35200D - King

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LAMA/ _ DREDGE & FILL
1ENERAL PERMIT Previous permit# "
,New Modification L 'Complete Reissue ,Partial Reissue Date previous permit issued
'zed 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 I f l . 1100
(n11a/ rj Rules attached.
Name
1 (n�''
N Project Location: County r co-
"to I (f�NN►(t Street Address/State Road/Lot#(s)
12OLf NA- F _ StateNC. ZIP 74465 1401 l rk L 4-
( ) 4 Sk-36LIF Fax#( ) - Subdivision
:d Agent City C/niV I JA TC44-- ZIP 2r4
❑CW ❑EW D PTA XfS rI PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body OAK UIik- I ( ActiT N(nat
❑ PWS: ❑FC:
'es / n' PNA yes /dD Crit.Hab. yes / no Closest Maj.Wtr. Body r � E
Project/Activity !7 DASTI��cl TC(.vecrup OF E y f S T ,I'Ji- ()/./Z.
(Scale:
k)length
s)
:r(s)
CIA*-O ,IN/r— k 1 � ace- j. PA-Si N
gth
iber
DRiprap length D
distance offshore
distance offshore 2 I E X l-)71/J c-i a E
innel
c yards
/Boatlift
(dozing
-r Pe f"C fteiteo
7 ti
Length 50 j {
}
not sure yes no l, n
not sure yes no 401 nA-1'J ,-
m: n/a yes
yes no
tached: yes no /�,�
permit may be required by: tf d? Lf See note on back regarding River Basin rul
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GENERAL PERMIT COMPUTER FORM
LICA.NT NAME: L t C 7h/e
DITIONAL NAMES: T &oTJ7O6--,--
DESIG: DEVELOP ARE.: A°.o Z PROJ DESC: 1' -
onh'take 6) —_—— (Will only take))
RIC 8 - Sc'
ill only take 4)
TT:
'ill only take 4)
mkt ,
ACTION EXPIRATION
REDGE&FILL REQUIRED: 2_S—pt./ " S-O
1 /
AMA MAJOR DEVE.,REQUIRED:

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: !1.1%
Address of Property: ,, //
P rty� �fi <I Cayli,a:�
(Lot or Street#, Street or Road)
raj) n I 7)1
(City and County)
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.)
tit .J I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
„L /4. exthi9::yfra a e4,e
sign Na4„6. , �—I ke,o Ca,e, rpto,atcl,
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Bank ofAn►erica Advantage!
3199
LEONARD B. KING NCDL 537991 ss-isi53o NC
LAUNA P. KING NCDL 1886319 D isos
PH.910 458-3048 Daet /
401 CANAL DR. ��j`�,
CAROLINA BEACH,NC 28428 $/G'C/�
r �i
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Pay , .4 j :.. _,..
to the or >~o ollars
Jv V
Bank ofAmerica��l
ACH Fla 053000196 -------
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— •Z, 5-0)06 4,
Memo —
1:053000 L961: 000604 20 55 LOII' 3 9
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