49178D - Averette

4CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
ylNew Modification Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina, Department of Environment and Natural Resources f
Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC f H. 1 G
Rules attached.
nt Name Pdt7 y��r2...E'--rr G Project Location: County \,C • 3
s 10 _ ' i \ L\.L-S 2.—& Street Address/State Road/Lot#(s)
.LILT..0(..11-JtJ State ( ZIP 27Sl( t Q ` L _.,. .A-c Ica
#0\O)ga',. 5 \S T.Fax# ( _) Subdivision
zed Agent L L"S G Cit p5 K L., `J e_-1-' _ ZIP �''
❑CW / EW A ❑ES ❑PTS Phone# (l 13 )�A-5' Cbl 9 River Basin 0._. .i
EOEA ❑HHF EIIH ❑UBA ❑N/A
Adj.Wtr. Body 6 J wS Lt-\r4 w Z;L E .
❑ PWS: ❑FC: "1SPS ��...)1
yes. no PNA yes no Crit.Hab. yes / no Closest Maj. Wtr. Body
rf Project/Activity J (Al. (_ STS o+xT ViC-; \ L C x SST 2✓C.7 S L-1
(Scale:i
ock)length
m(s) --
pier(s)
ength , _
umber —
ad/Riprap length
.
✓g distance offshore -
iax distance offshore
:hannel _ _. +
ibic yards
ifirlz9( 2<9 5
I
Bulldozing --
♦ 1 --
1
ne Length )-DO 4
• • :
not sure yes no . _ 1
gs: not sure yes
rrium: n/a yes
yes no _ - --I---.
Attached: yes (no ) — ---.-__—
ling permit may be required by: 1 T--)P6-� C`->� \c- E See note on back regarding River Basin i

INE CONTRACTORS, LLC 08-03 66-19/530 NC
910-367-2159 702
32 HAROLD CT. /— /.._"C$
PSTEAD, NC 28443
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13i3 " 1:053000L961: 00068474373811'

-15-2007 09:19 HOWARDS rALt1
!v lb U4 ualjba Mal 1-0C101118M alu-a/uJJ/1 P• e
RENEW
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Wiwi F.Ewer.Governor -Manes S.Jose&Director Wiliam G.Ross Jr_Secretary
Authorized Agent Consent Agreement
us a /1 G r e to•^i &c1'i L LC- is hereby authorized to ad on my behalf
(Pniletd Nem orAeo
order to obtain any CAMA permits)required for the property listed below. The authorization is limited to the
)ectlic activities described in the attached sketch.
()CATION OF PROJECT:
4'o �e4�-� Sc 4 f
cop S EN,' e4. c Air_ -
ROPERYY OWNER MAILING ADDRESS:
D'Ari,e) r +A- •
iO c67_ keAe— 4; RRs. RA
. 1 k \ v, 61 4-e ki C. /7 5`f( pHONE No. g 9(0 gi 3
)THORtZED AGENT MAILING ADDRESS:
t `fiva'ri-c.140,s cr
l74z/v444, 10e NC Lig 3
_ PHONE NO. g/U .?(n 7 .2/3-
nature of Property Owner. x 44
;nature of Aut/iodzed Agent. i4 4 •
Date: ll 1.�D 7

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
rhe purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or
ndividuals listed below. The CAMA General Permit application procedures require that applicants provide the Division of
:oastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property owners
ndicating that they have no objection to the proposed work or that the adjacent riparian property owners have been notified
iy certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by a marine
:ontractor or other individuals acting as an authorized agent on behalf of the applicant.
Phis form was sent to you by/the following/ individual or company designated by the applicant as an
Guth agent:
e�a� 70r- /ll//i /)?Gtr,J-
kuthorized Agent's Signature Date
Jame of Individual Applying For Permit: bA_ v1,a ?4Ye e f t
kddress of Property: iI P I cz 600` • c-t, Vctc.kt C/JI)
(Lot or Street#. Street or Road)
1 CP4ai ( geack Feuer Co
(City an County)
hereby certify that I own property adjacent to the above-referenced property. The individual applying for this perm
ias described to me as shown on the attached drawing the development they are proposing. A description or drawint
pith dimensions, should be provided with this letter.
✓ I have no objections to this proposal.
f you have objections to what is being proposed, write the Division of Coastal Management. 12'
:ordinal Drive Extension,Wilmington,NC 28405 or call 910-796-7215 within 10 days of receipt of this notice
io response is considered the same•altno objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set back
stiarinr:;sn distance of 13' from my area of riparian" cess - unless waived by me. (If you wish to waive tit
etback. you must initial the appropriate blank below.)
I do wish to waive the 15'setbtt requirement.
A A
I do not wish to waive the 15'setback req
uirement.
q