50291D - Keane

"LAMA / ❑DREDGE & FILL -
GEN ERAL PERMIT Previous permit#
' New Ell Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources
• Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ,1" d G G
'Rules attached.
nt Name-519 m, 1 J -: ,' fa/9.'Cv Project Location: County 6/2 0-+14I I c It
s 34 0 7 �0 h",��, C' �C't_ L/j .e, Street Address/State Road/Lot#(s)..�3 �lJel.
i M4 l e,// State,4 C- ZIP 2 s2z b
#( ) ri/',S Z `/© Fax#( ) Subdivision
rized Agent L L �/ t1} /" 71Z City C-C PP,✓fJL e 5-Pe c 4 ZIP C%
d cw _EW 3PTA DES ❑PTS Phone# ( ) River Basin I v^
(DEA ❑HHF ❑IH ❑UBA ❑N/A �'
): Adj.Wtr. Body ,P t o //Ili kV(nat
H PWS: ❑FC: ?i
yes / no PNA yes_ Crit.Hab. yes / no Closest Maj.Wtr. Body �Y
of Project/Activity dC c'i-"/-1 C -f C, ' 571,J A , 1 ? /L a f4 71 f •)c•c/'
X/9 f)'p (Scale:/
;dock)length Tx =1 i,- y X t./ '
>rm(s)L J' = %') /2 >{ f'I
I I
:r pier(s) 1
1 length ,• ,JI
number
lead/Riprap length
i •
avg distance offshore ,
max distance offshore
i
,channel "
•
I.
cubic yards I it (ramp � � � '
louse/Boatlift I i• rtlJLIIIiiiip,, ', •
i Bulldozing It
M IMMIl■0���1ri 0��E�MUR —...._
line Length .,:,.., .., _ I I IlilIllIlIlIN!
I
not sure yes (nP I liii _ II._ liii III '
iags not sure �I
pi
Corium: n/a yes no' c - -
s: yes no) 3 r,pl g,
;r Attached: yes no ! I / j
Iding permit may be required by:f2Cel9iu'SL-P 6 09e4 See note on back regarding River Basin
i c.....4-1•--- c..:___ (Yz7✓i /i.n i- /Yl... e f A/. f 1".,- -"," ./ 7t 42_ J I • ., _

PATRICIA H MINTZ 1032
BRYANT L MINTZ 0�q
2490 WHITEVILLE RD NW 910-754-8927 .- /Q> 66-1215/531
ASH,NC 28420 Date 835
Pay to the fj ) j1 I $ �l e,e)
• b Order of /`�j"'t 41(�( l
"✓-- c C9 dts Dollars . .,
° 4 WACCAMAW
_�BANK U.K£.4I1/E_
Shallop.,NC 28470
urrum.warcanm=abank.ro� G Spa9( , a f
For V �, "'"
1:053LL2L521:80005278L011'0L❑ 32
INTOUC®R CUSTOM CREATIONS'"'

AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
chael F.Easley,Governor James H.Gregson,Director William G.Ross Jr.,
Authorized Agent Consent Agreement
/0/a) • / ► !1 Ntf� is hereby authorized to act on my be
(Printed Name of Agent)
rder to obtain any CAMA permit(s) required for the property listed below. The authorization is limited
cific activities described in the attached sketch.
CATION OF PROJECT:
- I o)N t9 oG
c 4r) JsiG (3 EA( h
k cl it- \N CAIin )i vv9
OPERTY OWNER MAILING ADDRESS: •
M1
% 77 k 1 JY GA t 4'e,-
C )(4)1 1uC U ao PHONE NO.' 77 l ( cz z tl
THORIZED AGENT MAILING ADDRESS:
-
!a / / I TA)1 •
219 o a)L: t
4_, L
PHONE NO. 4 '7/ ._ a
inature of Property owner. ___ l VIZ_

