49169D - Renk

CAMA/ ❑DREDGE & FILL
'EN ERAL PERMIT Previous permit#
New L!Modification ❑Complete Reissue El 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 15A NCAC ! LA 1 G
,L1Rules attached.
it Name Uht A S (L ►L Project Location: County ISk.„)N.suu 1 C _
fcj Wx 30 Street Address/State Road/Lot#(s)
PA 41-61\ State N.T ZIP 0 b g I C 7{-,h Y i, YlAt tT O'L .
t(�132) 9. 33 —(o l Fax#( ) Subdivision
:ed Agent L-_ — City OR-it ( 51 erNIO ZIP
CW E #!!rA ES ❑PTS Phone# ( ) River Basin COPE
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body t-ri IN(,Q at /
❑ PWS: ❑FC: w, ,
yes t'no PNA / no Crit.Hab. yes / no Closest Maj.Wtr. Body W
f Project/Activity OZ.\V POT- 0 ? _
(Scale:
>ck)length 4H' xi-1-''-k.
n(s) I4I'X j 0' ( .1-0/AsIeY) CI 0) A `
)ier(s) �' 1 w V v/ " * J1-12 j 1-tj
mgth v L-L NOT
>d/Riprap length �,C C,C l 14{.11 1GfrZorlC H (N
g distance offshore ( C Ci C - '
ax distance offshore 5 N Ois�- 11�D EA 3Rr W purl-'
hannel IC) c CIcn t r J_ (CJ' 2it"f't72-+r-lN 3 ET
ibic yards
mp
use/Boatlift a(-2
r O r6Y1
lulldozing <�1 �' tzcPuiL� --
r.�5t7tJC� 12(( {}
i
ie Length (,D
not sure yes
3s not sure
yes COn
es � t
rium: n/a
yes ® 70 5 T rkt
Attached: efiDs —
U W
ing per it may be r wired by: Ot �<f See note on back regarding River Basin r

1 SHORELINE MARINE CONSTRUCTION JO/L
GREG PREVATTE 66-112/531
P.O.BOX 10671 BRANCH 62069
SOUTHPORT,NC 28461 Y,1 /� M
/�,.� /0.30-V7 DATE
OR TRTHE J 1L V $0,0 C)C
ORDER TH 10-�/� /11 ap (J0
M 71-Jo cnc.,/r-cr,/ G DOLLARS el
Business Value Checking 1
BRANCH BANKING AND TRUST COMPANY k
FOR
1-600-BANK BBi BBT.com R
pyi/G�9 Rani c. .
1:0 3 l0 l l 2 11: i 3 40000 L S008 700 3 6 7 2
.. T-67 +_ _ g;. t —c” , cc....
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CERTIFIED MAIL—RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: ,Q1,-,c�)GS I?-i k
Address of property: 7C ' (,.). '?c c h+ Pr,
(Lot or street/!,street of road)
Oa TS 1OVCJ NO- aEq(5.
(City&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.
have no objections to this proposal
If you have objections to what is being proposed,please write the Division of Coastal
Management,400 Commerce Ave.,Morehead City,NC 28557 or call(252)808-2808
within 10 days of receipt of the notice.No response is considered the same as no
objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier,dock,mooring pilings, breakwater,boathouse, lift or
sandbags must be set back 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.)
)do wish to waive the 15' setback requirement
-..7 I do not wish to waive the 15'setback requirement
07
Sign re Date
T • . l T

••••�• •�•�•• A. L Ay u. L L•.vl 1-.11.1 1 V vv LVV ill'11.K11V1V/ WK1 V ttC.t'VK1V1
Name of Individual Applying For Permit: 00,3 In s 1 en k
Address of Property: 70 g O .
of.
(Lot or Street#, Street or Road)
Oc,K isld.icl /Lc. Q84105
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indiv
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 lett,
0.01 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 object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, 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.)
z
1 41
- (1 I do wish to waive the 15' set ack requirement.
I do not wish to waive the 15 setback requirement.
, _ - 21- 67
Si2n Name Date
Lents Dfre4-1-
( e0 e- j'U S To 0e Oak JS1RM GQt tO�,
Print Name ` , .

iu,cnr.ir 11:16 732-438-1030
RENK ASSOCIATES PAGE
ArtrA
North Carolina a W
Department of Environment and Natural Resources
Division of Coastal Management
?Achim F.Faaky,Governor James It Q ligson,Director Witism G Ross Jr.,Secretary
Date et
Appttcant.Name .M. D, S_
Mailing Address Pc� , ice) y? 3 —4r1?3e
-—���►b ra ._ G+C.l ._ ozPi Q
I certify that I have authorized(agent) . hare ar
J�1fi a, to set onmv
behalf,for the purpose of applyiag for and obtaining all CAM.A Perwlts necessary to
install or constrect(racttvtty) Pr
at(location) Y `�"}2 W Yn
•
This certification is valid (datg)
f
Signature y

Total: Lb.4b I-tt I Segment i)I.b7 FEET
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