49137D - Kreisher

CAMA/ ❑ DREDGE & FILL
3ENERAL PERMIT Previous permit#
:New :II-Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ,N )2U G
/ ` L�PII"lies attached.
It Name/U b P/L1 e. �A . Ls-J*2 ,)/7, Project Location: County,L3/L f S S 4✓ /CSC
I 7 S 2 7 e-ow h. ) L?)7 o ch Rd, Street Address/State Road/Lot#(s),2 2 3' L Q/
rya t 0IIe State/ L ZIP Z V 72
E.(JO ).S-Yl- g-72'Fax#( ) Subdivision
:ed Agent 6a , a, ir/e,../ City/11
O I C//
C V 6 pAC ` ZIP Z r /y
❑Cw C3—A BES- ❑PTS Phone# ( ) River Basin Z-f/r1J
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑PWS: ❑FC: Adj.Wtr. Body 9/ w� na /i
yes / PNA yes no , Crit.Hab. yes / no Closest Maj.Wtr. Body �/ w
f Project/Activity At. ✓A./P , per /'2)ick d- go97/1,7T
7 (Scale:/ - ,
ck)length /LS_ )( 61 aem! t 6i" '
�ls)/D X •• -�.. (7 / 1,✓ h/ _ ;-
ier(s) 5 X 7 ( I l - [ L I ,
ngth / _
tuber /2 -. , r
d/Riprap length r
distance offshore 1 /L 1
u<distance offshore _
iannel
)ic yards {
y` I
Boatlift�!Z97. X /2/' ' j
+
ulidozing I
i '4r/1 /y /1( ) / 16 /e`
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�'"�° I
,.
s Length
not sure yes Q
i 1
�: not sure yes no /�i U(iR.--61i. AA �� a /
ium: n/a yes � L L � ,�C
yes lnJ 1-3 0 �- I
-
,ttachete no j 2 iZ 3 rQ is' Mir
ig permit may be required by:/yO/tdP d €-off e A I I See note on back regarding River Basin n

iY HOLDEN `--
38 HERS 5202642 /// /�
V J L.!I " / 9 66-1215/531 -
Pee' J / / 840
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WILDLIFE PORTRAITS,WP
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a-04-2007 10:0e From: To:8429806
AVA
.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.:Easley,Governor James M.Gregson,Director William G Roes
Authorized Agent Consent Agreement
Prt ea,1 41)j4fle \ is hereby authorized to act on ml
` (Printed Name or Agent)
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limit
pacific activities described in the attached sketch.
,OCATION OF PROJECT:
)..o9\75 Z)
mo ; ) t
?0-4c,14Q• et-in g)4N,, /2d
Ai 11)
,ROPERTY OWNER MAILING ADORES • /752 ? '/`.'
Loi 4.).-__ALA cjicir)t)44/e, 77
1+01.1Q" Be c L c_
1-irLf CI- PHONE NO. ?f C9
- S ?7O
►UTHORIZED AGENT MAILING ADORE'S:
1502, Soievg.G\'l►nnn e 11 'c
()_PeL) v\ 4 Le
PHONE NO, O O L Z 973 2-

JLCIJI ICI I JOI IC5 r vy-c.1 i o-t.r+r o N. 1
120 07 02: 28p Greg Holden 842880G p. 1
AtJb-03-2007 10:02 From; To:842990b
CERTIFIED MAIL -RETURNREjEIVT RIcOiJFSTF;D,
DIVISION OF COASTALPANAQ MENT
ACII ACENTRIPARIAN PROPERTY QvrJyEl.P(gTIFICAT1QN/WALVER FORM
The purpose of this farm is to provide proper notice to you ns on adjacent nporinn property owncr to the individual or
individuals listed below, The CAMA Gerard Permit application procedures require that applicants provide the Division
Coastal Management Confirmation that a wine*statement has been obtained signed by the adjacent npanen property ow
indicnting that they have no objection to the proposed work 1 that the adjacent riparian property ovmen have been notift
by ccrtirkd mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by n inn
contractor or otncr individuals acting as an authorised scent on behalf of the applicant.
This form wus sent to you by the following Individual or company designated by the applicant as an
authorized scent:
siV/Air 11 2
Author 6d ent's Signature to
Name of Individual Applying For Permit: ltil i
lai,<A•er-
Address of Property: ca.,oL 3 Li) /J !i`Q' '
(Lot or Street 3,Street or Road)
Wig3W /3riles ,C._()--______-
(City and County)
! hereby.crtify that I own property adjacent to the above-referenced property. The individual apply ing for this p
has desc•ibed to me as shown on the artoched drawing the development they are proposing. A description or dra
with dimensions,should be provided with this letter.
t have no objections to this proposal,
Li you have objections to what is being proposed, please write the Division of Coastal Nlaaatcrnen!
Cardinal Drive Ertenaion,Wilmington.NC 23405er east 9tn-796-7215 within RI days of receipt of this n
No response is considered the same as no objection if rau huve been notified by Certified Mail.
WAIVER SECTION
I understand Ulm a pier, dock. mooring pilings. brtet.kwater. boat house or bout 1(11 must be set b
minimum distance of 15' from my area of riparian access• unless waived by me. (If you wish to wear
setback, u must initial the apprapriute blank below.)
1 do wish to waive the 15'setback requirement.
I 2421 wish to waive the 15'setback requirement.
--., /e/moo b 7 ATA)
_

tHLrtV i KincucLAN YKurt.xi Y owNrRNO
ICATIONIWAIVER FORM
1e of Individual Applying For Permit: 0
ress of Property: tor S C/
(Lot or Street#, Street or Road)
(City and County)
eby certify tbat I own property adjacent to the above-re
Yung forthis permit has� �me as shown on the �n�--�I��y- The individi
proposing- A description or drawing,with dimensions,attached
be drawing ed development r.
with this letter.
I have no objections to this proposal.
DR have objections to what is being proposed,
��►estt,.127 Getrdieal Drive Rio please write the Division of Coas
tin 10 days of receipt of this notice. No response is considered the sameasington., NC 28405 or l o objec-39
have been notified by Certified Mail. uo objection
derstand that a pier,dock,mooring pilings,breakwater,boat house or boat lift muse
kck a minimum distance of 15' from my area of
wish to waive the Arian access-unless waived by me_
Eck,you mast initial the appropriate blank below.)
I do wish to waive the 15'setback requitement.
I do"nt wish to waive the 15'setback requirement
6//'47- '0(c/ZA9/-te
a Name /
Date
.

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