'CAMA / ' DREDGE & FILL '
GENERAL PERMIT Previous permit#
ClNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources /�
• Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ,/�` G7 o
/ L�1' ules attached.
:nt Name R I(�i 0/is !./ / G 4 ,,,, A.-) Project Location: County ?,2 y 5 r.✓, e.e
.s f.cc C/`I n d• c C' ' Street Address/State Road/Lot#(s)/ 7 .iy.p,`..
' 1 4',.5 4 State ')C. ZIP) / .5
#(,/. ) V 7 /o F+2- Fax#( ) Subdivision
ized Agent L-I o,d /2,./ Tl'2 City dC am , -7:s L e S1°,4 ZIP 2 7 ii
-d ElCW PEW ❑PTA ElES ❑PTS Phone# ( ) River Basin LN.;
❑OEA E HHF IH ❑UBA ❑N/A Adj.Wtr. Body C19r ,4 ( .{f�//sat/ (na1
PWS: II FC:
yes-- PNA ye9 � Crit.Hab. yes / no
Closest Maj.Wtr. Body c/ I-JAI
of Project/Activity
(Scale
;dock)lengthC% 'S f.^s Y- y ,l /Q/a,+►fi ./' "u'j ' I
>rm(s)
:r pier(s) I , i
i I i
i length f
number I "4 f .9 — —
4' A C �--
I `
lead/Riprap length {
avg distance offshore
max distance offshore
o
,channel ` -
I 1/pd
cubic yards I
ramp i -._—_ / --
I I f!� .
louse/Boatlift ..„.,
r
i Bulldozing /� T I __-
dine Length I
T I
not sure yes KP f ,
o
lags: not sure yes — ' I I i _ — —
:orium: n/a yes I v . ._�.I ,? L.--- -I I
I.
os: yes o ipG
!r Attached: yes ,�j
(ding permit may be required by:1�C pf�J 7 f I / P,9G h P See note on back regarding River Basin
_,c___._,,___Jc.____ f le.e, ii—A-._ _ M .• ./ it I �T Ir . "7.. 1 .7

AIM
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
chael F.Easley,Governor James H.Gregson,Director William G.Ross Jr.,
Authorized Agent Consent Agreement
LI D U ,V\ is hereby authorized to act on my be
(Printed Name of Agent)
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited
,cific activities described in the attached sketch.
CATION OF PROJECT:
S /Jkw,pe±
�c A ,v Xs 1
4)6fy I Cerra )/ ti A-
OPERTY OWNER MAILING ADDRESS: • .
:3ZG
r a-T(O ( c,- PHONE NO.' Q` I ( — 8 _1 082
C 1 .
THORIZED AGENT MAILING ADDRESS:
v C) I v ,
)41 ± -1/ /eel
.15 L. ,k), Ci 0
PHONE NO. L+ 1-71 —9...c 1
inature of Property Owner. o_.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION;WAIVER FOPvvt
game of Individual Applying For Permit: pi C 14)1
ddress of Property: / ' .�rUt/ o,, 'I--
(Lot or Street #, Street or Road)
5/- ILC FP w,YSwi GA
(City and County)
Zereby certify that I own property adjacent to the above-referenced.properrv. The individ
plying fir this s permit has described tothe
� --- -�- ----�permit me as shown on attached drawing the development tl-
proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coasi
inagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-391
thin 10 days of receipt of this notice. No response is considered the same as no objection
.i have been notified by Certified Mail.
WAIVER SECTION
:iderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must I
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 waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
/., ,,./7/
i Name Date
)

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A.;
item 4 if Restricted Delivery is desired. X /L Agent
• Print your name and address on the reverse 1, Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: .,
If YES,entendelivery address below: 0 No
jOri6+etPC 0 k FAA-V/12-c-
i.-c,......_
4/ D F0 I6IR per- ;,4
k
Q f 3. Service Tepe ,I; pr❑vertified rviafl-`-E}-Fre
ss Mail
. �
0 Registered 0 Return Receipt for Merchandise
0 Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from 7007 3020 0001 5068 5710
PS Form 3811 _, Domestic Return Receipt 10259so2-M-1540;
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. El
• Print your name and address on the reverse X n r/7( , cY14 zov 0 Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits. /)-L. ' ,r '.1 M '/1/t6fYGR.J f"0'7
D. Is delivery address different from em 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
L ' t r`` /__ rlq d .AU1 ahick/
Jet S
�r//2, J� c •303 3. Service Type
Fey Il� 1 t// ❑Certified Mail IDExpress Mail
/ 0 Registered ❑ Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 7008 0150 0002 9189 6004
PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-1540
SENDER: COI'IPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete ; ignature
item 4 if Restricted Delivery is desired. c ! / .„ p Agent
°rint your name and address on the reverse I ❑Addressee
so that we can return the card to you. r`13. ceived by(Pri tee,Name C. Qat9 of Delivery
• Attach this card to the back of the mailpiece,
/ _ t) i
or on the front if space permits. �/ r �� �� l ti
D. Is deliv differentfILm item 1? 0 Yes
1. Article Ad ressed to: If YES;ehter delivery address below: 0 No