55819D - Reinhart

]�,AMA / i -'DREDGE & FILL V11 C
GENERAL PERMIT Previous permit #
^ + ❑Modification ('Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources �J
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ~%/J . 126!G
ules attached.
nt Name 141? g y ,�ftA► Re-'A"l Project Location: County Sk V q-s w/C&
s 12.0 6�xnewigoog Street Address/ State Road/ Lot #(s)
�aa-e ✓ (3CAc A Stately C ZI P
# (910 Oil - G790 Fax # ( ) Subdivision
ized Agent C 4 A<<s e e -Zr— City _ ZIP
d ❑ CW FJW E-WTA E4ES ❑ PTS Phone # ( ) River Basin U�
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body CtA,✓AL. OT� > ��//�' (nat[
❑ PWS: ❑ FC:
yes / no PNA yes J-ffo-- Crit.Hab. yes / no
Closest Maj. Wtr. Body %Qy 1yW
A Project/ Activity / /Z) velC / j ez 44 e
(Scale:
ock) length
m(s) /.2'�
length
umber
ad/ Riprap length_
vg distance offshore
iax distance offshore
channel
ubic yards
imp
>usgt oatlift
Bulldozing
Nrle}f 22
i<<rs1 'RgT /6 ;rl
2 0'
ne Length V
not sure yes
gs: not sure yes <no:) p L
>rium: n/a yes � r
�es no a A �p s
Attached)( no
ling permit may be required by: /Jo ZdGi✓ Beech
Se�b¢cK t
r
fl
1-95 '© L
❑ See note on back regarding River Basin i
1 i.—° i. ,. 11 ,_ t

P. L Canal
3'-1
Proposed Floating Dock.
NO-1
F-I
I I d- 12'
Proposed Boatlift T
Proposed Dock.
120 Greensboro St,

North Carolina Department of EnWrbnment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Grepon
Governor pew
AGENT AUTHORVATM FQRM
Date:b,,-3b i
Nam g of Property Owner fly ft for Permit:
+99Y � . 15 C-//VI,,�
MaH/ng Address:
17,0 6P4Z�ivS ,�/ !�-T
1-6,Dr4v OeA5bl , /VC -�-aO6 7-
Phone Number: (910 ) -6 /. Z... (, 5 9 p. _ ..
Doe Freeman
Secretary
1 certify that I have authorized (agent) G P, f /�G_ to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or
construct (activity) !x Irl4m,, niC aJ
at (my property located at) IZo 6- e ilima S/
This certification is valid thru (date)
Pro rty Owner Signature
'L�rt
Date
127 CsdM Dd" 6A.. VYiYn Ow, NC 2MO6
Phw Y11L7WL777S% FAY- 011LIOPLI A IMard ww...r... ..�.. �...e..�.r
NtiRh('amlina

11 09:53a Lee Davidson
IN-9-1 +._.-
3366265145 p.1
CERTIFIED NIAM — RETURI' RECEIPT REQUESTED
DIVISION OF COASTAL- MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATE.NM T
Name of Property Owner:
Address of Property: / .-�:z e: k "-
(Lot or Street #, Street or Road, City & County)
11-0L,
Applicant's phone g: Mailing Address:
dlll�ry 1-71&4 AV&, r2yLlir ?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 the attached drawing the development they are proposing. A description of drawing,
with dimensions, must be provided with this letter.
I have no objections to this proposal. 1 have objections to this proposal.
U you have objections to what is being proposed, you must notify the Division of Coastal I Tanagement (DCt1'l]
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796--7215. No response is
considered the same as no ohiection 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 I5' set back requirement
�_ I do not wish to waive the 15' set back requirement.
(Property Owner Informallon)
Signature
Print or Type Name
N ailing Address
City I State i Zip
Telephone NLrnber�
-2 ),
(Riparian Property Owner information)
Signature
Print or Type Name
Mailing n
141 ,hwv
City I State t Zip
Telephone Number��

'E8.11.2011 10:17 9195706014 SHIPONSITE #0720 P.001 !001
t'S f?7�►L--
CFR'f1M j-;V ZMAIL — RETURN MCEIPT REQUESTED
DIVISION OF COASTA . NUNAGE.MFIN r
ADJACENT RTPARYxw 1Pxo P.fr rY C?'DtiNER STATEMENT
N sme u r Propert y Owner: 1. -r
Address% of Property. 0
(Lot or Strcct #, SUI UL.or Road, City & County)
Applicant's phone #; —M- • K� 9 Wiling. Address: UA%s6or-o {" _
i hereby Gectiiy that I own proucrty adjacent to the above referenced property. The Wividaaaat applying for this per -it
has described to me as showu x. (fie attacifed drawing the developtm-nt they art proposing. A description of wing,
with im sions ,rm-t be.,provjded with this letter.
*— I have nu obja:tions to this proposal. 1 h2ve Objections to this Proposal.
It you have ohieatioao... to WhAt is being proposed, you must notify the Division of Constafl IMUMCenteut (l C
in writinc Within JO dayi of receipt of this notict. Correspondence should be mailed to t17 Cardinal Drive Ext.
Wilmington, NC 28405-3845, 0CM representatives roan also be.eoahfcied at (910) 796-721.1 No mq onase io
comsidered the smrtee a, ito a&Cfioh if von have beevr trt+tified by Certified Mail,_
WAIVER SF.CTJOW' -
! understand that a pier, dock, rrxxsring pilings, breakwater. bombuuse, of Ji ft vnust be net hack a rninimum dinunce of
15' from my ana pt riparian access a nkss waived by me. (If you wish to waive the setback, you meat initial the
;ipprolMalc blauk below)
I do vrish to waive the t 5' set back requirement.
I do nut wish to waive the 15' set lack reyrrirenicnt_
(Fropef Owner I O deft
I'rt z or'fj� N.une
Mlai+�linjjg Addr&%v
T10 11 w . fJP 11-1
City / State / ;Lip'
Tcleohone Wtunbar
Information)
Print or Type Name
Muilicig Address
lo!e .r "VG ITS
City / stets / zip
Teleoltone Number Vf —1534 619791

)plicant: ' �192 fl/ Permit #: <1 �j� 9 1
ate: i 4 / JJ
3 2 Z,1//
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
and in your Habitat code sheet.
bitat 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 fir
disturbance.
Excludes any
restoration anc
temp impact
amount)
�✓
Dredge ❑ Fill ❑ Both ❑ Othef, —
1V2 y
1,712y
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 ❑
Dredge ❑ Fill 0 Both ❑ Other ❑

Mareene Construction
P.O. Box 370
SupP/y, NC 28462
OF
BRANCH BANKING AND TRUST COMPANY ( y'�, [t C' C"� /'!,
1-800-BANK 88T 88T,com \ s `/� V/
FOR �(L l
1�'00 O114 •
9" 1•0 5 3 10 1 12 0:000 5
DATE
1149
66-112/531
F.,lrr e
� Oel�ll� on
101, 2 13 3 18 il■ --'