65087D - Roelofs

�CAMA / ❑ DREDGE & FILL
.z
NT , 6
3ENERAL PERMIT
Previous permit #
New ._Modification ❑Complete Reissue El Partial Reissue
Date previous permit issued --�
rized by the State of North Carolina, Department of Environment
and Natural Resources
Z OD
-oastal Resources Commission in an area of environmental concern
pursuant to 15A NCAC
it Name Ti M �i L�
Project Location:
❑ Rule attached.
County �) /1S. � c:.i dJ
A
�%j a O-Q' W t (, 4 - '56W d.C_ S
�%1
Street Address/ State Road/ Lot
--
�,taPS Gott State ink ZIP 2060
CA;5
('ko .XA
` W),3 — Z3 Fax # ( )
Subdxision
:ed Agent I�I�it'�iI %jf1%
City
cy f
ZIP_94
❑ CW E, EW
4� PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF
❑ IH ❑ USA ❑ N/A
❑ PWS:
❑FC:
yes / ' nb PNAe
/ no Crit.Hab.
yes
F Project/ Activity
//
G; �f 1
ck) length
1(s)
Biel( )
:ngth
tuber
d/ Riprap length
g distance offshore
ix distance offshore
cannel
bic yards
np
i Boatlift n
t+Udozing
e Length �� G
not sure yes
s: not sure yes
ium: n/a yes
yes
kttached:
Phone # ( ) ( River Basin 6) L
Adj. Wtr. Body nat
Closest Maj. Wtr. Body
r`
(Scale:
ng permit may be r wired by: �7 A Q [A% ❑ See note on back regarding River Basin r

ICIER t/M v- Ually — ,", uv ICI ""'

14C Division of Coastal Mgt, Habitat Impact Computer Sheet
Applicant: Permit #: ,6!�;76e
Date:r—
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
'ound in your Habitat code sheet.
-labitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated fins
disturbance.
Excludes any
restoration and/
temp impact
amount)
DDredge
❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Oth r ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑ .
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 100 it z�o 14
Name of Property Owner Applying for Permit:
Mailing Address:
E�f 3 � �t, e �C
-*e( I
REC-EIVED..
DCM WILMINGTON, NC
JAN : 2 2014
I certify that I have authorized (agent) Cza'' &..,- to act on my
behalf, for the purpose of applying for
obtaining all LAMA Permits necessary to
install or construct (activity) ki}}(/� [ l a r
at (my property located at) U &4jZ*, 'ed4t4 L�-
This certification is valid thru (date)
lefll-ll /';�Vx
Property Ownf Signature
Date

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION `OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
"Jame of Property Own
Address of Property: r tv VVY+^4. p—
(Lot or Street #, Street or Road, City & County)
Applicant phone #: �! t D ?mil Mailing Address: i��
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-th6 attached-drawiiigjhe d"eveidpiriaff-----
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. Contact information for DCM offices is
available at www.nccoastalmangement.neticontact dcm.htrn or by calling 1-888-4RCOAST. No
respanse is considered the same as no abjection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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�(Jwner Information)
� "oA)-d I
Signature
Print or Typt Name
"5 f ` Ai.J " ,,�Is Ic►ras it
- rian Prop Owner Inform i )
Si ature
45
Print or Type Name
Mailing Address /
M k)R a i`Sy -11
Mailing Address

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
x
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Own
Address of Property:
(Lot or Street #, Street or Road, City & Gounty)
Applicant phone#: GILI IQ) Mailing Address:
; hereby certify that 1 own property adjacent to the above referenced property. The individual
applying for this permit has described to me as st►own" Oh th6 attactecd"drawing�ie-di6Veiapm#nt
they are proposing. A description or drawing wish 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. Contact infonnation for DCM offices is
available at www.nccoastafmangementnet/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
H
1 understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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 se ck, you must initial the appropriate blank below.) RECEIVED
DCM WILMINGTON,
do wish to waive the 15' setback requirement.
JAN 12 2014
I do not wish to waive the 15' setback requirement.
(Property wner Information) (Riparian Property Owner Information)�_ .
Signature Signature
Print or Typ& Name Print or Type Name
Mailing Address Matting Address
s

