51338D - Lee

ICAMA/ ❑DREDGE & FILL N1
GENERAL PERMIT Previous permit#
3i\lew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natural Resources /J
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC / �2G6
11R"�es attached.
it Name. 10 .V0``e L -e t TT Project Location: County �,e L> ,'S w i c /C'
/ ? L./ A/� T/l.).✓/3- 1,_ y R , Street Address/State Road/Lot#(s) /7. P`',CN_
//14 404S 74 State' C ZIP 2U7fr i�CI
''(2/0).,.i, --A?6f Fax#( ) Subdivision
ted Agent 41/l// I9 ,4.7 c i('fj,., 'f,, City(2(P0.r i--S e P SM9 cfi ZIP 2 F 74
❑CW LIEW ❑-PTA ftES ❑PTS Phone# ( ) River Basin 647 I
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj. Body C,9Ad,9 lir #/4"w(nat4
Wtr. ��
❑ PWS: ❑FC:
yes /(rib . PNA yes�f 3 -- Crit.Hab. yes / no
Closest Maj.Wtr. Body f}/!.0 Ai
f Project/Activity Pit VA 1/ t JDj e A. tp,
(Scale:
D c k)length 0 ')( V > a(g m, /b ,x' y
I I
I.
pier(s) I I -
i
ength j •
imber C f 1 ,,
_ ,
Id/Riprap length ,
,g distance offshore I
ax distance offshore {
:hannel i i v
ibic yards — ? 4 r--
mpi
use/Boatlift
3ulld� ,
3 /j
j t IA ''' ' -4 1 , v , ' 4_ 1:
I
ne Length v
not sure yes
gs: not sure yes f
mum: n/a yes
6'
yes /...7 PENS C' .171
'Attached: yes /�
ling permit may be required by: cc 09J J L/ ✓e Pt9C% . See note on back regarding River Basin 1
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VEIK
Shallotte,NCa 284704 J.YY,
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(.:,:) := Ng $ 260 ,
Date
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W BCAMAW (�/��,7,.y,
• Sha![otte,NC 28459
www.woaamaiuba
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3LL2L521:800009230011°06802
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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
k\\part`- � ' K c-ln e. is hereby authorized to act on my bel
(Printed Name of Agent)
rder to obtain any CAMA permit(s) required for the prop y listed below. The authorization is limited t�
cific activities described in the attached sketch.
CATION OF PROJECT:
e.
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DPERTY OWNER MAILING ADDRESS:
jo/p/i_ Lac_
/7g /YQfo/707 Li),.
4Afit, C- 2 7y PHONE NO. 6369
THORIZED AGENT MAILING ADDRESS:
�,J\\\yaw. CY\ �►, ,;40 v13A\ `s � c 4 SQ
5Gc\A 10 c. &I sq
PHONE NO. L1 (0) 4-11 - ����

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Robert Lee
Address of Property: 18 .Pender Street
(Lot or Street#, Street or Road)
Ocean Isle Brunswick County
•
. . (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 developmer
are proposing. A description or drawing, with dimensions, should be provided with this let
91_iti
a_,-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 28403 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 Mail.
•
WAIVER SECTION
•
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
bck a minimum distance of 13' 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.
c6L . 4
61( 4,,,-(21..-
al-l-w. Date
Al9ca,z2 dee- - A-'' '"APrintN me Ji�.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Robert Lee
Address of Property: 18 .Pender Street
(Lot or Street k, Street or Road)
Ocean Isle Brunswick County
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indi
applying for this permit has described tome as shown on the attached drawing the developme
are proposing. A description or drawing, with dimensions, should be provided with this lei
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 Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mug
bck a minimum distance of 15' from my area of riparian access - unless waived by me.
wish to waive the setbacic,.you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
V _ I do not wish to waive the 15' setback requirement.
b -a2ke
Sign Nam �+ zN� l��ke Date
Te-M-N 14a-r
Print 1\inrrt. AT._ A

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