36735_BAILEY, LELAND & MONICA_20031114

I�IERAL PERMIT
.. -
ev✓ . [Modification Complete Reissue
Previous
OPartial Reissue #
Date previous permit
is authorized by the State of North Carolina, Department of Environment and Natural Riesources ~ _
issued -
-d the Coastal Resources Cornrrksiori in an area of enviri)nmental 'coricern pursuant "td 15A NCAC ' J�tl• i2
licant Name I.1 ;
PP 4 (� h ►a N1 a r C r rn a 1,
- _
"" {$Rules attached..
Project Location: County �d
Adreur 7Sa� _:F3N.i r..r Jd 1�.. yc - - street AddressrState RoaafLot #(S)
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.Ity State Af ZIP _?t5J1 = i��
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hone # (ISZ) 3 S. y- 3 3 Fax # . ,
_ Subdivision k _ 6-a . s'v� 1a1: �► n rZ
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uthorized f{gent
City ? �.b.. �Pu�
ZIP
ffected 19CW LEI ON I KPTA ❑ Es ❑ Prs
_ Phone River Basin t"J� l r Twk
ElOEA ❑ HHF [IIH ❑ UBA ❑ WA
❑ PWs: ❑FC:
Adj. Wtr. Body
man /unkn)
RW:. yes /i PNA yes /� Crit. Hab.
yes / no Closest Maj. Wtr Body o
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nt or Applicant Panted Narpe
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W..PerinitOlR
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aattire'. ' Please read c�np '
statement on bade of permit *0
TY
hsuing Date
7Y7 y G.�
Expiration Date
licaoon Feels)
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c ��3 :-+ Check#
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,
Local PlanningJunsdiction
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—
Raver File Name .

OCT Z010
-• .-.✓ 'vI17
ENF
(FOP, , A F�i_F, /Uil v L F- On I l T�� -
prop--r-; 1cc2tc� aC
rl ?i�!='�vicl_�'
(L-ot, Mack, Road, etc.)
on 9'D6u'(-- Sb6ot'j , it t�P� �i�� 1`�.C.
aterbodv) (To�2Ilcii'or-'CoLLi;
He has desc_ib i to me shorn below, the developtenc he is propos, at teat
lc�.ation, and, T havc no obj� Lions to his proposal. I understand ghat a pier/uncovere;; boat Lf-
mu,t be s back a minimum distance or rllLe�n rat (15') tom mv' —a or riparian access unless
waived by me.
P I do riw' :
�2...�_ ._ot wish co .
valve th.. se,bac„4 Ce:;L'1r�,,71enr.
I do wish to waive that setback requLrernent
DESCRLPTIOiN :2'-D/OR DRAWLN G OF PROPOSED DEi EL OP MN -I: ---
(To be filled in bti' individual proposing dev4pment) :
--------------
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-----
C
r�nature '
Print or Typ- i iar�c

M'0M jj CjtV ®CM
...�✓ V - .L ._�: Y w :_.� 1__�y 1, i ^ �� 4' t Y, i^ _ i? {j; T Z 'i !'/J�1s"± 1
(FOR /S F FR/U!,,,0tom-p-_D Ef) i
.ii y rorer ' ad1a=:ni to
vc rrC (�tL C v r'ucr)
pro�rCv IcG2Ccd 2t / 3p� �� (,�
Bloch, Road, etc.)
on 1. �� 6 S t71� IJ in j pt>I P(J C-n-
('ii'ctcrbodY) C?'_o�andio - TI.C,
He has descJbzjf to Me aS sizown below, �the de . e,o�
,op�hent he is proposing- at that
location, and, I have no objections to his proposal. I understand chat a pier/uncovered boat liir
must be set back a minimum distance or"ri�ern rest (15') From myj
waived by area oc riparian ac;,ss unless
-�
I do got wish to waive the re: uirement.
I do wish to waive that setback requirement.
DESCRIPTION ;AND/OR DRAIN-L-N G OF PROPOSFDi DEYELOP?NMN T:
(To be filled in by individual development)
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Print or Tye ilialme
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