36968D - Jones

;AMA/ X DREDGE & FILL
ENERAL PERMIT Previous permit#
Jew Modification .Complete Reissue 'Partial Reissue Date previous permit issued
:ed by the State of North Carolina,Department of Environment and Natural Resources 7 �O 7///ZOO
astal Resources Commission in an area of environmental concern pursuant to 15A NCAC , Rules attached:
Name G r7 _r.)t/c:,S Project Location: County erfrut7b2c.)/C A—
�' JCJ 1
P. p. e,1- 539r'j2. Street Address/State Road/Lot#(s) L,o7'4'2
(6HeVIHe State A/C ZIP 01 3c6 tea_ /- /re. Ca n6 f r
:WO) 514 g2.0V Fax#( ) Subdivision Sea_ /91 re- ES-ActcS
d Agent 73 t ,T Co r ,5 c Ii Or) City ZIP .23#67 a
❑CW yf,EW SPTA XES ❑PTS Phone# ( ) River Basin /-14 m
❑oEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body d li/l a-C. (nat r
❑PWS: ❑FC: Closest Maj.Wtr. Body /4 I GC-)1<->
(n es o PNA yes / no) Crit.Hab. yes / no
Project/Activity .Z s/c// Neu) (3tc/k_hc,,c/ 4- > De74(e1f t 'Pier"/6z,C k .
(Scale: //
k)length 62 X to
s) $ X 1 tr, j
x(s)
Ca,r-7Cc=t _ .
igth
fiber
)Riprap length •5 C)
distance offshore
K distance offshore
annel
iic yards
1to( • f. r t•
B tlift AA x/02 V (,r 11/
illdozing 4. • •
1Cc )
e Length 50 i I .SU I/ca: .. . , .(/t
not sure yes no
s: not sure yes no
lum: n/a yes no I
yes no
4ttached: 2 ries no
ing permit may be required by: J312(/`,5t0/C /C..• C, .«i)�f, 1 See note on back regarding River Basin r

GENERAL PERMIT COMPUTER FORM
• APPLICANT NAME: f——4,1 cd
ADDITIONAL NAMES:
AEC DESIG: &-t() kr- es DEVELOP AREA:_—�4_ PROJ DESC: P -
(Will only take 6) (Will only take 1)
WORK: OH' 50 'EL 3jIto
(Will only take 4)
MAINT:
(Will only take 4)
IMP: (T)tk-' • 3 72-
(will only take 6)
NC? 560
ACTION EXPIRATION
DREDGE&FILL REQUIRED: .2q/G 471 if/2qUti,
CAMA MAJOR DEVEL REQUIRED: V2-1 0 cf 41-(2-ctlo

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DIVISION OF COASTAL KANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER.. FORM
r' �-�'
Name Of Individual Applying For Permit: !Irnivk 4Z,1✓,Ls
Address Of Property: 4-r 4/ S'fo- j4,,re
j���
(Lot o''Sdeet #, 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.
I have no objections to this proposal .
.0011,
•
If You have objections to what is being proposed , please write the
Division of Coastal Managements 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
svir sa
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.
AMMIIPVW4mwA

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B. &J. CONSTRUCTION 8/00 3400
[phone]
998 CYPRESS LAKE CIR.SE Q ^/ /�
BOLIVIA,NC 28422 Date • ( ! 7 66-19/530 NC
2306
Pay to the _/�E� I $
Q �' .
order of (LJ
�1G?
----Dollars B ;w
Bank of Americ.
ACH RP'053000198
For t73696� _
1:0 S 3000 L961: 00068 3490 3 ?011' 3400