37943D - Mansfield

'CA,IVIA/ E DREDGE & FILL
GENERAL PERMIT c„..---"----- Previous permit#
LI New -Modification `Complete Reissue ❑Partial Reissue Date previous permit issued
orized 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 71--/,/o C%
[ .M ales attached.
nt Name SA tvckj kV /51-i e Project Location: County 1R NNSW iC Ic
s l.�D l /1/41 I:: 1 .5o) ' ' 5 f Street Address/State Road/Lot#(s) C4-)p.e .11/41
A K —VLSI AN n State/t' ZIP 7- / 0
#( )?0 I 9/4)- Fax#( 'N-t.-- Subdivision
ized Agent I'VkAPAL AA\ZI-e ' City Oiki'- )AN r) ZIP ' {
d ❑CW 11 A ❑ES ❑PTS Phone# ( ) River Basin /AM i
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑PWS: ❑FC: Adj.Wtr. Body nat
yes PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body w
n
)f Project/Activity `RitD\io ' t c-(j
(Scale: / -
ock)length 5 ,X a3J• —_ _
pier(s) ( i C
1
length i i : 1111N 11-1] ;i
umber
I
ad/Riprap length } t -. !�
vg distance offshore •
iax distance offshore . .... r y�
channel _ rri
I I
ubic yards �. 1 __ i =
imp ` -_. i f
„ L..-.. i_ _ 4--- -j- 4----
Kus Boatlift \ / I 1 I ,
:
I
Bulldozing I j I
F[o4 1 I I
11 I
I3 X11 I ' i l i I
it
ne Length /)U T )III , 1 _._ r._..
i • 1
not sure yes no ( 1 i t , f
ygs: not sure yes no T,.._ + O i--`-
!_Ni
)rium: n/a es no 1 ,.._..._ i �- .._ I I
y - 9 : _ ;
yes no i_ I r..... - i }--t
` Q (i'
Attached: yes no I
ling permit may be required by: OAK.. 122/An,l> . H See note on back regarding River Basin
/? _ . .4 — -- I I — J . / nr

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 54NJ o vS((e I
ADDITIONAL NAMES: 4,V I (Jlbeg- t-
AEC DESIG: f W PI DEVELOP AREA: O.0
PROJ DESC: I - � a
(Will only take 6) ---- (Will only take 1)
WORK: ' eR 5-1 2 30 5 i
(Will only take 4)'
-�-� is aL ►�'`
MAINT: -5
•
(Will only take 4)
IMP: D kn/ "! >U
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: 6 -7-01r( f 7-6'y

o
arc
try
rs- s
s
( " c,
1 N yI r
1`
-74 N
V
)av v
0
r
o\ �
V t l /�J
.J

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: � � py nr FAICC
Address of Property: " l 0 / 1"/ Sa C1± O A to S L 9 n
(Lot or Street #, Street or Road)
Oi L D (lJ C k� runs u�C.k C
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The indivic
applying for this permit has described to me as shown on the attached drawing the development t
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 Cox
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3!
within 10 days of receipt of this notice. No response is considered the same as no objectio
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set bck a minimum distance of 15' from my area of riparian access-unless waived by me.
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.
$014#15--
Sign Name Date

DIVISION OF COASTAL MANAGEMFNT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
� c
Name of Individual Applying For Permit: v rND - H 81,
Address of Property: _ z C / ,1`i/
(Lot or Street#, Street or Road)
� I� sScn runsukK
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The individ
applying for this permit has described to me as shown on the attached drawing the development tl
are proposing. A description or drawing, with dimensions, should be provided with this letter
16, I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coax
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3!
within 10 days of receipt of this notice. No response is considered the same as no objectio:
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set bck a minimum distance of 15' from my area of riparian access-unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
►r.4 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
arc Sul) I ' 20a 14
Sign Name Date

*._!il
•
m i .
0
Si
i t
b4 1
`
,), k`
D C
V V—
a
Inn -
rn
,.a
= a
.tea c.
�,0 du, 4 d D
a
� :
c , o �
MM= o
h�= z .a
= Y ❑
V C M