44889D - Nobles

`�d�AMA / � `DREDGE &FILL
GENERAL PERMIT
ew _'Modification -- Complete Reissue - Partial Reissue
As authorized b the State of North Carolina De artment of Environment and Natural Resources
Previous permit #
Date previous permit issued
Y I p
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name F�IIZ L L o r, LSE 5 Project Location: County ZJ QS L'-Z
Address % 1 \ �j� �ir},ppy�J�G-\l.. �J r}olL� j �tt- Street Address/ State Road/ Lot #(s)
City 51J6 fl A IP�t fLQ. State C-- ZIP 41-4c;;p .16C5
� 11 5� G I� A j] v✓ L L 1L S a �+L>c S �R
Phone # (" t3 z,) Z,*k5'?A*A 3 Fax # ( ) Subdivision4a c-K._ S4-�C,9-
Authorized Agent PTI N z jL :Z CityljN C-7 `A bs 1 c, q (-�] ZIP `Z''3�
Affected Cw � EW ❑ PTA `�ES ❑ PTS Phone # ( �) River Basin W H'yf e ©A -
AEC s : L-= OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body CHatw✓r�
() i y � �y fC� /man /unkn�
C PWS: ❑FC:
Closest Maj. Wtr. Body
ORW: yes / PNA yes / no Crit. Hab. yes / no no L �y
Type of Project/ Activity =L nD S-r ► 4- A-
L
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhe / Riprap length $C
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other V, O
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: ves no
X CA iY\ N
P
(Scale:
{
A building permit maybe required by: �J tJS �L� I ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions Z� ,IJ &L L L-- rz , L A. 1N tj r./ A 0- P
Agent or t PH r ed Name
Signature PI a read co pliance statement on back of permit **
I 57
Application Fee(s) ehec r#
Issuing Date Expiration Date
fl 105if'-M '4
Local Planning Jurisdiction Rover File Name

1 DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property: // / � C, 12 CJ� U) f� � � y�
(Lot or Street #, Street or Road)
� E
(City and County)
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, 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 Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215
within 10 days of receipt of this notice. 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, boat house or boat lift must be set
bck 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.
Sign Name
Print Name
%
Telephone Number with Area Code
Date
NCDENR
NORTH CAROLINA CEPARTME- OF
ENVIRONMENT ANC NATURAL RESOURCES

DIVISION OF COASTAL MANAGEMENT
Name of Individual Applying For Permit: k t] r?/� I\; d /e
Address of Property:
(Lot or Street #, Street or Road)
e ,C.
(City and County)
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, 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 Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215
within 10 days of receipt of this notice. 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, boat house or boat lift must be set
bck 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.
Sign Name Date
Print Name
Telephone Number with Area Code
'4PTA
4 0 '
HCDENR
f.NOCM

I, INW-t-� give authorization to
Antino4 Marine Construction to act as the
contracting agent in obtaining and signing for the
requested CAMA permit.
Job site address is:
1115 C"Prom cOICK 6 HOI2.►=t) 0R.
My permanent address is:
C�r,N QO�Ptfl , Nc. I
It