60756D - Ollice

-!CAMA / ❑ DREDGE & FILL /�^ NO. 60'
PENERAL PERMIT / Vl Previous permit #
Xlew ❑Modification -Complete Reissue _Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
[Rules attached.
it Name [ ` I L,- j (V � ` ie.aAA u.L i (e Project Location: County t ti N 5 VV 1 C4'e'
5QI "\ 0 (L hc, Street Address/ State Road/ Lot #(s)
C 0-2N State WY ZIP Z5303 V Lit C' l iZ
Fax # () Subdivision
:ed Agent to City VAX. f ^- 0 ZIP ,.,p
ElCW L7'EW TA -PTS Phone # ( ) River Basin G/f � E
❑OEA ❑ HHF — IH UBA �— N/A Adj. Wtr. Body ( %.S 04WA-L /. (
ElPWS: ❑ FC: L Al iN w C j
yes /6 PNA / no Crit.Hab. yes / no Closest Maj. Wtr. Body
F Project/ Activity - K IV A-TL J�/% FiXj� P4-d77`V/IJY)
(Scale:
ck) length ti Gql
t4
ngth
tuber
d/ Riprap length
distance offshore
uc distance offshore
cannel
tic yards
np
ise/ Boatlift
ulldozing
41'
2'eNL")
owl'
111111
NEW
■
a
�I
Ca
KIM-
Nrd
l�
!No
fit!
■■.��
11-41
Woo
T
�• ■

CERTIFIED NIAIL - RETU%N RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner: w l L t- I kM Arjy p 17 EFL V k* 1f Q i- L I C E
Address of Property: 111 PA-VL-* G11ZCLE OA-K isL-t-An),NI- b?-UNrW1C
(Lot or Street #, Street or Road, City & County)
Applicant's phone #: 3n 4 - -7 N N - R 34 1 Mailing Address: S'o ! S V9 E-K 10 P- .t-Vy .
bvFp 00uit-PGA3-- S&orr BLIrF so0rl+ crfh-9LESranr, WV �s3o3
9lo - 2- 14- t0 3
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this I
has described to. me as shown on the.ettached drawing the development they are proposing.- A.description of do
with dimensions, must be provided with this letter.
X 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 (E
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drb
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response
considered the same as no obiection 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 dista
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial t
appropriate blank below.)
I do wish to waive the 1 S' set back requirement.
OPI do not wish to waive the 15' set back requirement.
(Pro erty Owner Inf rmation) (Riparian Property Owner Information)
Signature Signature
R.t G H-A po A-W 9 p ogvN E e oft-TNEIZ
Print or Type Name
Print or Type Name
_ 1 13 p A-v t,A- L(f2-L LE
Mailing Address
Mailing Address

pplicant: OLL I II AA'' I J ` y�,.
�J Vv�`..`"'f /�•� Sj %1�f1�,1 Permit #:
ate: 2- `I 31' 3
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
DISTURB TYPE
rbitat Name 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 final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other Lj�'
2 (,0
2 +
JS
V v
Dredge ❑ Fill ❑ Both ❑ Other n?
! Z
7 2—
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 0 Fill 0 Both ❑ Other ❑

-
66-7143-2531 7608
BUFF BUILDERS, INC.
109 SE 36TH STREET ,
OAK ISLAND, NC 28465 DATE /
PAY TO THE G-J 0
ORDER OF
v
DOLLARS
SECLWTY
SAVINGS BANK G�%
Southport,I C 28461 '^ C —

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
R-i < 1+A-k-0 * v J
41V 4 AI 1z r,/s2
113 fA-vL-,+ tie cL
�'1"k If i-ArAO, ry c-
2,94U)—
A. Signature
X r
❑ Agent
n Addressee
B. Received by (Printed Name)
C.
Dat of Delivery
D. -Is delivery address different from item 1?
If YES, enter delivery address below:
EI Yes 13
�Jo
3. Service Type
❑ Certified Mail ❑ Express Mall
EI Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) p Yes
2. Article Number
(Transfer from service label) 7 012 1640 0002 1868 9090
PS Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1540 ;
i
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
V-1IL ItK tip
41-It L UEIV g
3� S° M t Q'1v+ It 41'1= S
lizz-
50vn f p"12T-1 )v c.
24YU I
A. Signature
13 Agent
i ❑ Addressee
B. Received by (Prin d N� D to of Delivery
D. Is delivery address different from er 11? ❑ Yes
If YES, enter delivery address below: ❑ No
a. service Type
❑ Certified Mail EI Express Mail
❑ Registered ❑ Return Receipt for Merchandise
El Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
13 Yes