49122D - Oliver

2•CAMA/ DREDGE & FILL
"EN ERAL 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 7 . , I 1 O n
:oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC
Qttules attached.
it Name :.g r) " -ti (9C... ulu L v r r`0 l k_. Project Location: County (,l U N,5G /tie..
1 O i 1 k,t::h( r)SCr) (hvr C( i'-rt • Street Address/State Road/Lot#(s)
/1/u 1.Cott C State/V6- ,ZIP 212-1 S C^J E- )//r"C t Ore
` cm) Lt fj 5 7k ) Fax#(7iM) S 27— ,3 1'17 Subdivision /
:ed Agent City (_ I f 7( /. .( -/.41 ZIP L 1-1d
❑CW QEW ©PTA ES ❑PTS Phone# ( ) River Basin `/-7&
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body /4-1(,U LAJ OP
❑PWS: ❑FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body I L/
f Project/Activity I V/-f j-Z:- t5L.LICl- t
(Scale: /4.3 Z'
ck)length _
I NC-V JN I)iSry[rlt
ier(s) N jI° Alb
ngth ifylAy, ► A
tuber kw
r — -i- .; 1- ^' i T1."tM 0 i
d/Riprap length_ I t !,ffl L'4
distance offshore
ix distance offshore C. _ _
cannel i - m1N 1 01.�1�1
I.Flu OT i'rzic
sic yards \ irOotS( t-3 vY\0- ,.
rip -_ 61 : IN OA C 14
se/Boatlift i — - -I- — —i2p Y �� 15V LIL-ttL -
R..-
-
._ M L � tL�c;0.1 ts.
ulldozing ` 1` 2--, b 1 1„ Iss.VVR/+Zi'L L.
` ' 31. 0 I_
' of MC. ot C-Ci Oe.t vet
• VZ.UN Of f- (1,1{
Length 7
Sta)Im T I�
not sure yes no
1 �...-
-
not sure yes no 1 3Vg -i _ \iA{ f I I )q
cum: n/a yes no
yes no -
\ttached: yes no , _--.
(Tr LAST)
ig permit may be required by: ()rtiL I S7Lp-/v,O See note on back regarding River Basin ri

Bank n/.-1►uerica di'antage2175
ER 12-04 JRCH RD, ss isis3o NC
8290
6 Date / � - >
..
! �= j '0 61 , l I $ +mom
oa
1-�`-) h e ) I)19 C.‘"A,L5 —f' Dollars 8
ca
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161: 00065455358911' 2 L7
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying. For Permit: ' Gilts 6L- NG—i h,J / G �-c�N /--t
Address of Property: p 8 y / '- W T n t .
(Lot or Street#, Street or Road)
s L y 1 ) r1 /L c/i/S w i Ga
(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
t 1 ' 1/ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Col
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 objectil
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (II
wish to waive the setback, you must initial the appropriate blank below.)
r/ RECEIVE[
&K Vt I do wish to waive the 15' setback requirement. DCM WILMINGTON
I do not wish to waive the 15' setback requirement. S E P 1 4 2007
1
Sign Name Date
L, Dce&c, P, �F P�d( � l vei,�1cs
Gene leaf u3 T of �a lc. J-s( rPrint Name .

T
u reod Sri
L Orb Cr
i,de, cps
t „ ►i'�
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live/

oi Al as nd �o g c= L-L I N r;-� p i v c
3 C-44T. 0 .
F
DCM WILMINC
SEP 1 4
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0/.02/2007 11: 38 7048273447 AMUSEMENTS INC, PAGE 02
c7-01-2027 17:36 Frum: To:7048273447
N9 4912
ic:;ird.Amiii i rabilliteal lk PILL
ENERAL PERMIT . Previa:permit 0 -
171MOdinordon rlConspiven Miss C"..-JPartlal MUM Dote preview permit
0 euthefted by the Se of Noah C.arokna,Degeolment otEnvrtionent and Nalirei IIISIONOIS 7#410V
rid the Col lkiiOurtei Comnistlen In en ire ofenvIrorynentel Cement pursuant to ISA NCAC
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ddrti• 104'9 I Rzinhfai Cturra Rai. Street Address/ Reed/Lot#(1)
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SENBICR: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete
item 4 if Restricted Delivery is desired. 0 Agent
• Print your name and address on the reverse 1
so that we can return the card to you.
B. R —ived by(Printed Name _ 0 of i. lv e
• Attach this card to the back of the mailpiece, C. D� : e�
or on the front if space permits. /
1. Article Addressed to: D. Is delivery addreR�i, &v } al Yes
If YES,enter�e-�llye,N� tUl N, IVIr
LET" So p�,�14 1 LJ M W�LM'N
`74z3 CAin S r•
SEP 1 4 2007
A 3. Servi Type
e v.) Q/,/(_i-EA�.15 l L A . R"GC.rtified Mail ❑Express Mail
❑Registered 0 Return Receipt for Merchandise
N7 0 1 ❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
'(Transfer from service label) 7006 0100 0001 8158 7484
PS Form 3811,February 2004 Domestic Return Receipt
102595-02-M-154(