46268D - Andres

LAMA/ DREDGE & FILL
17- •
IEN ERAL PERMIT Previous permit#
Flew ❑Modification 1Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
Dastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 2/1_ //t O
/y� L Rates attached.
Name /'/,J(f /2 nl d 2 ej Project Location: County dig N„is cal/ck
9 0 2. CSGJO C T i Street Address/State Road/Lot#(s)3 Z 729,4
L i»1 f f haJ State /'/C ZIP 2 1 ydf cr'j9i A3.e AI . ,-s-t.
(9/0) 6/ ?-/4P 2/ Fax#( ) Subdivision G✓//Idd f /CQ r v t X.
id Agent /7,44/e Ee, deit., City&LI ✓i9' ZIP Z i/e
c''CV ❑(LEW [a-PTA ❑ES ❑PTS Phone# ( ) River Basin Lim
❑OEA ❑HHF ❑IH ❑UBA ❑N/A /
Adj.Wtr. Body l ocit'ivi ach/401 j GQ, v /
PWS: ❑FC:
'es / no? PNA (yes.l'no Crit.Hab. yes / no Closest Maj.Wtr. Body L✓.✓
Project/Activity A/e y i lef'E`/4„zo
(Scale/
k)length
's) i
1
=r(s) i G k 1•ll Oac- S 1L L 1 y J ✓PA-
i
igth
fiber , ._. �__
I�
PRiprap length /0 0 1,, i)
distance offshore 2 ' • `)—F r
c distance offshore 2 i , _t'
annel r 44 o 1�
�~
a ' ]
5iu ►
is yards be;fl,
/
ce/Boatlift
illdozing a i ''
. t..q 5
i�
*312
Length /D© .
I
.- . , f _
not sure yes -_— w-i_ • I l 1 f
not sure yes Imo' r10
Za
11
um: n/a yes , > , a
yes
� `. or 1155 ,
ttached: yes : i� 0

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SHORELINE MARINE CONSTRUCTION 67-7235/2532 3 2 7 5
GREG PREVATTE 3258000872
a P.O. BOX 10671
z.
SOUTHPORT, NC 28461 DATE /e_f-dlo 'r
3j` PAY TO'W A� A
i. ORDER OF
at 49.19 E
1' Ije* DOLLAKS CTJ .:
II' Coasta/Federal
.> —Bank
CAW SOUTHPORT,NC 28461
MEMO -- ii,Ai Zi P
• MrP253272351325 ZSS6d 7 ----
uA�1ui-
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Cd/1 4/1E747b f i.3 jbrib/f (aAKtStK F'AL±. FJ1
a9/14; .E3R5 i7:5P SriOFELItIE. FACIE: 01
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LIIVI UlY(IFroysTtt t5.A.NAMEMtrh`r
Name Of lhdividtal Apply*Far Porn t: fikitii WidtiZe5 _.
Address Of wry: 5.2 PI a irk re..) f' :oQ.e. b4.
i".40-Ai A/c „7 e 4i.?d 44'yjj.z6- c_
(Lot or Suet/,Straw or Road, City&Camay)
aey)
I hereby certify that 1 owe property admen to etc ebove.&ertacmd property. The individual
dying rot this permit has described foie m shown on the attached drawing the development
they are proposing. A descriptioo or drawing. aids dienansia®. should bc pevvided with this
letter.
4. I have no objections to this proposal-
If_you_baace..00jacticain_. k brinC��--pinala_aTte the_l i tisi -s
manaen eni lam? Misr*,tlrrltylaJ Tkivr_ WUatattyamtih Taarri o c-at1_92034t
red by honk it use
] ursand!Jot a pia,dock_moor*piiia� i.brnitwate r, boat house, lift or atotbada must bc
s a bath a minimum dinar=of 15'from my area of riper=aortas ttn►e ss waived by Inc (If you
wish to waive the setback, you ntnm milbtl thrr appropcura:blank below,)
I do Irish en waive the 15'setback requirement_
dt1.m wish to waive the 1$'tratbaok requirement.
Staimage
to $ � -as 77 NCDENR
�, Number nb Area Code CAPIEWBOI os.O..,err

DI\SION OF CO ASTAL M A_N 4GEME_NT
ADJACENT RIP&R.IAN PROPERTY O_'NT. NOTIFICATION/WANFR FORM
Name Of Individual Applying For Permit !YY.1'A6 /2612b,eji
Address Of Property: 61;2 P<A�/% r PAS f r
� si
&Laura,A✓c ag /-,24_,05,,.>
(Lot or Street#, Street or Road, City &County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have, nhjertinnc to what is being prnpncr4, pleat write the Division of Coastal
Management_ 127 North Cardinal Drive. Wilmington North Carolina,78405_or call 910 395-
1900 within 10 days of receipt of this notice No rinse it c ncide>J the same as no objection
if you have he"n notified by Certified_Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian arrpcs 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 knot wish to waive the 15' setback requirement.
.-€4# /.0...cryLez
AlivIcirjA
signature DatE

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