59227D - Preslar

CAMA / DREDGE &FILL d,
E N E R/Q►L PERMIT Previous permit #
New -Moditication Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
'ARules attached.
nt Name N yfl j'ow Project Location: County Alih SW 1(,k
�t 656-n "pak w, State( ZIP Z"71WO
# Mu `� Fax # ( )
ized Agent -11 Q
.d ❑ CW ,)�EW -i . PTA OiS I PTS
❑ OEA ❑ HHF C IH ❑ UBA N/A
PWS: ❑ FC:
yes / no PNA yes
of Project/ Activity
Crit.Hab. yes Q no
Street Address/ State Road/ Lot #(s)
Subdivision
ity UluQ.i t fl(QL:^ ZIP U2�
1 d > y `t3- River Basin \--U VV
Adj. Wtr. Body N�-1 , l nat
Closest Maj. Wtr. Body A l Wyy
//
(Scale: I s
Jock) len h
*s) X ;
pier(s)
length
camber
md/ Riprap length
wg distance offshore
nax distance offshore
channel
:ubic yards f
amp
ruse/ Boatlift
Ildozin �_
0 xto
ine Length U/ 1. `
not sure yes no
ags: not sure yes o
orium: a yei no
s. yes
r Attached: yes rnno
ding permit may be required by,: rj QWn OA W 0-0, IS( �I (k L, , . ElSee note on back regarding River Basin
^- -::3 U brl\ A,. A .11 I,A 1 c1s1.0 /
111-1 I -_1. _ 1

5/15/2012 12:12 9105757076 BENCHMARKMANAGEMENT PAGE 0
DMSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN' PROPERTY OWNER NOTIFJCATiONMAIVERPORM
Name of Individual Applying For Permit:
Address Of property:
(Lot or Street #, S
(City and County)
or Road)
L
he y certl tat own property a 1acent to t e a ove.re erence property, he individt
applying for this permit has described tome as shown on the attached drawingthe.development th
gre proposing- A description or drawing. with dimensions, should be provided with this letter.
� Y
have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coas•
Management, 127 'Cardinal Drive Extension, 'Vt%iImington,. NC 28403 or call 910-796-72
witlxin 10 days'of receipt of this notice. No response is considered the same as no objection
you have been notified ley Certified Mail.
WAIVER SECTION'.
T understand that a pier, dock-, mooring pilings, break�� Ater, boat house or boat lift must be
bek a minimum distance of 15' from my area of riparian access - unless waived by me. (If,,
wish to waive the.setback,'you must initial the appropriate blank below.) -
I do wish to waive the 1 5' setback requirement.
- I do not wish to waive the 1 5' setback requirement.
Si?n Name Date
Print Name��

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAWAIVER FORM
Name of Individual Applying For Permit:z 2,41--ffz5�' .
Address of Property: ?2(D 12 AAA k-P-4a',
(Lot or Street #, Street or Ro d)
sA�W®
(City and County
hereby certUthat I own property adjacent, to the above -re erence property. The in ivy
applying for this permit has described tome as shown on the attached drawing the development tl
are proposing. A &scription or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
J P P
If you have objections to what is being proposed, please write the Division of Coa<-
Management, 127 Cardinal Drive Extension, uiilmington,.l�C 23405 or call 910-796-7:
ZP
within 10 days of receipt of this notice. No response is considered the same as no_objectio
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, break-w2ter, boat house or boat lift must bE
bek a minimum distance of 15' from my area of riparian access - unless waived by me. (If
wish to Nvaive the.setback,-you must initial the appropriate blank below.)
I do wish to waive the 1 5' setback requirement.
'�R/ L I do not wish to waive the 1 setback requirement.
X�S'ion Name Date

rnc—
�c sT &+,�
,4f C.Q_ C) / e�z2j_r/ i?�
C-��1L?F-,>
C-7 yA
� b uLb C�-
kv
a

;36 - 5022-431�
0?
V3 - "? ?q 3
e��
91i
NCDENK
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
�l F Easley, Governor Charles S. Jones, Director
Authorized Agent Consent Agreement
William G. Ross Jr., Secre
C-S' E�f��x — &U, is hereby authorized to act on my behalf
(Printed Name of gent)
r to obtain an ANIA permit(s) required for the property listed below. The authorization is limited to thl
activities described in the attached sketch.l _ �(� X i (�-ic�Atv�V
X44Hu cy S irtN�1 S i'A'1tm
ION OF PROJECT:
:RTY OWNER MAILING ADDRESS:
OCPHONE NO
1RIZED AGENT MAILING ADDRESS:
I.-- 1
- -
lr-mb4:�a�- 'P) Af� � 2
PHONE NO
re of Property Owne

04
L
IV
t I A a .�

)licant: Le n Pap�, I ay-
e:
Permit #:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
rid in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
itat Name Choose One
includes any
Excludes any
total includes
any anticipated
Excludes any
restoration and/or
anticipated
restoration
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount
temp impacts)
amount
W Dredge ❑ Fill ❑ Both ❑ Other
Zy�
ZLA
plete items 1, 2, and 3. Also complete
4 if Restricted Delivery is desired.
your name and address on the reverse
at we can return the card to you.
:h this card to the back of the mailpiece,
i the front if space permits.
Addressed to:
UU SP fY-rJw Cav-3,
A. Sign�
X ❑Agent
❑ Addressee
B. ReceivV by ( Printed ) C. Date of Delivery
/) /m -/iI / / T -rz ,,,a
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. i,Vvce Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
a Number 7007 3020 0001 0995 2771
;fer from service label)
n 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
3NIJ ud1 w — u IW a
Dredge ❑ Fill ❑
■ Complete items 1, 2, and 3. Also complete
Dredge ❑ Fill El B. item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
Dredge ❑ Fill ❑ B, 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.
Dredge ❑ Fill ❑ Bi 1. Article Addressed to:
� � � 18 - � ���j��►��k� nay
B.
❑A
"'—=A
C. Date o
U.-Is delivery from Item 1? 1
If YES, a er address bel I
Ce
IX
I s qPaAr.ATWAL '*�— / _^-,