51390D - Lanier

►R AMA/ L1 DREDGE & FILL
N ERAL PERMIT Previous permit#
M ew _ Modification Complete Reissue Partial Reissue Date previous permit issued
•rized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7 it. /2o6,
[Rules attached.
nt Namev , • '2. C e'/+-7 L..f9, I/ E'4 Project Location: County (3,„w Sw- e.
$ / Z ,,2 f .5 , Street Address/State Road/Lot#(s) ,) /Yj e
PC.&1.4 2:52P ii'oic/* State 111C ZIP 2 `%n2 -
#(2/D)_5 7)— 1/v4ax# ( ) Subdivision
'zed Agent SAG q t L.1,,, 2 /2A a e_ City '?r on,. jr if 6'ice,A ZIP .2 7 f
ad [1CW Lii EW ❑PTA ❑ES ❑PTS Phone # ( )
River Basin 2�/�j
I. ❑OEA ElHHF J IH ❑UBA El N/A Adj.Wtr. Body t f)/'0 L Ori Of,9/141'4- (nat
❑ PWS: ;FC: `�
yes kJ
PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body /
of Project/Activity ,`c a j . ,rX ,,$.1,f ,r Z.ci!1' ' A c/(l J1/tw ,2r,¢T/4
(Scale:
Jock)length / S)1.• ,
rm(s)
pier(s) I -""" /A l r�T`"""—
l Lli
4
length I 1
camber
:ad/Riprap length _
ivg distance offshore i
t.
nax distance offshore t i f
_
channel 1 f
:ubic yards C
1 �y 4"�
amp � ; I .00.4,cJ qq aI 1' -,{4/.!L/(
a use/Boatliftj :lei X( I) ' { l 1 A� i( + Ii 1
Bulldozing __ t . I 1 I
,cL / /7 1 y, I j f L,,A t
ine Length �� I I //l l 1 1
.T. {
not sure yes no .____ 1 1
igs: not sure yes coI -.._ I ... i —
Drium: n/a yes ,no ; I -
II,, : �y
yes no 7 1 /17�G� � ' `mil
Attached: yes no . i i , I , I I
Jing permit may be required by: per. _IR LP a)toge .4 . See note on back regarding River Basin
;i c.,e,-,,i r,,..,;.-.. .,., 11',,,a,U1..f,1 ! I.v Y A 1 A 4 C-- , 1— _/ i?

SHORELINE MARINE CONSTRUCTION 5194
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GREG PREVATTE 66-112/531
P.O.BOX 10671
F SOUTHPORT,NC 28461 •s
0 -/C).-erga- Date ++
Pay to the
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
I F. Easley, Governor James H.Gregson, Director William C
Authorized Agent Consent Agreement
/LI pi e tr )0 is hereby authorized to act
(Printed Name of Agent)
;r to obtain any CAMA permit(s) required for the property listed below. The authorization is
c activities described in the attached sketch.
TION OF PROJECT:
/V ®Cf + 5+
'ERTY OWNER MAILING ADDRESS: •
"17;41 e c Ave
PHONE NO. ! 1°---7 -q-> :C/
HORIZED AGENT MAILING ADDRESS:
N K
eAk r510,AJ
PHONE NO. — 367- 397e

of Individual Applying For Permit: Ir► t,icbili Lan j e r
ess of Property: 11 M air e 5A-.
(Lot or Street#, Street or Road)
Ot . wn t 91. le 4t1 rcJr _4‘,.! is
(City and County)
reby certify that I own property adjacent to the above-referenced property. The indiv
ying for this permit has described to me as shown on the attached drawing the developmen
proposing. A description or drawing, with dimensions, should be provided with this let.
VI haveno objections to this proposal.
(ou have objections to what is being proposed, please write the Division of Ci
,nagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796
hin 10 days of receipt of this notice. No response is considered the same as no objec
i have been notified by Certified Mail.
WAIVER SECTION
:nderstand that a pier, dock, mooring pilings,breakwater, boat house or boat lift musi
k a minimum distance of 15' from my area of riparian access - unless waived by me.
ish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
-i-e I ' G6417
(.41. 6;2 .
;ign Name / ate

ame of Individual Applying For Permit: Al y i c,o,,:i L i Q r
ddress of Property: 6 7_ hianj e 5+,. Q,_ v ,n I-J,c, Pip 4 c k
(Lot or Street #, Street or Road)
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The in
,pplying for this permit has described to me as shown on the attached drawing the developn
.re proposing. A description or drawing; with dimensions, should be provided with this
I have no objections to this proposal.
07/
[f you have objections to what is being proposed, please write the Division of
'tanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 9104
within 10 days of receipt of this notice. No response is considered the same as no obj
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift m
bck a minimum distance of 15' from my area of riparian access - unless waived by m
wish to waive he 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.
eitUrGuL,Cy Q..1 ,f -_,_L._._ .4,.//(ad
Sign Name Date