52075D - Trevisan

CAMA/ El DREDGE & FILL I r'
GENERAL PERMIT Previous permit#
I New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
Prized 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 /,4/, //o0
i4.RetS attached.
nt Name Pe w L. 4- .ry 6, / ,e c. 01,9•✓ Project Location: County BiZ cf,v J c✓,c %
sll/ y/S' /9/2 k /, ��y /e o c/ Street Address/State Road/Lot#(s) t p 7/ //}
R,l 71O2 ./, A d-416 c State p/9 ZIP//2J r%/Y t C SC f S J ��l . /
0(�,, j a9U2 . 521e Fax#( ) Subdivision 5-1, T�� eJ /'t,' 7/47l/c•
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zed Agent Vic C6Aff71a itcu,t,✓ a L rc- City S.,e,/Ar6,c it ZIP 2 7'/�
❑CW QEW D.PTA CAS ❑PTS Phone# ( ) River Basin L-te ni
❑IDEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body ,9//.✓A/ nat
❑ PWS: ❑FC: �/�/✓
yes / no PNA yes it no Crit.Hab. yes / no Closest Maj.Wtr. Body
)f Project/Activity .,.v f'7IA < ( /?•f •k,O 7 f/I- o,-v, L /t o /C j 1�,2�, /
(Scale:/ 4:
ock)length '
m(s) i
pier(s)
i
ength f n
umber
adl iprap length, /�_ • , `�`I t
vg distance offshore j i �y I S' I [ 4.,;;,,)
iax distance offshore V ! �.•�• I ��jj 4, if' "�
.- -��✓,- �`v ABC 11
ibic yards , n ' _ �y�f°r o'" o r:t:' _d'- c {
imp .J . _. !,) Y I 4l
,use/Boatlift �h c t
Bulldozing � -.a � i
b 11 ,
‘ I '✓ i / ' ,® ,/9,
`ne Length 7 40 0 ' I -.. #2e ike j T h,9 N' lc ' I .zI `A
not sure yes
- WAI Mw4kid D kl -- --'
•
gs: not sure yes — 4 ;` V.) 7 —' -
rrium: n/a yes 0 • .. 1
no
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Attached: yes no I i I -
ling permit may be required by: ieei•r8-(4iil4-' (.G..,.,'y),/ . I See note on back regarding River Basin
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:ONSTRUCTION COMPANY COOPERATIVE BANK 1403
OF WILMINGTON, INC. 7172'2531
[phone]
2807 MARKET STREET
WILMINGTON,NC 28403
2
): DATE AMOUNT
Mar 18, 2008 400.00
iundred and 00/100 Dollars
d
NR
8
II'001Ego 311' ': 253 L ? 1 ? 28i: 01900B5 L emu■

ai yUUH ye5�05�F 6X i ei0 ntiou�0 salt ROMAti MOSAIC WC Z 001
9 y ; 91U3s3yi4t; Jan•24.08 1 :38PM; Page 2/2
T
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North Carolina Department of Environment and Natural Resources
►Wigael F,Ems, Governor of Coastal Management
Jam..H.Grsgson,olrsclar WNiarn G. Ross Jr,Secretary
Authorized Agent Consent Agreement
�1 ot.)sILryC i
(P►*rvad Nome of Agent) _ is hereby authorized to act on my behalf
or.er to obtain any CAMA permit(s)required for the property listed below. The authorization is limited to the
Dec is activities described in the attached sketch.
DC , T1ON OF PROJECT:
O ERTY OWNER MAILING ADDRESS:
( 4. _4611 �re.VtSa_n
4 5 N 0_,-k A Vic.. oo
• •- CJ -r-:n- P A ( 9 4 25 PHONE NO- Co 0 2 - 5 3 3 L.
RIZED AGENT MAILING ADDRESS:
ri .. ■ �. •d
07 • ke S�
ram' A' •r\) /V . C•
--- �$feS 3 PHONE NO. lD - 3CL3— ?7 G
re of Property Owner / �-•
re of Authorized Agent:
Date: /—2 0 g

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. t DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: (�
U� p- CoN)S-lyvkQ.�1v(\
Address of Property: 1 f' ( f'k +-
(Lot orr Street#, Street or Road)
v-''►' t-S e I v* ervtraCW:CL Co>4'NJ t1/4-) ,C .
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individua
applying for this permit has described to me as shown on the attached drawing the development the
are proposing. A descri 'on or drawing, with dimensions, should be provided with this letter.
I have n objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coasts
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721.
within 10 days of receipt of this notice. No response is considered the same as no objection i
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be SE
bck a minimum distance of 15' from my area of riparian access -unless waived by me. (If yo
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.
AdA,
Sign Name Date
Ytnt T\Tomo A A P

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
lame of Individual Applying For Permit: V I Q CoS- —i ON
address of Property: L-04' / A 'QiNeGreS-4-
(Lot or Street#, Street or Road)
5-.� PI +19-4►0:., R,,,,,,o5v. ;c lz Cc) . fv . C .
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individua
ipplying for this permit has described to me as shown on the attached drawing the development the:
ire proposing. A descri ion 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 Coasts
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721
within 10 days of receipt of this notice. No response is considered the same as no objection i
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,boat house or boat lift must be si
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If yc
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.
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