72824D - Riley

AMA % DREDGE & FILL
,-NERAL PERMIT
ew —iModification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to
1
Applicant Name
Address V 5
City Vli&rn I A
, ( State., ZIP Vu
Phone # �) `#-Mail
Authorized Agent �i�v �4A
Affected �W ❑ ES ❑ PTS
AEC(s): ElOEA ❑ HHF ElIH El URA El N/A
❑ PWS:
ORW: yes / f O 1 PNA yes / no
No. 72834
Previous permit #
Date previous permit issued
15A NCAC 1 M
❑ Rules attached.
Project Location: County f X LA,, V! 1V:,&
Street Address/ State Road/ Lot #(s)
C
Subdivision
City �i(ti��k ZIP
Phone # O River Bf
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Adj. Wtr. Body ` ' /� , nat man nkn
Closest Maj. Wtr. Body M �r� V �/
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1
Agent or Applican Printed Name
Signature ** Please read co liance state t on back of permits�**
1 2� Jll/y
Application Fee(s) Check #

116,515,
Nsma o>Y irnd►ividu+s! Apptyio j iar Pa�it: ��--�' �' � � i 1 t`�(_ `
4d6mt! of Pto�ert} I C% `l Swo' i cZ c1c .
'`Lot or Starer Is, Stx+sat et RAC .
'Gifu ------
hertbY c,srtify that i MCI pmp*V edjeom to the tbovaqelbrcatiea t.
for this ProPer'ti The
iee�ire�
applying Permit has described to = a shown oc tba ir�g me irtedo�rwes�,ay
are propasing. A dexrlative of olro�v+►in�, ry dh di,,,, "a
should be L-mvidec wi* *k Whet
have no objeadofts to MO pro�e5r
it' tau have objections to what 4 b4W# prapvgd, ptesss write Me a,.t',An of C06%L
' tU"gemsa4 127 C3rd'W Dr*O 1XWWiM WOM111191'Ott, NC 28405 ar c:il� �1�?�j.ntt5
witbio 10 days of receipt of thbil*. RoNo mpg*" it aoaaidered the some as no
vau have bosh notified Sr Ctrtifled Moil. OW Ctbnif
W okmR SE CTIO N
I ut;dersmad that a pier, do* =*rin1p#hp'bmkwatsr, traac "Ouse a.r boat tiff ghWkset
bck a r»lnimum distance of 15, trom my area Of ripprion access - un►ess ►raived b% f• (if y.0
'ish to wDive the Setback, you mutt intt#oi the nFprepriate bluitk belom.-
do wish to waivtt tht ! 3' setbsck teeuire— t,-
i 92= a 19h to waive the ! t' satoocxT-
�'�n Nitr�sr ,to
Print Name
q(";) 06-09,
Tataphocx Number with
R7C�drNR

MacPherson, Tara
From: Frank Riley <[e-mail]>
Sent: Thursday, February 28, 2019 6:41 AM
To: 'Tommy Perry 910 443 7045'' MacPherson, Tara
Cc: MacPherson. Tara, 'Claudia Riley'
Subject: [External] RE: dock\permit
To: Tara Macpherson,
From: Mr. & Mrs. Peter "Frank" Riley & Claudia Swain Riley
Claudia Swain Riley is the owner of the property located at 1607 Swain Drive, Oak Island, NC
28465
This is to confirm that we have authorized Tommy Perry of American Marine Construction to
pull,
all the necessary permits required for the construction of a dock and a boat lift to be located
on the
aforementioned property. Should you require any further information, our contact
information is
listed below. Thank you in advance for your assistance.
Sincerely,
Mr. & Mrs. Peter "Frank" Riley & Claudia Swain Riley
P.O. Box 511
Long Key, FL 33001
[e-mail]
[e-mail]
Home (305)-664-8427
Franks's Cell (305)-393-2484
Claudia' Cell (305)-393-1411
From: Tommy Perry 910 443 7045 <[e-mail]>
Sent: Wednesday, February 27, 2019 10:25 AM

?�runa of Tndivi�ual Applying For PorrAitr
Add= of Property
or Street 10,
:Clry and Cognty)
or RoaM
Hereby certify that I own: propeatY adJasta:tt 10 the above�cef�rencea propzrty. Tht indtridw►1
appiprif for this permit hu described to me a shown cc the An uhed drawing the 6evreloprnaM%eV
are proposing. A delcrintion or drawlrt& with dimsoaions, should be crovided with tiffs k14"
--:4— 1 have no oa}eotlonq to this proposal
it' you have objections to what is being proposed, piesao ►v?'It'e then Do'isio n of C0601w-
Macagtmen; 127 Cardinal Driva Lxtealion, Wilmington, NC 18405 ar c:►ll a».-1p6
wirbin 10 days of r ocofpr of thi! notl0q. No rdporsae is considered rho some as no oq�cti .7115
2.1S
gate hove boon notified by Ctrtlfled Moil, n If
WAMR SECTION
I understand chat n pieridock, tttooringpilinp, brakwo ter, ocot house or boat Lift mfsttkset
bcka minimum distant$ Or IS' from ttxy urea of riparion access • units$ woived b% o*, (if you
Wisb to ` oNt the setback, you must Iniliai the approprinte blank below
do wish to waive the I I' setback reovire -t—
I dQD2 Fish to lvalvv the 13'setbec
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Print Name
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T'eicghorte Number w tbs And
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Dam Received
Date De
Deposited
Check From (Name)
Name of Permit Holder
Vendor
Check Number
Check
unt
Permit NumbenComments
Receipt or Refund/Reallocated
Column!
Column2
Column3
ColumM
Columns
Col-6
Column7
ColumnS
Column9
!7
an Manne Con n Im
Frank and Claudia RA
ank
8
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P 7 8 6
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