54028D - Peninsula

i'C.AMA/ II DREDGE & FILL ' -
3ENERAL PERMIT Previous permit#
}IVew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
lzed 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 . /•12G u
1'4R6les attached.
t Name 7n e PCIVl"e Si '? (dr, /1, it C- Project Location: County &I 4,,,s,;,a,c it
P 0. lJO k 44b y Street Address/State Road/Lot#(s) A.2 y Th P
•v0., X./Le Qewc A State riC ZIP 27,v6 FPe/Y/IVSu(/)-
(?(Jy)j 6yr 4/5Of Fax#( ) Subdivision
edAgent TP;;,S, e d Ply F'25 CoNt'T, City 0,-, as 7 2e Q°,le I ZIP 2Y%b5
_ cw NEW ETA ❑.ES H PTS Phone# ( ) ( River Basin L4,,,74
HOEA H HHFIH ❑ El N/A Adj.Wtr. Body (1,J,.,A( !f lIAz-v (nat t
— PWS: ❑FC:
yes / no PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body ww
p l
'Project/Activity (ie, V Ai C /i p /2OC.e
(Scale:
:k)length /5,4 i, , a 1 P" /L j/, a' i
i(s) —. ___ -,-
ier(s) i I
ngth
Tiber I
J/Riprap length ,
distance offshore + F I,A,
x distance offshore I .. n/7 L .n...i
141 ') ori ,
cannel 1 I 1 i '
>ic yards I —
iP + j I
se/Boatlift
4�_— t41 4
—
Jildozing l / Y V 0,1 Vf/ ! d II d l V d Itt
0
Length SQ ' ! vs
SINV s aI r anot sure yes o —"kJ, Ni 1- 4 idI V to b/ t'
c: not sure yes
um: y ` '
yes I I V tit.
L 7
ktached?( (L i no ! I I ,
ig permit may be required by: Ot Pi,Ad _2je o,O9C`i n See note on back regarding River Basin ru
A. , _ i / Aii _ ,. ,

Arivoi,A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
laei F. Easley,Governor James H.Gregson,Director William G. Ross Jr., S
Authorized Agent Consent Agreement
e) 7 747E is hereby authorized to act on my bet
(Printed Name of Agent)
ier to obtain any CAMA permit(s) required for the property listed below. The authorization is limited tc
ific activities described in the attached sketch.
ATION OF PROJECT:
Z4- E , EiNSvI,,1
2CEtiU ZS"L PCH N\ C
144
PERTY OWNER MAILING ADDRESS:
PENVW$ULAG 0l5 f LLC,
o. T? (Af39
c tN ✓acH, Zi;,49 PHONE NO. 790V 6704 — 4c7c
-10RIZED AGENT MAILING ADDRESS:
? D , 24
SLE BEd �L
z44-4 g
PHONE NO 91 /5-7L co© 3
ature of Property Owner: ��

CANAL_
1(o'X4' RAMP
a 16 X 1 O' PIES.IEAD
�3�29 ' 4', 23 .29 ' x But-14at' o

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: T1,..0_ P v. l vN S u\ . ` OLD,, LL(.-
Address of Property: Z Q- • T1,..cA_. P•e LA.k L` a
(Lot or Street#, Street or Road)
Ocoee 1s be \ - i rvvv-S w tc 11-
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indi
applying for this permit has described to.me as shown on the attached drawing_the developmei
are proposing. A description or drawing, with dimensions, should be provided with this let
"1". -I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C
Management, 127 'Cardinal Drive Extension, Wilmington, NC 28405 or call 910-79(
within 10 days.of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified IYIaiI.
•
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
bek a minimum distance of 15' from my area of riparian access - unless waived by me.
wish to waive the.setback,•you must initial the appropriate blank below.)
--Pd -- I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
iiiiii
Sign Na Date
JEFF Niv u,y_QA,.. Aworw

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Per-nit: T� Pev` t IA Su1-Q. ?k d 113 LLL
Address of Property: Z 4- • -nits— \.c votA. k.1
(Lot or Street#, Street or Road)
OC-et v. \S e- ?x - i W tGiL
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The ind
applying for this permit has described to.me as shown on the attached drawing the developmc
are proposing.. A description or drawing, with dimensions, should be provided with this 1e
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of (
Management, 127 'Cardinal Drive Extension, Wilmington, NC 28405 or call 910-7S
within 10 days'of receipt of this notice. No response is considered the same as no obje
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu
bck a minimum distance of 15' from my area of riparian access - unless waived by me.
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to wane the 15' setback requirement. •
I do not wish to waive the 15' setback requirement.
r - s` o7
Sign N Date
E 1_1 -' ' I-3e Tl\ ELLi S A'JA

•
Mod
JESSIE & MYERS CONSTRUCTION •^^•�• .
NORTH CAROLINA
P.O. BOX 5024
OCEAN ISLE BEACH, NC 28469 66-112-531
[phone]
PAY D _ n
TO THE
ORDER OF /C / $ 2 00. o
DOLLA
/O
' ~
AUTHORIreSIGNATURE
CA) 5 2$._....Cer, C 3._
00000 ? 52711' 1:0 5 3 LO L L 2 L1:000 5 29 L L9 348 le