39759D - McLaurin

fCANIA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
(New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
Drized 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 7/4/2-00
❑Rules attached.
nt Name /' ,'.7/ n,,11 ;.Mc laari.t Project Location: County Br ,,,v/.(./<- -
s log Guest 12rr, Son Sfree.f- Street Address/State Road/Lot#(s) .2/3
bi//C'L State 36 ZIP Z953Lc 4-4,/,j fa~ec•ntie
#(8 A 774 `38c/q Fax#( ) Subdivision
zed Agent aarJ 6iur3c.Gncus City h'eCdcn 53 cc,cI, ZIP ..285/&'
❑CW XEW XPTA ❑ES ❑PTS Phone# ( ) River Basin i..1(rrc
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body f/> tit—c_.) (nat
❑PWS: ❑FC:
yes I 0 PNA yes / no Crit.Hab. yes / no
Closest Maj.Wtr. Body �r�C-v
>f Project/Activity A/c/ 77 c>c•lii-icj c L. iv 5176.-u d' Ai&'.-
(Scale: /
ock)length
m(s) $)I ZZ ( -k—`�/h' RfWw ,e*f t
pier(s)
-
length ", --
umber N�iSTt
ad/Riprap length �� Gl I i
vg distance offshore I
lax distance offshore I u'
channel ..-�
'
ubic yards ells ,-,G{ i... 4
imp
use/Boatlift I
Bulldozing L' ( kr' F t
�'% i `j v
vt v<
J, I v ` t.
ne Length 50 U i . ✓ I
not sure yes e... ,1
v ,
igs: not sure yes �V
rrium: n/a yes o I i
Yes I
•Attached: yes -- -- L ___L __-_ .__' _— ')
ling permit may be required by: adr,-' icaC/t See note on back regarding River Basin

•
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Joky, rim c Lav
ADDITIONAL NAMES: r
AEC DESIG: 2'N P 1 DEVELOP AREA:__.0 I PROJ DESC: P - 1';
(Will only take 6) (Will only take 1)
WORK: E L ,Zz-
(Will only take 4)
MAINT:
(Will only take 4)
•
IMP: OW l9 (0
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 31 1 toy
CAMA MAJOR DEVEL REQUIRED: 1 Z/")/04 3/-71 v/-1-

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIV.
• Complete items 1,2,and 3.Also complete A. Signae �'
item 4 if Restricted Delivery is desired. x 411
III Print your name and address on the reverse - At
so that we can return the card to you.
B. Received by( t--� C
■ Attach this card to the back of the mailpiece, S
or on the front if space permits.
D. Is delivery a•,drest%j;rent .m'-m',
1. Article Addressed to: If YES ent r deliveryaddres-bel.w:
r—
Raymond D. GregsoncP
��
PO Box 1028
Liberty, NC 27298 � ON )`y
3. Service Type
%Certified Mail 0 Express Mail
0 Registered ❑Return Receip
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number 7002 3150 0004 0319 3479
(Transfer from service label)
PS Form 3811,August 2001 Domestic Return Receipt
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIV:
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restrictedamea Deliveryaddreis desired. v �'. ,
• Print your name and address on the reverse
so that we can return the card to you. B. Received by(Printed me) C.
• Attach this card to the back of the mailpiece,or on the front if space permits. � f ei (a$
D. Is delivery address different from item 1
1. Article Addressed to:
If YES,enter delivery addre rer:4
Danny L. Ellis
107 Bee Gee Road O
Lumberton, NC 28358
w
3. Service Type
br
Certified Mail ❑Ex ai
❑ Registered ❑Return
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number -
(Transfer from service label) 7002 3150 0004 0 319 3486
PS Form 3811,August 2001 Domestic Return Receipt

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION/WAIVER FORM
Name of Individual Applying for Permit: John H.McLaurin and Rena L.Alford
Lots 5 and 6,213 and 215 Lois Ave.,Section E,Blanchard Subdivision,Holden Beach,North Carolina
(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 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.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405 or call
910-395-3900 within 10 days of receipt of this notice. No response is considered the same
as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring, pilings, breakwater, boat house, 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 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.
ature fienr_.-.

SUPPLY,NC 28462 66-112-531 12/6/2004
a 1 s 19io�order D.E.N.R $ **200.00
Two 1 lundred and 00/100
D.E.N.R
127 Cardinal Drive Ext.
Wilmington,NC 28405
Ml;MO )
rc 31719), P _3 y7 S1) `( �� ---
11'000LL49411' °A:053LOLL2LI: 52L767579211
BRUNSWICK SURVEYING INC.
D.E.N.R 12/6/200,1
6160•Dues and Subscription(744.000) App. fee.
6160•Dues and Subscription(744.000) App. fee.
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