43287D - Bell

. .-
--''LAMA / ' --' DREDGE &FILL
3"ENERAL PERMIT
Previous permit#
,!New ..Modification .__.Complete Reissue -- Partial Reissue Date previous permit issued
prized 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�7 • �� QV
it Name j L ( J? L
[}Rules attached.
Project Location: County J 4cIN.S" W/ G
V-3 X r de lo) Het r `j C f ,
Street Address/ State Road/ Lot #(s)
,N 4Jieo2l� State ZIP 27.y1
2 S3-S lTT % Fax # ( )
Subdivision M e S
:ed Agent 54 U 4w 'e 'J .t Cc, "S �4 wC &
ZIP 2 y
❑ CW LCVOC p•I•'FA ❑ ES ❑ PTs
Phone # ( ) River Basin Glyov A
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body p'Pp V o2 de'-7 (nat
❑ PWS: ❑ FC:
yes / no PNA (Z).no Cit. Hab. / no
Closest Maj. Wtr. Body �� L✓�
yes
F Project/ Activity P/j , yf re Pf e 2 a
,ck) length 300
'(s)
�ngth
tuber
d/ Riprap length
g distance offshore
ix distance offshore
cannel
bic yards_
np
ise/ Boatlift
ulldozing
1F-
e Length 9 '
not sure yes'
-�-�t
sdp
cum: n/a : not sure yes
® yg g� f A",
e yes
no Ji'
(Scaler
JCS
iZPe�C
kttached: yes no I.I
ng permit may be required by: -/t u,rs W/C C ^ Uu ✓�-� ❑ See note on back regarding River Basin r

SHORELINE MARINE CONSTRUCTION 67-7235/2532 2987
GREG PREVATTE
P.O. BOX 10671
3258000872
SOUTHPORT, NC 28461
%
PAY TO THE ^
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$
ORDER OF ,/
s)ZIu a cv r e&q /Ilia ,
s DOLLARS IJ
Coasta/Federa/
� SIODUTHPPOO{R�T, N 28461
/�—Bank
MEMO�% T � 2J T r Z
1:253 2? 235Si: 3 25800087
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/ WAIVER FORM
Name of Individual Applying For Permit: &_ L I 9,_ �L
Address of Property: 43
(Lot or Street #, Street or Road)
SCOUT r'r
(City and Count}
.'U ns A/
I hereby certify that I own property adjacent to the above -referenced property. The individt
applying for this permit has described to me as shown on the attached drawing the development th
are proposing. A description or drawing, with dimensions, should be provided with this letter.
?� I have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39(
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s,
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If yo
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.
Sign Name Date
♦INENW77A

Name Of Individual Applying For Permit:
Address Of Property: T r D cm AP2 (-( cow r'
(L.ot or Street #, Street or Road, City & County) ZFgf (
I hereby certify that I Own prope ry 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 or drawing, with dimensions, should be provided with this
letter.
�rL I have no objections to this proposal.
• 11 /• •• .M • 1
• 1 1 1 1 • i1 1 ■ i• 11 .
I understand that a pier, dock, mouring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian amess unless waived by me. (If you wuh to waive the setback, you must initial the appropriate blank below,)
/-/,w L I do wish to waive the 15' setback requirement_
I da.nnt wish to waive the 15' setback requirement.