48219D - Kornegay

6tAMA/ ❑DREDGE & FILL =
3ENERAL PERMIT Previous permit#
New ❑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 1 N- 1 Z OQ
5/Rules attached.
t Name TJAv1 h, 40A.n)r 1,Ay Project Location: County ,J,,sL...,,,,/
(p32� (O u S� / Street Address/State Road/Lot#(s)
1 a F /Lir kl State IJ C. ZIP 2 '4t/5 Co 0 LLI (..f 8 ST
( ) Fax#( ) Subdivision
ed Agent Aim city 5UIA- LT IV ZIP 2 sLH5
❑Cw Efw ,(PTA ❑ES ❑PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Lt'~aC
❑PWS: ❑FC: Adj.Wtr. Body N - t S' t,..�� (nat t(
yes / no PNA yes no Crit.Hab. yes / no
Closest Maj.Wtr. Body \t W'Ai
'Project/Activity ' i- / fat...PAT 1l. -,X t S T L►J L 6' tn/A 1-!c w AI r\&)b 2 r
K 1 ) ?L I.1F.. iL r•,--- J L y L5 ►)U c IL Pl. n., ' „
) � I LA I Z �-��� (Scale:
:k)length
-T-
(S) 1 oX I'-) ' -_..
,
;ells) Z X Z� i
- j Igth
nber -^ , I j i
i/Riprap length i 1 I -I
distance offshore �+-- j44111LH7
- —'Ir fY
x distance offshore I _ }_ _
annel ,
j I
,
- f , 1
iic yards
s Boatlift /'2 )( 1 Z
— ! 10' z__[ {- 1-❑-
r I i --
`
illdozing _ _---
1
• -1 . —i
i
L 17 X ,_, 244,e____.
Length 5 •A. •
not sure yes no
b
not sure yes :�
urn: n/a yes piii7 _ -
yes clZ> P ❑— _:_/
attached: yes no
rg permit may be required by: 5 Li (L F C i y See note on back regarding River Basin ri.

3705"
A & T MARINE CONTRACTORS CItOVNAFIRS'i'
14254 NC HIGHWAY 50/210
SURF CITY, NC 28445 67-219/539
[phone]
PAY
TO THE
0
ORDER OF v + L/ $
lf Q
�{//�'' ) _ �( DOLLARS
( Vc—/�L../tierI� �Ol/U'!�S
AN
MEMO 5
/( r n.65
AUTHORIZED SIGNATURE
0003705 e:05390 219 I: 7100S 14476u'

l/12/2007 19:46 9196582410 KORNEGAY PAGE 02
GLOVER SALES INC PAGE 91
Ite5/2807_ 02:314..E 910;892 4u0 d ► ORNEGcv PAGE 0=
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FON.4 PIER/MOORING PILINGS✓R04TOPTIBDAT]Y0US )
I hereby certify that 7 own property adjacent to- i7VI Cl rein. t_ s
• ('lame of Property Owner)
prey located at (.76„ :..:/i•
(Lot,Block,Reed,eta)
on CO-Fe(( is VI Cr-- N.C.
(Waterbady) (lawn aad/or ounry) •
He as described to me,to shown below,the development he;a proposing at that 1005.A7
and;I b ve Sao objections to his proposal. 'understand that apier nooritg pili4/boath /bnathoaae
snail be set heck a minimum distance of fifteen.feet(15')from my area of riparian=Ms unless
waived by me.
Vdd not wish to waive the setback req+rrelnent.Ito wish to waive that setback requirement
D-ESCRXPnoN AND/OR DRAWING OF PROPOSED DLVELOP.MNT;
(To be Meal iv,by individual pro ** pasent)
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BOAT {
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Priat or Type Name
9/0 B 1 ? 44&5
Telephone Numbs.•
•
Date: •APR/C. 4 .. ...°a 7

4/12/2007 19:46 9196582410 KORNEGAY PAGE 03
•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER'MOORING PILINGS/B0,4TLIFT/BOATROUSSE)
/ %:i t/ '" lA' •
a t(
adjacent to •l r l
c
T hereby certify that.!own property J
(Name of Property Ow cr)
Perty locmtod.at /�•f'! .3; 4;
(Lot,Block,Road,etc.) r�•
(Wsterbod4)- - - (Town-84dior.., try)-•
He has described to me,as shown below,the development he is proposing at that'location,
and,I have no objections to his proposal. I understw d that a pierhmoot ing piling/boatlift/boathouse
must be set back a minimum distance of fifteen feet(15')from my area of riparian access•unless
waived by me. •
I de not wish to waive the setback requirement.
Y I do wish to waive that setback requirement
DESCRIPTION A,ND/OR DRAWING 01 PROPOSED DEVIELOPMENT:
(To be filled in by indiridtrcl proposing development)
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Print or Type Name
9/` — f227 BoCZ
'Televhone Number
Date: '¢ s- o7 --—