prcec�>��t J
'at, ►;FF
ECENED .
NILMINGTON, NC
AN : 2 2014

6 5 0' LAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
New Modification Complete Reissue -_-:Partial Reissue Date previous permit issued -�-
norized by the State of North Carolina, Department of Environment and Natural Resources j z- er)
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rut attached
ant Name ]I AA Project Location: County-____ .
ss Street Address/ State Road/ Lot #(s)14
_
State_iZIP 294,60
s # R&Y-Y�'t_- Fax # (—) Subdi ision_
�ldt►`� _ ZIP_Z
rued Agent �}. ✓l@!rJ � l' _.._ City -------- , ,
f] CW �qW PTA ES I PTS Phone # ( ) River Basin
ed 0, OEA 0 HHF 1-1 IN UBA N/A Adj. Wtr. Body �►!(���Er�-i�� �� at mar
") 7 PWS: 7, FC .�
yes On PNA no rCrit.Hab. yes / no
Closest Maj. Wtr. Body -
of Project/ Activity fit, I -91 ll ! /
'dock)length
t --
.r p1e 2_
n length
number
R I
nead, prap ength
avg distance offshore
max distance offshore_
i, channel
cubic yards
ramp
r
hou Boadift
`2
:h dozing
eline Length 'too;
• notsure yes_._.
-
(bags: not sure yes no
atorium: n/a yes n
ros: yes
oer Attached: no
-_ — - --- -- —
I fJ
(Scale: ( = Z G
gilding permit may be re9virct'd by:
•oc/ Snorini
_ See note on back regarding River Basin rult

l qks-"
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A

il, Jason
m: Dail, Jason
it: Tuesday, January 06, 2015 1:47 PM
'Stephen Antinori'
eject: RE: roeloffs
just opened the paperwork. Can you provide a drawing that shows the riparian lines as well as water depths?
h neighbors refused to waive the 15' setback, I need to know 1) how much shoreline they have and 2) that they
Yt encroaching into the 15' riparian corridor setback.
nk you,
)n
son Dail VN
eld Representative
.C. Division of Coastal Management
27 Cardinal Drive Extension
iilmington, NIC 28405
°gone: [phone]
ix [phone]
isail:lason.dail@ncdenngov '
°ww.nccoastalmanagement. net
3se visit www.nccoastaImanagement.net<http://www.nccoastaImanagement.net/> to subscribe to Coastal
nagement's quarterly newsletter, the CAMAgram.
so, please note that e-mail correspondence to and from this address may be subject to the North Carolina Publ
ords Law and may be disclosed to third parties.*
im: Stephen Antinori jmailto:antinori [e-mail]
it: Tuesday, January 06, 2015 1:02 PM
Dail, Jason
3ject: roeloffs

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION 'OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Own
Address of Property: I l 2 kA IUMVv wLv ur c v" w v f— _
(Lot or Street #, Street or Road, City 8 County)
Applicant phone#: 111 fj' ul' L 0 -", a�� Mailing Address: Q EtLJ2�� t�s
0
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-att"a"�ied-draW ng_the developmeff-
they are proposing_ A description or drawing with dimensions must be provided with this letter.
�6
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 Coastai Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been noted by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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 wner Information)
,Signature / e
Print or Typt Name
AJ
Mailing Address
A - r'_ - _ - ) I %1 Sill
J(Rnan Pro Owner Inform tiure
Print or Type Name
Mailing Address

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
t
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Own
Address of Property:
(Lot or Street #, Street or Road, City & County)
Applicant phone* � j�0y�� 347(� Mailing Address: ��
�12a1� �i✓M.�l
i hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as stioa+n o atiaehed-drawingifie-aeveiopml-gni
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. Contact information for DCM offices is
available at www.nccoastalmangementnet/contact dcm.htm or by calling 1-888-4RCOAST. 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, or lift 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 se ck, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
— ! do not wish to waive the 15' setback requirement.
(Property wner Information)
Signature p
T;m ,e. �0-P2
Print or Typ6 Name
71f 141.f��T
Mailing Address
(Riparian Property Owner Information)
Signature
bra=I r��e
Print or Type Name
5"3 y
Mailing Address
a

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date A ltzo14
Name of Property Owner Applying for
Permit:
Mailing Address:
�� 3 Lk 2YI�
-f
I certify that I have authorized (agent) A— L„ to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) oa l 4
at (my property located at) A
IXIc.,
This certification is valid thru (date) un;,
16-0111 1;1-el,
Property Owng Signature I Date