36814D - Matthews

CQMA/ DREII3E & FILL fr----- ,
IENERAL PERMIT Previous permit#
New -Modification Complete Reissue Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources
Dastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7/4_yzC'U
Rules attached.
Name J I-/c, , d /.•16 T Y,u c tJS Project Location: County t iri.o/u.)iC.k_
/UZlj/ ( -/f /I'G L r)F-C k c cI Street Address/State Road/Lot#(s) /62.7 /
,L(t1)d State A/C ZIP .)3i-51 Cr4.f� /7c-t i/tC c/
( ) (217-3 i R7 Fax#( ) Subdivision C'-G7C74 P<r n 74G
d Agent City /"et id ZIP -$i4S/
❑CW ❑EW =PTA i,ES ❑PTS Phone# ( ) River Basin
❑OEA ❑HHF IH TUBA uN/A f)JIUiCA /CiL�✓C tt m
Adj.Wtr. Body Li
❑ PWS: ❑FC: ,�
es /�io� PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body J r�i•-)sw/ck.
Project/Activity CG`77.5741-7 /Cf / /r'.- <c. s ,c' %/C-r./i.,�- I), c:/fc.
Q (Scale:
c)length ,>7t7v' r
�) /o X/b 'i' 4\i,\' —-6-r,icitWSW I('K. 1 I�V SIL , /''" Y� �.:%
A
r(s) Z�X G i I '
ber I .:Jm1 e
Riprap length ) .
fistance offshore E U ,y
distance offshore L% t u �' li '.
"nnel \J/" \I/ ( ( �'t,
v i yards \; i�( L; �� EI:lk)
1
V Boatlift - I pi
\!/ " r
`� �% ��� t/, AA A i NT7\)N
(dozing V/, / 4 iL .:\(/ F- \
'y v _. jj, iU(I r,.. r
Length of/O ....A- ti. r,-.L t
not sure yes
not sure yes J I{/t ' 4/k)5( fly cl
m: n/a yes ,
yes
ached: yes _
permit may be required by: 1 I"5ccJ/CL(Cite i..T1[z/ n See note on back regarding River Basin ruli

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: ka.rald Ake-dI4jQ S
ADDITIONAL NAMES:
AEC DESIG: C V J ENO DEVELOP AREA: 03 PROJ DESC: P- 1 2—
(Will only take 6) (Will only take 1)
WORK: i) . ZcT-, /f? /� /�
(Will only take 4) / 2 T to
6 JO) /0
MAINT:
(Will only take 4)
IMP: pr1/t • I IOU
(will only take 6)
w .Ay
ACTION EXPIRATION
DREDGE&FILL REQUIRED: "i 11 /O y- virc
CAMA MAJOR DEVEL REQUIRED: Zii /Urf 5 li 7 /U

- ' DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 1 /i4o(1'
iih
Address of Property: j Q j 1 epp rt
(Lot or Street#, S eet�7 or Road)
/ ikno)(4 -4
Ci and (oun ty)
I hereby certify that I own property adjacent to the above-referenced.property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette.
!' I have no objections to this ro osal.
P P
If you have objections to what is being proposed, please write the Division of Coa
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-2
within 10 days of receipt of this notice. No response is considered the same as no objecti(
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access- unless waived by me.
you '.h to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
l I do not wish to waive the 15' setback requirement.
i- i2-o
Sign Name Date
(I i . , l AAA

• DIVISION OF COASTAL MANAGEMENT
AD:TAC ENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Indi 'idual Applying For Permit: f0� tJJgy
o
Address of Pr Dperty: low ' 0 (qt- Q�
(Lot or Street#, S eet or Road)
4 ,1Z ita leo/ 'Loki
Ci and County)
I hereby certi fy that I own property adjacent to the above-referenced_property. The indivi
applying for t1 its permit has described to me as shown on the attached drawing the development
are proposing A description or drawing,with dimensions, should be provided with this lent
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co:
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-:
within 10 da;'s of receipt of this notice. No response is considered the same as no objects
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu:
set bck a minimum distance of 15' from my area of riparian access- unless waived by me
you '-h to 'give the setback, you must initial the appropriate blank below.)
1�
(V I do wish to waive the 15' setback requirement.
_ I do not wish to waive the 15' setback requirement.
7
40.1111.C12: O 1
Sign Name / Date
/31)1 Watt AwA

i'r'i s v%9
•
vasty
MR.J.H.MATTHEWS 8099
MRS.ANN S.MATTHEWS
10291 Croft Point Ph 910-371-0820 6o 21/ o
Leland,NC 28451 ' f� BRANCH near
Date
Pay to the /7 pe14,
Is 7,
Order of
c o:i:u:e•
Dollars Is ..•..
WACHOVIA
Wachovia Bank,N.A.
www.wachovla.com
For -Vgiy
I:0530002L9i: L086L360858Me 9