38512D - Lanier

]CAMA/ D DREDGE & FILL
3ENERAL PERMIT Previous permit#
'Jew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
Zoastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC I F .13 00 ► 9 H . 1500
. Rules attached.
►t Name I) C Let n ;e✓ Project Location: County Pe'id C r
700 S10o-4 �.q.i a (n o Box Lilo ) Street Address/State Road/Lot#(s)", ;c-(o'tl Pe
U r F c, �-1 State A ( ZIP 2g YI
�a►� ►a•'s C4,"AP rouviti
E 0 In) 328"9413 I Fax#( ) Subdivision 3 re r('/ rC{r k.
:ed Agent 7)wl PI 1I/V -)ch'/I City -Cu r � C•r'4"y ZIP 2-8�'
❑CW ,'EW , aTA ES ❑PTS Phone# ( ) ! River Basin GAP
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ing permit may be required by: •Iv/4 C 41 �f IJF SeeSe note on back regarding River Basin r
r- • 1 1 , _ — 1 . �/7n_ _J _ _'. ._. 1 , L c ,..1.,._ new 1

3851
tENERAT: PERMIT COLTER FORM
Tc.1Ni M : Q. C_, Lame✓"
-.DDI IO =T N= S: . L . /3
_CD DE\V SOP =R=1__ _ PROJ DESC: L - 15
= IG:
n ut only-,_-cj (V Z!chic iai_?
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WORK: , 1° 35x /0
Iv iN i: .�"e /SO x ZD
AC. 2S0xW The: O AJ 2S2
ACTION T IRATON
PILL REQUIRED:
CAMA.MAJOR DEN EL REQUIRED:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacentto D. C. Lanier ,s(Name of Property Owner)
property located at op p_S�o f T,a n e . H n 1 1 y R i tR , NC 2$1145
(Lot, Block, Road, etc.)
on Creek off of TCW ,in - PPnder , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and. I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Signature
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Print or Type Name 0
Telephone Number

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
ro ad
property Y j $s
I hereby certify that I own adjacent to D. C. Lanier
Name of Property Owner)
property located at 7 n 0 snot Lane, 1-i n l l y
(Lot, Block, Road, etc.)
On Creek off of T C W „in - P e n d e r . N.C.
(Wnterbady) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Telephone Number rwez rf / t� T

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;AMA /••✓DHEDGE & FILL i`ti°t,� J1
ERAL PER IVi 1 tl 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 ZVO
astal Resources Commission in an area of environmental concern pursuant to I 5A NCAC_7H . I >
i uRLlessaattached.
\lame 'D . Lt . LAN‘_e Project Location: County 1)aF/��J`(
700 ?p-r- l ti ( �.o - a oX D II c(� Street Address/State Road/Lot#(s) ,, T'2T)
IZ cc-N State (v ` ZIP D `f 7 C v' () tt-O(ANA)
Fax # ( ) Subdivision �fj i T PAR-"
j Agent
N/l City Sty ZIP D (Vt
ew \-Ew VP fA ✓ES PTS Phone # ( ) River Basin
c.PF
OEA HIIF IN UBA N/A Adj.Wtr. Body -h/cL n (nat 6
PWS: FC:
Closest Maj.Wtr. Body
U PStTI( sa�Nn
s / no PNA yes / no Crit. Hab. yes / no
'roject/Activity _ 1:04,7" k'I'''IP
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(Scale: / -
length
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Riprap length ,v�!'L " .
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distance offshore
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dozing R. ',
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Length
not sure yes no
not sure ' yes no
pm: n/a yes no 3`
•
yes no \°
Cached: yes no
g permit may be required by:_10 t"//✓ or- ,i 44/e Cr . !See note on back regarding River Basin rill

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