50337D - Van Praet

❑CAMA/ ❑DREDGE & FILL
GENERAL .PERMIT Previous permit#
ZNew ❑Modittation ❑Complete Reissue ❑Partial Reissue Date previous permit issued
horized by the State of North Carolina,Department of Environment and Natural Resources
e Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC I fl ' , O
ules attached.
ant Name (..,c Q. 4 F c' } N,Ct Project Location: County t.... ;�..)
ss I Z.S ' t I.c)..Q.'; T�s,v,5` ..5- _ 1 D f . Street Address/State Road/Lot#(s)
....AyTat.) State zIP2 'ZO y -7 Li ' S%•.
#Fi 1 s?)W, ZZLi ; Fax#( ) Subdivision
rized Agent LI t-i,Le•S.f Ci LA a - -1- ) ZIP 1 l
❑CW 4 EW ‘ PTA El ES ❑PTS Phone# ( ) vR Basi& Q 6.
.d III OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. BodY t1rr►7 t^ erG' Ma, ( ai
❑PWS: El FC:
yes(--- PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body r ��' "
of Project/Activity 2 a 5-r ALL. 1 J $ j✓_( pL i C.1„ LI x ^1. ± T. ve-r c 2 P-
-> \ L- r \ ) (Scale:1�
dock)length if 6 x j I
irm(s) )DX 1 L
Li }.� 1
r pier(s) Z�y
1 length -
number I ! Q.•.ki• —I '
\
ead/Riprap length !
avg distance offshore
max distance offshore
,channel
{
cubic yards ' 1
ramp h
It
loue/Boatli '\ t J X !L f I I ' j •- , '
_-- (11 I L.x I L. 1 - i za'
i Bulldozing ��
ir
r___, L.
i - I 1
line Length 53 i ---- f
not sure yes , �
,ags: not sure yes no
I i t_
:orium: n/a yes no I
I
,s: no i f i
•
it Attached: WV no I
(ding permit may be required by:.SO(Lc" is T N) 17 See note on back regarding River Basin

L-/c 7 a � S -
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Vaur 5 ceo r-Sk7'$
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hthouse Marine Construction, Inc _..—
st Office Box 2532
Of CO, NC 28445
10) 328-4852
10,o<
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t 1 7
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_ . .. � fA✓ 1/4/1 address of I'1•oner. : ---- I��
Sired
(Lot of ,Street#, Sweet a_'Road;
1)&nctieK
(City and County)
I hereby certify that I own property adjacent to the above-referenced
applying for this permit has described to me as shown on the attacheddrawing th e d The indi•e t
are proposing. A descri tion or drawing, with dimensions, should be provided this withdevelopmentt
Iettei
ue no objections to this proposal.
If you have objections tc what is being proposed, please write the Division of Co
Management, 127 Cardinal Drive Intension Wilmington, a'
within 10 days of receipt of this notice. No response is nside considered 28405 s me as no o eor call ctioi
you have been notified by Certified Mail.
'i
•
WAIVER SECTION
E understand that a pier, dock, mooring pilings, breakwater, boathouse or boat lift must
get bck a minimum distance.of 15' from my area of riparian access- unless waived by me.
roil wish to wave the setback, you must initial the appropriate blank below.)
do wish to waive the•15'setback requirement.
I do not wish to waive the 15' setback requirement.
A /1 J ;

AD1&C'FNT RIP ARl&N PROP . T ? .R NOTMCAYjfl a7 .E. FORA
4 .
lime Of individual Applying For Patniz: �,b ei✓ ° A"�` 1�() -
0 kik 64Address Of Property: 7 U tt G
ci,,,, QN-fx NC _,..c6L1L-( - P.....7.4.. (9.,
(Lot or a t#, Street or Rat, City & County)
I hereby certify tbst I awn property adjacent to the above-reference: property. The L divi
this permit has described to a'�s,::xe.i craw the dev
apply' .: :::� � o:�n on�c ,.. ,. � eiopi
they ere proposing. A desetiption or drawiita;. rich dimensions, should be provided with
I halm *,YZ'z'iwts to this propostl.
j f,,,rul h:va turns in lunar i brim prectisail please writ tb ppfiiv�� _
isiran of. m
%ii .,.•••.n I •. �. .1 •—« •ea •1 ••. ••u I. • •..tin.•i u. •, •.• • .
if ym, n lifitifiect by r fied Mail
WAIYKR-SIRCTION
I undensand that a pier, dock, mooring pilings; breakwater, boat house, lift or sandbags mus
set book a wish.to nminiimiitd die of 15' from my area of riparian access unless waived by IDe. (If
the setback, you must initial the appropriate blank,below.)
4-62 I
do wish to waive the IS' setback rr. uire!ztem..
..... . 1&OW with o 7zive the S' ar i.=
it
ice►
7- - .& ,-4-111C1191r, . A

QVA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G.Ross Jr.
Authorized Agent Consent Agreement
410-4,41 `--&J. is hereby authorized to act on my O
(Printed Name of Agent)
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limitec
)ecific activities described in the attached sketch.
DCATION OF PROJECT:
HU 7 0 Y
CLAL AJ C
ROPERTY OWNER MAILING ADDRESS:
( )1/.ZPoi2 i //ill 157Z'/.4 C b72
SAY reel za.
PHONE NO.
UTHORIZED AGENT MAILING ADDRESS:
•
Lighthouse Mauls Construction, Inc
Post Office BOX 2532
Surf City, NC 2 445
M810) 328-4852
PHONE NO. L d ) at a ` ��y3
ignature of Property Owner: _ /"

•
ii
LIGHTHOUSE MARINE CONSTRUCTION
hI P.O.BOX 2532 _ O
r SURF CITY,NC 28445-0028 DATE
I,
1,1
1,1 OR PAY ) C
rl D ER OF
ii
/(0) di/.ei9 aiv._ DOLLA
44
Bank ofAmerica�,
ACH R/f 053000196 C._....._.
1 FOR lit"jit
0003573v ,:053000 L961: 00065 L3 L CaRS l
L36711'
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