49221D - Binder

--.CAMA / ❑'DREDGE & FILL
GENERAL PERMIT Previous permit#
_.New Modification Complete Reissue ❑Partial Reissue Date previous permit issued
Dri zed by the State of North Carolina, Department of Environment and Natural Resources /
Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC 7A • 14Ol/
�-^ T �y ❑Rules attached.
nt Name t y e 0/�G P Ci r✓1/E Project Location: County .D/?I/r/S w/ a/C
i L/U/ / 4tl('4 5 'cR e A. , Street Address/State Road/Lot #(s) //Z (. /92
'may/ .e ileV///t State ✓C ZIP Z S_'6}'-
ir
0(Z/0)30/-lj/!/2 Fax# ( ) Subdivision
zed Agent —5-/Io,,z.tZ,� t 47277 City/YL/Gcsi✓ e09cA ZIP Zery
i ElW W P p C KIETA ES PTS Phone# ( ) River Basin L t/,-.>
❑OEA ❑HHF ❑IH ❑UBA N/A Adj. Wtr. Body C .✓/ t s11i'#/.k//✓ (nat,i
❑ PWS: ❑FC:
yes / no PNA yes Kra.. Crit.Hab. yes / no Closest Maj.Wtr. Body / lt//'r
if Project/Activity (61 r i ay L �C�J
JJ (Scale V'
ock)length /`X,s T'
J
m(s)
pier(s) 1
,
ength 1 i i {
umber 1 ! I` .LI4' i.2.
/ ^)R L --,,,,
_
ad/Ripraplength / I...,4 , o,�1! ` ,,„:„ i + j
rgg distanceH--..
— ' ',,
offshore ?° i 0. _ I
� ---
i
lax distance offshore 2' _ l _
:hannel I t� 1 ) ' 1
1
Leg _. 12
ibic yards i 1 .aft%
I
t t
I
� ,o A
use/Boatlift — -_ P -gt,i k. !(�r�nd
3ulldozing
I lt- Q 11y'
E X'C). .5 /rlGq/
...}- : • '.11.1.1"r- -
ne Length + 1 S L
not sure yes no __,_._�_❑.-__ -j
gs: not sure yes no ' �: !
irium: n/a yes no Now L 4-1�c L
yes no MIN1 GC - �
Attached: yes ap. _I In 1 - __
ling permit may be required by: /✓i/d0",ta/q 6/j See note on back regarding River Basin

INE MARINE CONSTRUCTION 67-7235/2532 3 715
GREG PREVATTE 3256000672 it
P.O. BOX 10671 DATE q�(�-7 1
SOUTHPORT, NC 28461
rc ov,k)ft
_____�rt-j 1-- DOLLARS B :a,: 1
Federal
Manic
SOUTH
P/O_RT, 1 / / /'
tr4VF ?/ / ✓ J%*ice - —"P
3551: 3 25800087 2116 37 L5 ij

AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor James H.Gregson,Director William G.Ross Jr.,Secretary
Date 9 '5 -G7
Applicant Name G ct r c,e_ g i n cJ e r
Mailing Address 40 iee.5110 re._ Dr.
e -e v // "VC. ,Vp 5
I certify that I have authorized (agent) Stir,L i n e i" cc i A e CG,,-S(-. to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) &/k hec c/
at(location) //a C'Act 51, /-jden GeocA A)C - p2g11V
This certification is valid th,u (date)
Signature c I•& 1.>,e

_____ ----- -__
,___..._______,,,........_
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lk • 3
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4�! Geccq e lJ i rl�r `J
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CERTIFIED MAIL—RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: Geccj e &f. e4--
Address of property: I la Char io -fie 5{-
(Lot or street#,street of road)
/40Jde.1 Sec cIn /VC'- :15)A
(City&County)
I hereby certify that I own property adjacent to the above referenced property.The
individual applying for this permit has described to me(as shown on the attached
drawing) the development they are proposing. A description or drawing,with
dimes ions,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 Coastal
Management,400 Commerce Ave.,Morehead City,NC 28557 or call [phone]
within 10 days of receipt of the notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier,dock, mooring pilings,breakwater, boathouse, lift or
sandbags must be set back a minimum distance of 15' From my area of riparian
access unless waived by me. (If you wish to waive the setback,you must initial the
appropriate blank below.)
t/I do wish to waive the 15'setback requirement
I do not wish to waive the 15'setback requirement
/"F --vU"., "i 1
L
Signature D to

CERTIFIED MAIL—RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: Gr rjc 62nc)e
Address of property: 1/A Char/c 1-1-e 5 An-
(Lot or street*,street of road)
"L/ce1i L ck h ,uC'. r N/Q
(City&County)
I hereby certify that I own property adjacent to the above referenced property.The
individual applying for this permit has described to me(as shown on the attached
drawing) the development they are proposing.A description or drawing,with
dimensions,should be provided with this letter.
MTCI have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management,400 Commerce Ave.,Morehead City,NC 28557 or call(252)808-2808
within 10 days of receipt of the notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier,dock, mooring pilings,breakwater, boathouse, lift or
sandbags must be set back a minimum distance of 15' From my area of riparian
access unless waived by me. (If you wish to waive the setback,you must initial the
appropriate blank below.)
oti-C1 do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement
1-/ t J &• C
Signature -7)euarc.r\ L CQa'n Date