45815D - Roberts

G�'CAMA 1 ❑ [DREDGE & FILL J.
GENERAL PERMIT Previous permit #
New Modification Complete Reissue --Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Z (� �l
[2'Rules attached.
ant Name DEV-Ej= J ` A WSJ 4C,EVT S Project Location: County Pu'joCAL
s Q io :H1 &+tom S i4o Street Address/ State Road/ Lot #(s)
RA riA Stated ZIP Z fi 44 2>_-- W 1 uw AiZ.0 PI-
# (-q 10) 27 7 - I ,O(:� Fax # ( ) Subdivision M I {7DLt J?p ► N i C V It-L N
1zed Agent V ► k-) City i lA�TE ZIP Z LH
d
❑ Cw AEW ZPrA Ew4S ❑ PTS Phone # ( I v) 27 0 •iOOS River Basin C Aek
❑ OEA ; p p�,, ��, ❑ UBA ❑ N/A
❑ PW 1. Ill
❑FC: Adj. Wtr. Body (� 100 t,E ��t�}L
/fs % no PNA es) / no Crit. Hab. yes / no
Closest Maj. Wtr. Body_ A tw- /
�-+-
A Project/ Activity C GNST "C -r F-W-A V A--[T-- 12I E WT'H"'d, V PLA-f -L K.M
F L Calk 1 1►J (0 t,V- (Scale: I
ock) length V Y
m(s) j
pier(s)
length
—
umber
ad/ Riprap length
vg distance offshore
iax distance offshore
:hannel
ubic yards
imp ! -
Ou tl�O.tlift' 12 x 11-
Bulldozing F _
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L$-v 1 f
t of Etz
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neLength 7?L���.
not sure yes no
gs: not sure Yes 1E''�1' i► t -
irium:
y
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A
n/a yes
yes7-
Attached: yes —�.

A & T MARINE CONTRACTORS
14254 NC HIGHWAY 50/210
SURF CITY, NC 28445
[phone]
PAY
TO THE
ORDER OF✓v'�+
0 CAROLINAFIRST
67-219/539
3081
$ t vo.00
DOLLARS
l '
MEMO KL / /! ; AUTHORIZED SIGNATURE
11000308 LII' i:05390 2 1,971:7LOOS 14476ii'

_-06-2006 01:01 AM ROBERTS BUSINESS GROUP 9102707005
P _ 02
Derek ROOMM
Lot 6 - Middle pawe Vdkw
(010) 431-M53
.- Q r wa
LOW Ta. LOW Tkb
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Not To Scab
5
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Dr 10 Uti U/:`,gyp Alexia Morris
910-270-1776 p, 2
DIVIS10% OF COASTAL MANAGENM-�T
'''� ADJACENT RIPARLAN PROPERTY OWNER NOTIFICA710NfWATVER t
.0X • Name oflndividual Applying For Permit: i )ey-e.(c KV4<
Address of Property:
(Lot or Street k, Street or Road)
(City and County)
I hereby cerufy thzt I own prope-rty adjacen: to the above -referenced property. tie irdividu
aaplving for this permit has described tome as shown on t„c e attached drawir_g the development the
are proposing. A description or drawing, with dimensions, shoed be provided with this here:.
I have no objections to this prcposal.
If you have objections to what is being proposed, please write the Division of Coast:
M nagement, 127 Cardinal Drive Extension, Wilminb on, NC 28405 or call 910-395.390
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Anil.
WAJ'ER SECTION
I understand that a pier, dock, mooring pi:inas, breakwater, boat house or boot lift must be sE
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ifvo
wish to waive the setback:, you must initial the appropriate blank below.)
I do wish to waive the setback reauire-nc t.
I do not wish to waive the 15' setback requirement.
Si me Date
r
h l Q"h Cc wl'
Print Name
-A
F I L
WehvuD

16 06 07:59p Alexia Morris 910-270-1776 p.2
DIVISION OF COASTAL 1VLANAG�rT
AD ACENNT RI PROPERTY OVV'N-ER NOTIFICATION.'WAIVER FORM
Name of L-tdividual Applying Fer Permit: J) ey. -,�- ,,hL,-�
Address of PrGperty_ (e ig": 2'- (�Ziat� 5.�.���✓�i
(Lot or Scree:. n, Street or Road)
(C:tv and Coen:y)
I hereby certify that I own property adjacent to the above -referenced property. The individu,
aaplying for this permit has described to me as shown on the attached dr awir_s the development the
are proposing. A descri tion or drawing, with dimensions, should be provided with this letter.
I have no objections �o this proposal.
If you have objections to what is being proposed, please write the Division of Coasts
Management, '127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390i
within 10 days of receipt of this notice. No response is considered the same as no objection i
you have been notified by Certified .Mail.
WAnTR SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be se
bck a minimum distance of IF from my area of riparian access - unless waived by me. (Ifyoi
wish to waive the setback, you must initial the appropriate blank below.) -
'A�- I do wish to waive the 1 setback requirement.
I do not Trish to Nvaive the 1 S' setback requirement.
S i gn Name Date
Pant Name,'
(21ja Z 1 Z319 NCDENR

JCAMA / DREDGE & FILL
ENERAL PERMIT
NQ 4
Previous permit #
ew ❑Modification '.Complete Reissue CPartial Reissue Date previous permit issued
:horized by the State of North Cacohn;t, Department of Environment and Naturai.Resourcez
ie Coastal Resources Commission in ari.area of environmenrai concern puma It to L5A NCAC 7 j
les attached.
writ �N"a�m�e j .,Q.e� j� iCM J ' _ Of2 County _ Project Location: Co_
jgg ' Street Address/ State Road/ Lot #(s)
? � State_K)C_ZIP ZA_LP 3 1AJ I& UAi
'- # (ft) 7p05 Fax # (_) Subdivision M I1)()L • F01 N TE V I�..�.
prized Agent ki2—_ _ CitYPST� ZIP
:ed Cw jAW yk*TA 26 E PTS Phone # (X) Z,] a •1.M River Basin CATI8
S) OEA ❑ HHF IH G USA ❑ WA Adj. Wtr. Body i DID LE
- PWS: ❑ FC:
tt$es no PNA tlre�/ no Crit. Hab. yes / no Closest Maj. Wtr. Body jw
of Project/ Activity PleAAIW 11 j_
(dock) l,­+�
orm(s)]
�r pier(s
n length
numbe
headl Ri
avg disc
max di;
i, chann
cubic y
ramp —
hou
h Bulldc
w
FLO
eline Le
r
bags: r
norium:
O5:
er Attac
(Scale: )"=3
ilding permit may be required by: i�Jg , e. i,) , ❑ See note on back regarding River Basin ru