49162D - Oak

;CAMA / 'DREDGE & FILL
3�{E� NERAL 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 744 , 1100
,K Rules attached.
it Name- t)vJ n.) U I (_JAIL ISl"1- Project Location: County ele.L'LIJ�0-'i (-K-
1'}fo 0 i E . Or (C. ISLrh\JO Street Address/State Road/Lot#(s)
f (4- I SLIANAO State .IC- ZIP 2---81 05 ENO OG NE (4l'n ST.
(9I) )218-SO( I Fax# ( ) Subdivision
:ed Agent STt .STEae'S4-icAe_,Ei_I Nk'.. wkili it... . City Ortiz_ I,S(_/i-NC) ZIP Z (0j
❑CW ❑EW ❑PTA F 'ES ❑PTS Phone# ( ) River Basin (t P
❑OEA ❑HHF ❑IH ❑UBA C N/A
Adj.Wtr. Body _ / (nat /r
❑ PWS: ❑FC: A ►W W
yes /� PNA en / no Crit.Hab. yes / no Closest Maj.Wtr. Body
Project/Activity /3(,4 L16-h- ) (V 1 Ai y1.) 1Jo i3Li C)
(Scale:
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ier(s)
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d/Riprap length ( 01 1-f N.5 '}) (/�, i`i i2 APfl'
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g distance offshore tk-AOMi
ix distance offshore 0 Y-t rViStitc. L"YZO IoN, A { VU k,,./ ..,
iannel
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ise/Boatlift �'izc C3G1.0
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not sure yes fRr -. . . }.�_# eft,-,(,®j
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ium: n/a yes C — • ■�umB ' 1.1111111111 -
yes GO k /' 0 "t!WI4 Min '
kttached: yes 5) IMINIMIONIM1111.1- ----..- --- IIIIIIII_
ng permit may be required by: 0/4"4-1 St-6 /p I See note on back regarding River Basin ri

— 1
1RELINE MARINE CONSTRUCTION 67-7235/2532 3 7 3 9
3258000872
GREG PREVATTE
P.O. BOX 10671 SOUTHPORT, NC 28461 DATE /®_//—C)7
7'� //V.�CVr l�(� DOLLARS el �a
rsta/Federal
—Bank de�alh
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2723554 ' 258 ,00872o 3739
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-02-2007 10:48AM FROM-COATING 2000 [phone] T-404 P.001/001 F-765
Name of Individual Applying For Permit: „E, /&fc.i ; (TOWn , Q,t L'0
Address of Property: Air- y an S� CI., S' ee4
(Lot or Street n, Street or Road) �—
ncVe -1- C:r)c1 AC . ��i'=/(�►
(City and County)
I hereby certify that I own property adjacent to the above-referenced properv. The indivich
anpl}-in. or this permit has described to me as shown on the attached drawing the development th
are proposing.. : �description or drawint_ 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 Coas
Management, 127 Cardinal Drive Extension; Wilmington, NC 28405 or call 910-796-72
within 10 days of receipt of this notice. No response is considered the same as no objectiot
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier; dock-mooring pilings,breakwater,boar house or boat lift must be
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If,:
wish to waive the setback., you must initial theppropri� blank below.)
I do wish to waive the 1 5'setback requirement.
I do n,qt wish to waive the IS"setback requirement-
_ lbI D I
S i _•ame Late
�off� M • 61-1-0467-AtL
Print Narile
Telephone Number with Area Code �mD

-�. a ..iiau'Sala u1 LL v11...1N.11 VYY PK)ILL"iL tI.UIN/Wtuvt.Krutuvi
Name of Individual Applying For Permit Gem d Ksi ,,s (TeAA,A a-c 041 L5.100•e
Address of Property: C4, 5}kt-c4 t-/f4 571
(Lot or Street#, Street or Road)
.Ts/a,c1 NC. ,12j$V(,5
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
1C I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co:
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796
within 10 days of receipt of this notice. No response is considered the same as no objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock,mooring pilings,break-water, boat house or boat lift must 1;
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (I:
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
X I do not wish to waive the 15' setback requirement.
A i 2, 1°1
S i m Name Date
(RoNA1-6 A. Ztu4te-r- i a 140 7
Print Name A

467,icrA
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 pc-h,ls.e. 101 2aa
Applicant Name Gene )iL3cic vs CT.w h o Oa Tslo-.1 c ,
To.A,A 4A II
Mailing Address -Gat C . Oa I. Ts l A.,.ot Dr .
Oak IS14A () !V G 20416C
I certify that I have authorized (agent) 5k.ce 11 n e i,e -I- to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) &) k ti e- ci
at(location) aV G y/-`' 54-, En ,) C)c k s/c��,c� itrC. •
This certification is valid thru (date) -.
Signature C� vr�� G (gb'r T� I own or Oaf 1S) 0f