38494D - Martin

SCAMA/ ❑DREDGE & FILL
..I/V
GENERAL PERMIT 'aPrevious permit#
KNew _Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
iorized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC '7 MI zco
❑Rules attached.
int Name Joe/ r))(,i'hi1 Project Location: County ?3/ r. ,, ,. L;J/[":k-
s ivz `I t/te• //e:ld6 l e. t r i ✓e. Street Address/State Road/Lot#(s) /33
v r r(', e7t State /SIC ZIP ,?72/5 /./U`r r 3 / 1j
#(3'3() 5)(0—, / 'I Fax# ( ) Subdivision
ized Agent ka,--2 17 1-1o5e1-- City /Taa(de,I BeaCf ZIP .78'/(c
d C CW /KEW ! PTA ❑ES ❑PTS Phone# ( ) River Basin L./i'
❑OEA ❑HHF ❑I ElUBA ❑N/A Adj.Wtr. Body Ccc r1et. (/ (nat
❑ PWS: ❑FC:
yes / no PNA yes / Crit.Nab. yes / no Closest Maj.Wtr. Body /971-4—)(,4-J
of Project/Activity /a (( boa. f L1/ ), /",it c. r/cc, /i,J 0c)c/c. Ater"
(Scale: /r�
lock)length
-m(s) $X/co F Kr.57 ,Jq —-:
.J
i
pier(s) l . I f I
i1 I ! i
length i I j i
I
lumber ( I —
j
:ad/Riprap length i i + ! _ I
f
+vg distance offshore 1, IL�� !
nax distance offshore — I ..... /I_. I ! . ... �..... �_�. ._.
channel i I I
1
1
I }
:ubic yards i
1
amp .. , ' /d �__ ._ i ! .._.... —
Ouse/Boatlift ! X / 7
1 • 1 l ;. i I � j
I . I
Bulldozing I I I /ir' 1��ir' i
i i I
I I
t-+-15+•-ir. — s -T
s
inc Length 'SU/ 1 I i I
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not sure yes no j =� I r:'
►C d
igs: not sure yes no I j 1t4he4e d ; i
ovum: n/a yes no T r f ikc r d lr
Yes
III 1 _
r Attached: i yes /no) . i I i I
ding permit may be required by: /i✓e,(deb.r .n/CG c h n See note on back regarding River Basin

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: ✓/ciM44- w
ADDITIONAL NAMES:
AEC DESIG: E7A--1 /7 DEVELOP AREA: .0/ PROJ DESC: P
(Will only take 6) ———— (Will only take 1)
WORK: at. ; /3 i r
(Will only take 4)
MAINT:
(Will only take 4)
IMP: O k) /9O
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: //13/ 4/ 402103/05-
CAMA MAJOR DEVEL REQUIRED: ///3/0 O 2/03/6 f

10/27/2004 00:38 3365649399 MARTIN PROPERTIES PAGE 01/02
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10/27/2004 00:38 3365849399 MARTIN PROPERTIES PAGE 02/02
Rue 10 04 09 t 48p "l_I. p•1
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aroxeprr RIVITIAX 1gR4t
Dame or zndividual Applying Tar Permit: - Mr4R
Address •At property: ' k33
t� i�
(Lot or 3trast tr.a ar s +uttX?
Z hereby certify •twat Z own property adjacent to the abase-
referenced property_ The Individual applying for this permit has
,described to as as shown an the attached drawidg the development
they are proposing. A description or dztvirg7 •v!th dt snaloas,
should ba rovided with this letter.
V I' have no objections to thia'proposal.
Zr vgg have ob4accionse tp what is beir .or000pey, Wean' write the
plviiion ar camp i Pianaaem.,t. 12T cardinal tries Extension,.
u_lain gin- 4 6 canal„ ne._ 01445-or call 91Q 393 390o within ;0
days of z.easnt 9f thj p matiea. rrer rearnn+e is Eerjleared the Sam
Sao abiection I„ You hem few no 4fied by c.rrlfisi mail
warrke X2CTTC4
_ understand that a piss, deck, mooring pilia s, breakwater. boat
house. lift ar 5a snags mustbe sat back a-win distance of 3.S`
from say'area of riparian aoce.n unlash waived by me. (If you wish
to waive the setback, you k' initial the appropriate blank
below.)
•
•
T1 do wish to waive the 1S'satback requirement.
r
x dQ n2z wish to waive the 13'istbaok =aquiraaaxet.
•
4/17/6
ri
g yr � wti.rgrw
:bphon. a Wizbods �F- R

361- 5)(0-041t5 10 a1
DIVISION OF COASTAL MANAGEMENT1tye
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM &u
1ame of Individual Applying For Permit: 4 I274-,a-
ddress of Property: )33 Lio/15 ALA/
(Lot or Street#, Street or Road)
1-1,/dcr1 geack impsk idC-
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individua
pplying for this permit has described to me as shown on the attached drawing the development the:
-e proposing. A description or drawing, with dimensions, should be provided with this letter.
I havp no objections to this proposal.
.tom'
you have objections to what is beingproposed, e Divis
�r p p , please write the lon of Coasta
lanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390(
ithin 10 days of receipt of this notice. No response is considered the same as no objection is
)u have been notified by Certified Mail.
WAIVER SEC 'ION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bE
t bok a minimum distance of 15' from my area of riparian access - unless waived by me. (I1
ou 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.
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COMPLETE THIS SEC • • COMPLETE THIS SECTION ON DELIVERY
:e items 1,2,and 3.Also complete A. Signature.
Restricted Delivery is desired. 1, 0 Agent
Jr name and address on the reverse X,�,( i- .. fJ,>'4❑Addressee
ve can return the card to you. B. Received try me ne) . C. D of D liv
its card to the back of the mailpiece, )/ /
front if space permits. L? ) �` !v ��� l
D. Is ddlikery address different from it m 1? Yes
dressed to: if YES,
delivery address below: ❑ No
•
&,4 () 3. Service Type * -,
"i''I rvG 0 Certified Mail ❑ Express Mail _ \
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0 Registered ❑ Return Receipt for Merchandise .- •• co = _
/ p� ID Insured Mail 00
C.O.D. 0 o O co 7
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4. Restricted Delivery?(Extra Fee) 0 Yes O 4
ember 7001 194� 0004 7135 9557 0, a o
'rem service label) 0 W .
311,August 2001 Domestic Return Receipt 2ACPRI-03-Z 0985 Nra--• , _I 4 1a'
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