49236D - Levine

!CAMA/ 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 7 126
II Rules attached.
t Name Sf.00 U 4,J L, e Y/,i F Project Location: County ,e�4/rSkli�,i rL
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(334) 21O Sy? Fax# ( ) Subdivision
:edAgent G/a2 4 f7, /I,y,/f,..i City Sur SP7i Sa ci- ZIP 2F9
❑CW C VIr— p-PTA [�}ES ❑PTS Phone# ( ) River Basin L ym A
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(Scale:/
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oc distance offshore
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ig permit may be required by:�C/,./.. e 71 6Oljr A . Li See note on back regarding River Basin ri

MILLIGAN 66-7143/2531 4 8 2 5
ILLIGAN ,✓"" ' , 0620007752
4299734 /
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EEB-1t3-2 36 15:16 From: To:9107549345 P.1'1
DIVISION OF COASTAL MANAGEMENT
APJACI^;`,T RIP 4 R JAN PROPERTY OWNER NOTJFI_gATIONAVp JV ER FORM
Name of Individual Applying For Permit:, Sk1v e Lev
Address of Property: LI 10 Dr‘vt,
(Lot cr Street#, Street or Road)
ki_A-15t QfkC�'l 1�r1- S i. i L
(City and 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
I have no objections to this proposal.
osal.
If you have objections to what s being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 cr call 910-395-3900
within 10 days or receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail,
WAIVER SECTION
1 understand that a pier,dock, mooring pilings, break-water,boat house or boat lift Mast be set
belt 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.)
I do wish to waive the 15' setback requirement.
I do. not .dish to waive the I5'setback requirement,
Sian Name na c
P •
•
A

eA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Aichael F.Easley,Governor Charles S.Jones,Director William G. Ross Jr.,
Authorized Agent Consent Agreement
Lis hereby authorized to act on m be
(Printed Name of gent) y
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited I
ecific activities described in the attached sketch.
)CATION OF PROJECT:
4 1 o SSDnY\C.
»D(N 4 1 , 1 ( .
;OPERTY OWNER MAILING ADDRESS:
-Lve Zi"ne
/ 6 D ve
bO re , C. c ! 41 ( 6 PHONE NO.-33(0- off-t Q
1THORIZED GENT MAILING ADDRESS:
iV <<� c -b udi s
, 6, Znc l3
S \riCi QC`-4 D, PHONE NO. q - rl 1 'f " ef�LC<
I

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restrictedame Delivery addre is desired. X /%1 - _ jgaCt_
Agent■ Print your name and address on the reverse Jl(�1J(� ❑Addressee
so that we can return the card to you.
I
• Attach this card to the back of the mailpiece, B. Receiv t Name) C. Date of Delivery
or on the front if space permits. t. '+- )rati.
1. Article Addressed to: D. livery ass different from Item 1? ClYes
I'.YE'enter delivery address below: ❑ No
OcLr\
D . � l: 1 IceTYy e
SV\a-.I Oi4 ffi C. 2 D ified Map 0 Express Mail
0 Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 7006 0100 0003 8312 1219
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540