Phil Oakley 70565D

C1c UN(j
1CA N
MA/ ❑DREDGE & FILL 0 70565
GENERAL PERMIT CAAA-K',5 \t 1I'I 'n4/ Previous permit# A c
>(—= ti ❑ ❑ Reissue ❑Partial Reissue Datepreviouspermit issued "c
New Modification Complete p,
As authorized by the State of North Carolina, Department of Environmental Quality k, . Z>r/
and the Coastal Resources Commission in an are of environmental concern pursuant to I 5A NCAC �/� >l ti .
1 ( ❑Rules attached.
Applicant Name �� I Li Project Location: County (J&
Address4 1 C(^ / Cpf,)01 I c 4�i))' qq Street Address/Sta Road/Lo #(s)City `(�l 5p0 4 State /U� ZIP v(,)443 IG(� (d Al Wi/i (A PR R .
Phone#(q io) l hl3-b Z 2O E-Mail Subdivisi ' • 11 V�JA ('A
Authorized Agent j1Jf'14 City 7/A fY1 t 7O� V ZIP 3
(�/
❑CW ofW PTA El ES E PTS Phone# ( ;(t ) 3-6; River Basin / f
Affected ,
OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ 1
AEC(s): Adj.Wtr. Body { C // nat an unkn
❑ PWS: _
ORW: yes / no PNA (ye)) no
Closest Maj.Wtr. Bod a
r e
/ 1 / / LType of Project/Activity (,1)1 . C I� 7I(?/l, (fit- 7 ey✓ t <- -01.)a r( U( /_ - C s) w2/ /
Gd���+� !�r.%Gt� � (Scale: )
Pier(dock)length Y" ff) ,
S.
,
Fixed Platform(s) U / �� jp '[ C ti L j-) NZ p-
Floating Platform(s) ')( 4
Finger p\er(s) 11— pi 1
Groin lenkth „J...... i v
number { � 17 N klItti
Bulkhead/R4rap length ....j.►..--
avg distarke offshore
max distan a offshore Cref," F/N;'Lc
Basin,channel ,---/ -
_ -i
cubic yards N� i`I 'F
Boht ramp /
Boat Ouse/Boatlift / *- --
'I
•
Beach B dozing ' .
Other
Shoreline Length 156
��
'N'.N... Ns.‘1H if.. ,
SAV: not sure yes �9' o7
Moratorium: n/a yes 0 7 \
Photos: yes CO I 40 t)Ai .
Waiver Attached: e ..a s e---/X
A building permit may be required by: KO(ZC.!!.-- W . . I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions .
VkI ( kl ' , ` 5ru IL
ent or Applicant Printed ame ft. Permit fficer's Printed Name
Ii
ignature **Please read compliance statement on back of permit** Signat e
voilVC0 Ni 4 I(' 14 ' Ig 1 • 2O. iq
Application Fee(s) Check it Issuing Date Expiration Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to p14 °MLL- 's
(Name of Property Ov ner)
property located at IO'o l05 L V rc-µ- La
II (Address, Lot, Block, Road, etc.)
on , in ' c en , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
I1431ZRAcassl 2ET4LE 0 0 , cent; parmAGe it my pte�R
mo 5 r o -rue 0 e-e_14_,..i c, vtl As 1-I40 .t A rd o 4-6 0 0-r `IZ
o T11E, P t L.1 rJ(o S 1/4/' E. LA F;-co (Di T C)F Tl-l-E (0 2 o t.) J'3 .
der OLA-r•l I s r0 Q 11-4-E 59-I-Y E Got4-F I b trft-AAn o.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.
(Property Owner Information) (A cent Property Owne nformation)
ectsLLs21
Si nature Signature
t - - 0.1cL ` ,y-It 3R(4- 7 E n t2
Print or Type Name Print o ,T,Ype Naze I { v
,d(o ToQS�� t,JAz� l_..1 U S I'�J c-5 fit-- Iv
Mailing Address
1-GIr1rlcovd�,(��TLm-o nlC Ma Ad re
l �A' Ja 4xs44 /& J
City/State/Zip City/ ta�Zip
443 bZ2
V ?
Telephone Number Telephone urnb r
II — � .. ( 8 // I/ 020�1
Date �(/ Date
ti,(1)
Fvf, (Revised 6/18/2012)

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Pt-k , CPi-\ct.0-1
Address of Property: \(O(4, siSI c. Wifk-rz.g LA OrICA-wnn5-r i Q 't0E, _
(Lot or Street#, Street or Road, City&County)
Agent's Name#: Mailing Address:
Agent's phone#:
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, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-7215. 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, boathouse, lift, or groin 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.)
/ fj I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Pro e Own Information)
ca.:,S) CDS.A.)1
Signature 'gnature
Print or Type Name rent or Type Name
0L 1 Q95A t_ 6,1 L.J , d4�a/ � i &%g
Mailing Address Mailing Address
City/State/Zip City/State/Zip
CM - 44 3 -( z 20 7/7 .70� '�7��
Telephone Number Telephone Number
1 ( -3 - 18 //— ,_7--
Date Date
Revised 6/18/2012