36803D - Miller

QAMA/ DREDGE & FILL V-V V`'
n'.
IENERAL PERMIT Previous permit#
New Modification L Complete Reissue 7'Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources
pasta)Resources Commission in an area of environmental concern pursuant to 15A NCAC 7//, WOO
❑Rules attached.
Name 3101
4, 6I A il c //i J1 o/ Project Location: County �� /944 p V r,/
(:5-0/ 7 /D&n �pi n t GOa C Street Address/State Road/Lot#(s) 'CO ,Cja/Gf
rim;t1 4-or State ?Oe ZIP Zf5 1 l�AG , /l1471;i77i—sn , ,&e Z fey a
(Q/O) ( /q- 03/0 Fax#( ) Subdivision
743— 39-3/ /� , /
:d Agent City i/i11i ryn ZIP ZV-,/
❑CW 91 EW 1APTA ❑ES ❑PTS Phone# (�) 6/9'030 River Basin 6 r A
❑OEA ❑HHF ❑IH ❑UBA 0 N/A
❑ PWS: ❑FC: Adj.Wtr. Body a (nat ,1
' I no PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body ,460'" tir t/o 6
Project/Activity (.0115 'J&IL" A OA 7L 414, 4'4ifIjA, d s"A and 2 idG� yt)
k/► Q,t';5` i.- I?i,•/ Si7'✓G�✓Y�G. / (Scale: /,-"--
k)length I
s) 3 1, Gx$ f'O1 444 63fie Z.4 A t C/,Gpnc E
;r(s)
o r
fiber 'rR7YTi +'�`r lX -
'Riprap length y am,
(,1
M' *M III � �,
distance offshore I —" NM Oil MIN a;O a
distance offshore pajfiorr' d
nnel L__.-_ _ •
c yards e i
Boatli 2O)( /cf v -
vit-
• ,,,, 66
(dozing 11
'oaS1*1 dock till
lx/G
Length
not sure yes 6
not sure yes 0 �/ f
;m: n/a yes !D! OOP//h C
e
tached: yes /��,
permit may be required by: �« )44? fd ,i✓ W! See note on back regarding River Basin rul

tt 111 \ _ 1\111-1 1 i11 t1V J11 ti V 1V 11 V 11J1\ 1 '_'1\1 V1
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CAJ'T NAI\E: o� a1, A,'/( lc
ION AL NAMES:
�ESIG: DEVELOP AREA: , 0 ( 2 PROJ DESC: / -/2
take 6) (Will only take 1)
F5 g, r 6
take 4)
3t. 1t/ y:(2D /. �,
r:
take 4)
�i4' 6:9
take 6)
ACTION EXPIRATION
GE&FILL REQUIRED:
MAJOR DEVEL REQUIRED:

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<__________________ a -_ 21if-V9 -11-'1-6-3 -PP9 8. (
-- ,' ) )P _ 1210_

DIVISION COASTAL
F
NT
ADJACENT RIPARIAN PROPOERTY OWNER NOTIFICA�TION/WAIVER FC
Name of Individual Applying For Permit: Son -t-
Address of Property: S 60 D g
(Lot or Street#, Street or Road)
WI I rYt N Hn oV P.r Cou>1
(City and "nty)
I hereby certify that I own property adjacent to the above-referenced_property. The i
applying for this permit has described to me as shown on the attached drawing the develop
are proposing. A description or drawing,with dimensions, should be provided with this
•
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-:
within 10 days of receipt of this notice. No response is considered the same as no ob
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat
set bck a minimum distance of 15' from my area of riparian access-unless waivedlb)
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.
Sign Name Date

•
"IC) ,� O 2 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
2,3 `.,-'
$ 1
Z • Complete items 1,2,and 3.Also complete ,
9 on .item 4 if Restricted Delivery is desired. /
'0" ■ Print your name and address on the reverse X U,�-j�,y� ,�- ��� 1
xi
? trd so that we can return the card to you. A. Signature
0 Zo r� , • Attach this card to the back of the mailpiece, B. Rec•ived by(Pri ed Name) C. Dal
Zn 5 a or on the front if space permits.
Q N r•-' D. Is delivery address different from item ? C
_ O 1. Article Addressed to:
Po If YES,enter delivery address below: C
0(5 M . � ��
k.1 0 f I o --tsr )V l�( 3. Service Type
O (`� 1 / ❑ Certified Mail 0 Express Mail
d o J g 1 I I 0 Registered ❑ Return Receipt for
a 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee)
I 2. Article Number 7003 2260 0004 0397 3475
I (Transfer from service a) \, PS Form 3811,February 2004 Domestic Return Receipt tu25
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVER
■ .Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired.gO ■ Print your name and address on the reverse X 4ta
5 p so that we can return the card to you. B. Received by Printed Name) C. D
• Attach this card to the back of the mailpiece,
p $ or on the front if space permits. �0 1 s r Lt.- ` y'
(� D. Is delivery address different from i em 1?
1. Article Addressed to: If YES,enter delivery address below: i
1 CD
ril -D
. I Y . �.l rn✓ -t-s 1 U 11/
31Li w, °� ov�� Gv _
3. Service Type
r I k•v Q� ❑ Certified Mail 0 Express Mail
W`l 1 "\ p� 63 0 Registered 0 Return Receipt fo
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee)
.12. Article Number
(Transferfron 7DD3 2260 0004 D397 3468
PC Fnrm:IA1 1" hniary 2n ld Domestic Return Receipt 1