35163D - Keesee

C-
ICAMA/ ❑DREDGE & FILL
3ENERAL PERMIT revious permit#
New Modification -Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natu I R urces
:oastal Resources Commission in an area of environmental concern pursua 15A NCAC 7N, !ZOO
❑Rules attached.
it Name A/;li H .0.e e.e _ Project Location: County L * SRJ/(,rc I°o ,
27 /0 (A), 7 1 f Or. Street Address/State Road/Lot#(s)
61/L .i.s j4.a d State/()C ZIP 785f(P6- � f w+,c-
t rilD ) 146—2-a`t Fax# ( ) Subdivision
ced Agent reh+ Pfeub,'rf . City- ZIP
.E❑CW ' W )XPTA '$ES ❑PTS Phone# ( ) _ River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (nat
❑ PWS: ❑FC:
yes / , io PNA yes / Crit. Hab. yes / no Closest Maj.Wtr. Body Akre-WA/
f Project/Activity P/Oif Oh e e ,i e/ rt "�4 f 4.#$`
(Scale: /i/4
ck)length felilk 1_1
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i(s) /2 y (Z i_ , , 1
iier(s) ASCw
nth
mber '_.
d/Riprap length —
g distance offshore I )t X/ _
sx distance offshore
hannel
1001Al
bic yards
np
,se/Boatlift T r--- ~ L,, ---"*.—.—_
ulldozing � . `.
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e Length _____ 17 If)
not sure yes
. /t
s: not sure yes
lum: n/a yes '' l
yes 2.7i2 4� , 9a T// l t�
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4ttached: yes
ng permit may be required by: ilk hi,.I See note on back regarding River Basin r

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DIVISION OF CO&STAi_M 4_N 4GE! NT
Aau cFNT RIP4RIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: r , (4-v1 KC eYe t
Address Of Property: _2 7)0 (A) 4(Alrijr,
04k .S"46,-n pdr c. vYv1,4seu,.>')
(Lot 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 tome 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.
If you have nhjertinnc to what is being proposed, please write. the Division of Coastal
Manes ement, 127 North Cardinal Drive Wilmin n,_Now Carolina, 28405_or
9.11)395-
'1900 within 10 days of rerript of this notice No is rnncidesecicall thj
e same as no nhj«►inn
if you have been notified by Certifier! 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_
1 " I do not wish to waive the 15' setback requirement.
ig �ed'e7V-IL 1T- �{ `OAvow
?rein n e i n f2 A n-Date

DTUSION OF CO&STAI.M4N4GEMF. T
A11_IACF.NT RIPARIAN PROPERTY OWNER NCTIFICATION/WAWTR FORM
Name Of Individual Applying For Permit /",(3 I ,e -6
Address Of Property: 2 7/0 41,pc") r h:
15 4 k ( ri5 ,c�
(Lot 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 isle 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.
If you have objections to what is bring prnpoce,. p
astal
Management, 127 North Cardinal Drive Wilmingnn North Carolinah2 Division r of Cn19S-
194f?within 10 days of receipt of this notice No response is Rsa or rail 910-rior
if you have been notified by Certified Mail considered same no nb�yc t'nn
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.
` 1 dent wish to waive the 15' sethark requirement.
A e _
Signature L Date Y

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