49209D - Superchi

'CAMA/ ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
'New ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued
•ized 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 -IN. / 1 ) C;
Il Rules attached.
t Name nj (K-( ,jUNE ic( ti j Project Location: County /2IL Ns i,U I(.-4
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ed Agent�-Init �,-i tiL. -SNc - LUJt PAA-ji,JE City Or k I S _ 0 ZIP 2E46
❑CW R'EW gPTA Eg.ES ❑PTS Phone# ( ) River Basin (i
❑OEA ❑HHF ❑IH E UBA ❑N/A Adj.Wtr. Body Al(Ai(A) (na)/r
❑PWS: ❑FC: n_
yes /(iccr' PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body �r�(c1
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g permit may be required by: OR-,- ',SL-14-tvo n See note on back regarding River Basin ru

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67-7235/2532 3696
SHORELINE MARINE CONSTRUCTION 3258000872
GREG PREVATTE
P.O. BOX 10671
SOUTHPORT, NC 28461 DATE _ '61,^0 J____
THE / jC1E/llA A $ q va .
T 1 C,,= i'd• DOLLARS U .,..a
Coastal Federal
G—Bank
� SOUTHPORT,NC 28461nd Si e 4
A2723551: 32580 08720 696
C7")

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: , ilk/' S,p/C/,'
Address of Property: c, yr,-4-7 9- De-
(Lot or Street#, Street or Road)
(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
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cof.
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 objectii
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
/e/(3
Sign Name Dare
ta..dpi 6LiVcl2 T:111;1,r
Print Name Axis;

AVM
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 2r- d7
Applicant Name ALL' 2e7c'h,'
Mailing Address 7y2 3 (A/r1'ii o 5r
1 eQ S 2 7cy,.?�
I certify that I have authorized (agent) Shcy.e.Ii ne C6/j to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) e 710,".//✓1 d
at(location) 3U(L, E 7 4l'Lr �� C /�" /c�,c✓ •
This certification is valid thru (date)
Signature l)i,Zi/,( 4viv'

ao n c J's 4.)tb
��)kt,eq� 14; l
lerCo' I
P
po,
/ 1 Him/ l 1 / / / / l / 1 11 1 1 / l ! l / III / 1 / 1 11 1 1 1 / /.
G _ ..
N.Ad S�Perc��

CERTIFIED MAIL—RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: Ali kJ. 5upPcc i,i
Address of property: 304 E. `raci-� fir.
(Lot or screed',street of road)
oak nvc. 284'(5
(may&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.
A/I 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.)
I do wish to waive the 15'setback requirement
I do not wish to waive the 15'setback requirement
zJx,
Signature Date
!�/1i / liii /

•
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
I Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X 1 �� - ❑Agent
■ Print your name and address on the reverse / 0 Addressee
so that we can return the card to you. B. Received by(Printed Name) C./Bate of Delive
■ Attach this card to the back of the mailpiece,
or on the front if space permits. - �U
D. Is delivery address different from item 1? ElYes
1. Article Addressed to:
If YES,enter delivery address below: ❑ No
John E I IIn31.on
3 811 Fc c VQ//e y Rd,
Ct-Ncrive AC a8a Zs) 3.rice Type
Certified Mail 0 Express Mail
0 Registered Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7007 0710 0004 6463 0333
(Transfer from service label) -
_
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540