49167D - Oak

•
aCAMA/ 2DREDGE & FILL
3ENERAL PERMIT Previous permit#
f.lew El Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7 r I t 0 0
.Rules attached.
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ie Length 1001
not sure yes & l:NO ` E N e- ST -
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yes
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ing permit may be required by: 0(4(4 IS. (q-jj) I I See note on back regarding River Basin r

MARITIME BUILDERS, INC. 12-06
704-489-9019
5420 W.DOLPHIN DR. �1 66 i9/5s0 NC
OAK ISLAND, NC 28465-7961 DATE /v —Z 7 2210 •
da
: 7VC____ 65/VA I $ 2._0 '
7-4,/---C) 116"/C-14-4-"11.. �D "' OLLARS 8 .'
1
AfAmerica
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e
000196 7
Ck.,c,ls CAP LFci 7- m.
JO i73911' 1:053000 L961: 2370005863840'

4'A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Iichael F. Easley,Governor Charles S.Jones, Director William G. Ross Jr,
Authorized Agent Consent Agreement
/ l e 1f//d ,5 /l( Ad .5 is hereby authorized to act on my bE
(Printed Name of Agent)
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited
ecific activities described in the attached sketch.
)CATION OF PROJECT:
4'3oO VadvlDA
2:.g/c -/t., /cc z 96S--
ROPERTY OWNER MAILING ADDRESS:
7-1669/
0�
PHONE NO. 97a-a7 '- S0J/
JTHORIZED AGENT MAILING ADDRESS:
/ rti/ie &I/YY.e/5
i/5- s-/ait ,07.
Z7 / 4/c 28 9 $
PHONE NO. 9/0 O ' ?

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PROPOSED TI
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• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWR_N.OTIFICATIONTWAIVER FORM
Name of Individual Applyi_n ,For
Address of Property:_ 93(70 /cicAi7)i
g
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individ
applying for this i described to me as shown on the attached drawing the development tt
are proposi A descriptio or drawing, with dimensions, should he provided with this letter.
ti
have no objections to this proposal.
If you e ob'ectionsto 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 objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If yi
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
-4(e/ 7/4-76
Sian Name Date
/
- �-- . `' 6, 1 «;
Al, a() S it/ S/ , -�
Aw"APrint Name

• • DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: QWrn d-P C ,,e .. 4-,ri,
Address of Property: 7300 YaJtDr'
,
(Lot or Street#, Street or Road)
CA t Z ham AI( ZS4765.—
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi
applying for this permit has described tame as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
gt-cI. 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, breakwater, boat house or boat lift must I
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.
I do not wish to waive the 15' setback requirement.
'-- 4.._,c(2_.t,t‘
7O- 2 7
ign Tame / Date
g111 H1uJi
Print Name AA 7 E A