 Ir, T
Address Of Property: 7 y ) vtJ s7 ®7/p a/07 l iOr LoT#.'
.w ',
(Lot rPSteet #, 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 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.
have no objections to this proposal .
40015)
•
If You have objections to what is being proposed ,' please write the
Division of Coastal Management: 127 Cardinal. Drive Extension,
Wilmington , North Carolina, 28405 or call 910 395-3900 within 10
days of receiatof this notice. No resoonse is considered the same
as no objection if you have been 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 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.
/'--) /7

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