53194D - Locklear

CAMA/ r 1 DREDGE & FILL 53
tNERAL PERMIT Previous permit#
dew Modification -Complete Reissue ❑Partial Reissue Date previous permit issued
ted by the State of North Carolina, Department of Environment and Natural Resources l) GOG
>astal Resources Commission in an area of environmental concern pursuant to 15A NCAC j'>'
/ / g attached.
Name. 1/1// tL L 44 14 LD c,1 L Alt Project Location: County 6GZ,R,,,, w..C/J
y3 az., ii ro,i )'d , Street Address/Stated/Lot#(s) 2 0(94es
f57 tALP state// C ZIP .2 7.326 D„ , U,�, -(- /th 1
(f 6G9" 6-7j ,Fax#( ) Subdivision CA,Q�A/-5 Lf2r o/•.}
!d Agent Slj,,,,l1, 1,,..r' "91,i,/.e. City (CP<I..0- Z•e �D,4e1 ZIP 2?/�o
CW UPI/ ETA F-& ' PTS Phone# ( ) /y� River Basin /�y,,i�
El OEA El HHF ❑IH ❑UBA N/A Adj.Wtr. Body Co.,AL Ort ,/W i J (nat C
il PWS: ❑FC: Closest Maj.Wtr. Body �/ //via./
es /'"no PNA yes / o Crit.Hab. yes / no
Project/Activity /7dc 236A7L.('I 'G t,e ,c ,Nf Dnr4-1.j /"F4c.L. 1y. /.� c-?/.s;
/ (Scale:/ - -
k)ler �X 5 �)
s) f f r j _� �� ; I III_
i IMM 111111111111=11111111
nber
V Riprap length -�- ( 2 7
distance offshore
III ' Ill
t distance offshore U I
annel ,
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i A A } T
ric yards till
t ck,' 4:1,14 . 1
tp 0, I
s oatfift J2 li EIE , i 4 .'"-' 4 :
JIldozing IIMIMMI t I '1
Length AOAS �-
not sure yes IIII
s: not sure yes o UUj _:/7
ium: n/a yes4ia - ? L.m I7a7 'J nmp 7� . UUU
yes > . ��E . �d� ��U� �; 1 Ell
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4ttached: yes no,: U.®�■■�■ ■■ II■�■■
ng permit may be required by: t7CP/7.✓/T L P�P� .4 C I I See note on back regarding River Basin r
Special Conditions �/ I Ce ' tl, /,�,.s -'C '11, 2000 A 5 ri0// 91 ,45i/" 7'A.-2

/29/2009 15:32 FAX [phone] SBS INC W0001
;10-2009 11:0G OAK ISLAND FUDGE 9102785054 PAGEI
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management William G.Rosa Jr.
heel F.Easley, Governor James H.Gregson,Director
Authorized Agent Consent Agreement
t4erej'( )y ?i• � Leh s�h
by authorized to act on my b
(Printed Name of A en(
'der to obtain any CAMA permits) required for the property listed below. The authorization is limltet
:ific activities described in the attached sketch.
l'ATION OF PROJECT:1 J 0 1
••1
>4- �.4f1d.ns cA��Jdg -
c
OPERTY OWNER MAILING ADDRESS: •
•
T1IC -. •
2` `I6
PHONE No.C4tcl-- 6 ;in
FTHORIZED AGENT MAILING ADDRESS:
L)t-L' 5+ 54J _______.
PHONE NO. L`ji 3l:`?-
AtLiA2:, NA, Ln[-k .f aq_
mature of Property Owner: 1
,f7 Alt":

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: kc ,Lck(ec,r
Address of Property: Co . L - 4 nc CL,, 5
(Lot or Street#, Street of Road)
CCcrir-N /c ,fie(.cA
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development tht
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 Coasi
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-72
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
bck 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 15' setback requirement.
V I do not wish to waive the 15' setback requirement.
///7 /00f
Sign Name ate
Ode II it:els e.-- 54 go A
��
Print Name ✓ ' •

5343
SHORELINE MARINE CONSTRUCTION v ,
PH.910-845-2224
PO BOX 10671
/
SOUTHPORT,NC 28461 f - 3'nc�i
,A,Nr
to de order 0/ /VC 0EA/ I $ 2
7 /iL,qr-irec� - -.
BB&i BRANCH BANKING AND 1- BANK-BAN B BBTTcomMPPANV /,7;/, 24.2.-,e1R.— /96-;--rlifi/ ,Iiymatae r_ ' --
I:05310 L 12 11:0005 L01753478005343 bP56lc C3r

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signs re
item 4 if Restricted Delivery is desired. ❑Agent
■ Print your name and address on the reverse /�,( 'ior��' aa�� 0 Addressee
so that we can return the card to you. `Received b P' ted N
• Attach this card to the back of the mailpiece, I / � ) Date of`�Deiive
or on the front if space permits. (/��'� fYK /- Q "!
1. Article Addressed to:
D. Is delivery ddress different from item 1? 0 Yes
If YES,enter delivery address below: ❑ No
J
` 3. Service Type
O
a J
❑Certified Mail ❑ Express Mail
CeC, /e decC / Al(' El Registered El Return Receipt for Merchandise
f ❑ Insured Mail ❑C.O.D.
• aS-t/ 6 (c 4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7005 0590 0006 6809 8511
(Transfer from service label, _
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540,
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. S� ture
item 4 if Restricted Delivery is desired. X ❑Agent
IN Print your name and address on the reverse 0 Addressee
so that we can return the card to you. B. Received by(Printed Nam C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? ElYes
If YES,enter delivery address below: ❑ No
PCq 5Ie,- 6� 11l,
--I-o n
PO, Q0,( as g s-
3. Service Type
_ertified Mail 0 Express Mail
51- //U!/ AX`_ J 8 y579. ❑ Registered eturn Receipt for Merchandise
y Cl Insured Mail % C.O.D.
', 4. Restricted9elivef .:Fee) 0 Yes
2. Article Number �3 `Z'
?farm r(m mve�,i.- 7005 o3�a,n006 68i - Acne