54054D - Matzke

CAMA/ DREDGE & FILL °' r
•
IENERAL PERMIT Previouspermit#
New 'Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized 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 /11 • j )© ‘ 2A-
, Rules attached.
:Name E..(2�.0 i11 i Z JL.t< Project Location: County 005(..--,) --
i 0 ) C.lcci, vJZG\(.. '(kv6- Street Address/State Road/Lot#(s)
f L.—n-4 )e.a 1 aPJ State)1/4)4- ZIP Z• 04 Lv O3-7 (0 i " -r-
a)7 tz•wssi L Fax#( ) Subdivision
sd Agent \N i i IJ o t S City kil RC- Cif 1 ZIP Z--&Li 9
❑CW YEW .i PTA p:ES ❑PTS Phone# ( ) River Basine_APi.
❑OEA ❑HHF ❑IH O UBA ❑N/A Adj.Wtr. Body 9la f»P )C ( "Nq�(nat
❑ PWS: ❑FC:
yes / no PNA yes Crit.Hab. yes / no Closest Maj.Wtr. BodyZ,h/
Project/Activity �Q 5'fpALI.. L4 4., (.- gv, Hey, Z w t4_,,,,a,t b
{10 Lr ce- ,.t_t--t-i�,,‘ tit, I Z X 1 CO PLNTe o 2 r-- (Scale: ,J`=G
:k)length
(s) l I b I I I ---
er(s)
•
igth I I j
nber !
r
y Riprap length y.S ( !
I _ I .
distance offshore Z —
K distance offshore Z —
i
annel
is yards
i f
:e/Boatlift
i
dldozing .
i
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tO ` W1NJ Ix' — — ,--I-
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tiJHLL D . j ,. K {
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Length ✓•� j
not sure yes no f
not sure yes r',no i L. 1
urn: n/a yes iino
nr T ! r
yes 6' I
ttached: yes no i I I
ug permit may be required by: S Ln R-( c -ii'\I - . 0 See note on back regarding River Basin ru

.4677,12
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
el F. Easley,Governor Charles S.Jones, Director William G. Ross Jr., Sec
Authorized Agent Consent Agreement
PINT1t1c 1.14%` aCrs \ is hereby authorized to act on my beha
(Printed Name of Agent)
to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to t
c activities described in the attached sketch.
TION OF PROJECT:
737 (oTH `Sr
o F GI' Y • C •
ERTY OWNER MAILING ADDRESS:
C -}Alx.J\CY Av
Lrn i f.1G't'0 . C
.2$40 1 PHONE NO. ot 1h - 7G3 -,5-g1
DRIZED AGENT MAILING ADDRESS:
5 Vitc6if.liA
Pr F ' t 'f t•1 C .
PHONE NO. `‘10 - 3d?- 347�
r' . /l1 Ll,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to (() '3 ttY& 's
I � (Name of Property Owner)
property located at LAC, 03
� i ,, (Lot, Block, Road,` etc.)
14
on V,C ft Sf , in SA,�T CaUl ,N.C.
(Waterbody) 2 (Town and/or County)
Applicant's phone#: ID 1 L 3 S512-Mailing Address: 1 C+ (Y10 cj l,c,ly AA1C/
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(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 not wish to waive
61..e.2 I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
&CC o.;)- emu d
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
CVI. a k X 71(1
Mailing Address Signature

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to fe.) j , mQ+7
� ^ ff ,^, (Name of Property Owner)
property located at (1 03.1 llL
(Lot, Block, Road, etc.)
on M M C, S - , in c- Ldui-- 6,ANA. ,N.C.
(Waterbody) T( own aCoun )
Applicant's phone#: Mailing Address: � ChOcluicx, lv
Imin8-ton 1J1c, c 4OI
He has described to me. as shown below,the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(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 not wish to waive
)( X I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
S�e a, caned
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
1(4 Ono3o.ci, A\tb .)(/CA
Mailing Address Signature

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Bank of America.
40„,"*.
ANTINORI CONSTRUCTION ACHRrT053000196
145 VIRGINIA LANE 66 19 530
SNEADS FERRY,NC 284603„Su(910)327-3475
• PAY TO THE /1 p $ &�'
ORDER OF: !p p Y D. /'
A THORIZED GNATU
ig 4
J
MEMO GR5 O 4' L�� • )
11.00 ? ?49118 1:053000 L961: 0006505 2 L99011'