38951D - Kjellberg

ICAMA/ ❑DREDGE & FILL g j e l►her9
GENERAL PERMIT
Previous permit#
%New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized 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 7n/, /1O0
E Rules attached.
ant Name ,8o 6//f-/a r w000l 5iLC Vcrl ea/2 e Project Location: County 8 at, 5 i c.
ss 1-/ 69eio$60,-0 5/7--cc 74 Street Address/State Road/Lot#(s) /
:C- ,r7 /S 4t 13c.4 c.4 State NC ZIP 2gy(D (y �o/d5 60 r--o .5.7)- e e
#(gam). 9c /33 Fax#( ) Subdivision
rized Agent City (ram n /5/o 53cc-A ZIP . e5'4/1
ed ElCW KEW gPTA ❑ES ❑PTS Phone# ( ) River Basin [-let:
;), III OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body .'Gi)lice. (na1
❑FWS: ❑FC:
yes /C9 PNA yes /� Crit.Nab. yes / no Closest Maj.Wtr. Body /41(.Jl.c.�
t
of Project/Activity , C 7;s v4 L,c i'd f r 17c- "2 4 Li Gam. .
(Scale: / /
;dock)length lib/G. X 3
>rm(s) 5'X.20 i- -.r r—— i _ _. —
• i
I t 1—? ':s ---
r pier(s) I i
i length j J
number ' Ii }
lead/Riprap length I— — i-...[�. /�i� 4 avg distance offshore
I Q t i I
max distance offshore i � .- 1 !. _-- --....... �- .-- 1 i -
channel f I I {
r,
' h
cubic yards T T r ._
ramp Y !--4 , ,
louse/Boatlift f 1 i t 11 ail 1 i '
l i .! �' - i
Bulldozing I —t—/IS .....q '
r
i
1 I
I+
:line Length .J G'-� �'_ I _ 5 t,• i � �,-c'Ct>' ...�. x rly. { ,
not sure yes no ,�i^�o�'�r! h // r
sags: not sure yes no
—� , '— ._
l i I
torium: n/a yes no ; 1 i I
..-.
n: yes no/i i 1 .....--
I. Ti
Gr
sr Attached: yes no ___-_ _
i : „ I I
ilding permit may be required by: QIiG4._s-r /S Ili G .c 6 . n See note on back regarding River Basil

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 5Gve-i-7 JG_e_b(p
ADDITIONAL NAMES: Nzr6 ands-eveod
AEC DESIG: Pr- DEVELOP AREA: _.�� PROJ DESC: /-
• (Will only take 6) — (Will only take I)
WORK: /BIZ 4,/G,
(Will only take 4)
MAINT:
•
(Will only take 4)
IMP: l 2
(will onlytake 6)
• ACTION EXPIRATION
DREDGE&FILL REQUIRED: 5/5/09 6/5/0
•
CAMA MAJOR DEVEL REQUIRED: 576101-/- : /S/per

DIVISION OF COASTAL EANAQEEENr
kDJACENT RTPARTAN PROPERTY OWNER NOTIF__ICATIQN/WAIVER FfRM
I.bob L & J000p
Name Of Individual Applying For Permit : J I78,A9-'1 l e I I e
0
Address Of Property: ;21
10(ec) -1 Ts ) 6 RrcAs 6.)
-- - -{Lot or--Street--##, -Street or RoaA, 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 .
Tf von have ohjertiozs to what is being nron_os_ed, please write the
Division of roa st a 1 Management , 127 Cardinal Drive Rxt eA s i_oi,
Wilmington, North Caroli.a , 2R4-0 or call 910 '95-R9oo within 10
days of rereirnt of this noti r•e No response is non dared the same
as no objection if you have been notified by re-rt ifi ed Mall
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house or boat lift must be set back a minimum distance of 15 ' from
try 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 .
3 Z 1 oZ
Siy,l ame b �r

TITITTSTON OF COASTAL IGUIACIEZYTNT
An,TACENT RTPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
e 0 1,, 0,1,,eA-er-Loc-o-cli
Name Of Individual Applying For Permit : I ?�.'1 e /16a3
Address Of Property: ) r) O l J IO Z)✓� S�`
CSCe �S 6 ' 4 e'er
�rc
flat or-Street-# ,-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 provi with this letter.
I have no objections to this proposal .
Tf von have obj erti ons to whai- is being ,nron s_ad, n1 ea
sA writes the
nivisinn of Cnastal Manag-mint , 127 Cardinal Drives Extension,
Wilming on, North Carolina, 78a05 nr call 910 -�99--19nn within 10
days of rereint of this notir-P No rP,spnnsP is considered the same
RR no objarti o. if you have bi-en notified by CAY t-if� Pd Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house or boat lift 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 setba , you must initial the appropriate blank below. )
1 do wish to waive the 15 ' setback requirement .
I do not wish to waive the 15 ' setback requirement .
CZVV
Sign Name G

irt-47/ �¢ 3724 Duxford Dr
Raleigh, NC 27(
Office-Fax [phone]
►-Ol -talon, inc. Mobile [phone]E
!ding 8r odeling
w/ 0 C fi 0 c � �S`!c � , /mac
.3_ 0
3(4
cv.lal tr. 0-
) of
1--15`
v �- L Lo
c