53115D - Kowtoniwk

;AMA/ El DREDGE & FILL
ERAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
:ed by the State of North Carolina,Department of Environment and Natural Resources }
lastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7/{. /Z Oa
ambles attached.
Name�19 t/i f CPa.0I katN) '09" i l4 k- Project Location: County B/1. N" S w,c le
. a l 6,94 d r Pti S 1-f Street Add ress/State Road/Lot#(s) y/ 7 Mt
ASI „/ StateT ZIP / 5-y D}
(4`/62YZ -kI// Fax#// G( ) Subdivision
:dAgent Gi/o dA- 6€z i -F City .Sc..✓te '� C•lAc-4 ZIP 2 FYb i
❑Cw [.ENV --Efl TA 'BfS ❑PTS Phone# •( ) River Basin tifeki.4.
OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body C 0/49 t e4 I;A . 1 )/rr
❑ PWS: ❑FC: /G✓i✓
Closest Maj.Wtr. Body
,es /�no. PNA yes / Crit.Hab. yes / no
Project/Activity lY{� /"LG/9 71 i,j )d c'' d e(9''?JO
(Scale: / ,
:k)length t.:-.?C I 3 71'' • ^� r 4 N
1 — _ —
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er(s) T— * f
ngth
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Tiber _.. —
J/Riprap length I I II
i j I - --
distance offshore .a —
uc distance offshore I
cannel
i C
bic yards '
Jse/Boatlift T -_.__
lulldozing 1
aeppy, f '�3 '_ j Ikik v '— - �`e 1 t! — _
ie Length / 3 / 4 .l� Lar- ' 'l 4 1!/ (� d .
not sure yes no �- p . �, C
gs: not sure yes Cia_ii_ till'
Lrium: n/a yes '._..-.. 1
I
yes O , je L -f- 4 ,�� �/
Attached: yes e--
i , , l7 i ii ST•
fing permit may be required by: _Cif NS e a./A G A` I !See note on back regarding River Basin
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AtI
Ir
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Midlael F. Easley, Governor Charles S.Jones, Director William G. Rc
Authorized Agent Consent Agreement
6 \( € Uc0 -N,( \,Z x is hereby authorized to act on r
(Printed Name of Agent)
in order to obtain any CAMA permit(s) required for the property listed below. The authorization is lirr
specFic activities described in the attached sketch.
LOCATION OF PROJECT:
k 1p L0 h ree V
SA cse\- <<ix NC
2ct-R( cf
PROPERTY OWNER MAILING ADDRESS:
2ayMoN \ - ,TQKNys
`3i b 1_ 0114 6 T2 r r
So Ns�( 7J1-2_,4-cl-4 NC 2-S46 f. PHONE NO. S-19—CkKA
AUTHORIZED AGENT MAILING ADDRESS:
GRICE CONSTRUCTION
661 ty' BEACH DR. SW
OCEAN ISLE BEACH NC 28469
1910) 579.9095
T l D V
-1c{ - T
PHONE NO.
Siana:ure of Property Owner: _ \-4-14 I

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ,q (`(1t)cC' \
Address of Property: —3\1p `\V-'r\
(Lot or Street #, Street or Road)
5uNc\sQ\ f&c.tc\A C_) k-k,a1
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivic
applying for this permit has described to me as shown on the attached drawing the development t
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 Coa
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
•
I understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must 11
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.
I do not wish to waive the 15' setback requirement.
„ 7/2; ricr—
Sign Name Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION'WVAIVER LO±
Name of Individual Applying For Permit: R �y n o N oT0 K t Y _
Address of Property: I to 4-0fiµ .5-re ART
(Lot or Street #, Street or Road)
�vNs�T"3F�.t-ct+-, jt2v Nsw 'CG�C Gi 7 _
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The is c.
applying for this permit has described to me as shown on the attached drawing th cr
. are proposin ( A description or drawing, with dimensions, should be provided >>.i_n
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division t.
lanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call ' 11 G--9
within 10 days of receipt of this notice. No response is considered the same as no oh
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lif I:IL:
bck a minimum distance'of 15' from my area of riparian access - unless waived by- ins-.
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive.the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
f47/67, -
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Date
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GRICE CONSTRUCTION OF
BRUNSWICK COUNTY INC
ri PH.910-579-9095
i 6618 BEACH DRIVE SW
OCEAN ISLE BEACH,NC 28469
DATE IO ?I—d
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TO THE
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