37830D - King

-LAMA/ E DREDGE & FILL i',it/
3ENERAL PERMIT Previous permit#
\lew -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 15A NCAC 7 H. 12.00
E Rules attached.
It Name C /a ( c" C C Aici
1 1-`9'^ Kp^i Project Location: County 0'^Si et.v
/S 6 0 J ti i'; 1 I Rr Street Address/State Road/Lot#(s) r�
e G loot-,v;I+ f State7)C- ZIP 2-P 54 C le:/ , ve, S c -Pre .
(q 16) 34 b - 43 is Fax#( ) Subdivision
tedAgent S--/cvC An4- - o.ri City S') ear4S re cif ZIP 28S4
❑CW $EW TA ❑ES ❑PTs Phone# Ott/ )34(9 -43I& River Basin 6\14 ;)
l ❑OEA ❑HHF ❑IH ❑UBA ❑N/A /�t
❑ Pws: ❑FC: Adj.Wtr. Body k1 e t,✓ ( v c ✓
^ Closest Maj.Wtr. Body "'e W if' pre
yes / no PNA yes / nt9' Crit.Hab. yes / no
f Project/Activity New 6 ecit-1 t;r1 el i it .!',' y✓c p , e- e X--L -k s i a ti -re o w..
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angth
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imber
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id/Riprap length +- t I —_.'_— T
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g distance offshore f I /
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ax distance offshore e * ,0 /{..�" I/�
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num: n/a yes , no �. ,Qi.v .rir - ,a
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Attached: es no permit maybe required b : CA S/'"Li C °Go el 4 �L in
S 9 Y � n See note on back regarding River Basin r

GEN RAT: PERMTT COMTUTFR FORM
ppLicANT NAME:
DITIONAL NAMES:
-C DESIG: DEVELOP A Ek 0.0 I PROJ DESC: I -
iil only ak o) ——
(Will only taix I)
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ACTION D:PIRATION
!SEDGE&FiT.T REQU�D:
AMA MAJOR DEVEL REQU" D:

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1

• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permitr1/ 01-4/d i1//7' A t t//1,
Address of Property: 2 6 ( jZ l t ,
(Lot or Street#, Street or Road)
< Sjyt d2 i JT GEC' _ 2 e f4 0
(City and County) I
I hereby certify that I own property adjacent to the above-referenced property. The individu,
applying for this permit has described to me as shown on the attached drawing the development the
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 Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39(
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must 1
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.)
T, I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
_� ) ;,
Sign Name Date

• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Perm (e/i/CZ' /L/l 14/i�
' : A?._41
Address of Property: 2 0 / fe J c/L- , S( b / D
(Lot or Street#, Street or Road)
Sr1-4-2; s rem / e - 7,)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individuh
applying for this permit has described to me as shown on the attached drawing the development the
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 Coast:
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
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.)
4AL— I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Kiii /'a�44�
Sign Name Date

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