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/CAMA/ J DREDGE & FILL
4ENERAL PERMIT Previous permit#
ew jModification ❑Complete Reissue [-: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 I 5A NCAC -1T`1/L
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t Name Kit f{/ 0 6. .ess t.3 Z Project Location: County yL v J s Ilu i(,c_
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(ci i 0) 21 6- Li()Fax#( ) Subdivision
;ed Agent M A,L ._.. 3E;,T 1, City CA tL k,L- JY) ZIP 2-D4(0<
!VON VIEW ir'PTA ❑r S ❑PTS Phone# ( ) River Basin C/icr>E
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❑PWS: ❑FC:
yes /(r o ` PNA es,/ no Crit.Hab. yes / no Closest Maj.Wtr. Body A 1 A/W
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uc distance offshore _ ,_ .
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SHORELINE MARINE CONSTRUCTION 67-7235/2532 3186
GREG PREVATTE 325e000672
P.O. BOX 10671 DATE 7/3 -OG
SOUTHPORT, NC 28461
ti' PAY TO THE �/�
ORDER OF //�7 /y $ 00
I p�Ol> ii
! 1
j DOLLAR$ Ln f
i 1
I Coastal Federal
—Bank Lit a/t ,t3r-c.srZ
^-_ n SOUTHPORT NC 284¢i
MEMO ''AMA �K, - ��/(o �-P75-4.ft
IFir
-1: 253 27 2355I: 3 2580008 ? 20 L86
DIVISION OF en&STAT.M A__NA EMENT
AI1,IArF.NT RIP&RIAN PROPF.RTY OWNF.R NOTIFICATION/WAIVF.R FORM
Name Of Individual Applying For Permit /QZh/RRb 8gES$•Ik
Address Of Property: //7 $E 7Vi ST
40Rt1 7.SLAcil46, NC Q?8S/l.1' 6.24 ,as r.).z-c.0
(Lot or Street r, 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 to the 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 havr n}�ie�tik+! ••• ...L_.
�x i�nn[a�sd nlrace writes thr ns
AAarLa�Qemnnt ('.artiinal Driv Wi1mi nn .._.L n_ -• - --
1900 within 10 days of tm�t of this notice No is rrintirlerrne as no
ohjeif you have hrn notified by Certifie/i Mail l'tion
WATVF'R SE('TION
I understand that a pier,dock, mooring pilings, breakwater, boat house, lift or o
be
set back a minimum distal=of 15'from myarea of dabybags must you
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 dQnot wish to waive the 15' setback requirement.
ATICIVA
Cz Tie (o , zuoL
Sif nature p( Date
('1P,ne. K IN!I/r _ n ,i 1. 1 I , T , e
DIVISION OF COASTAL.M A-N&GEMEN"i'
AD1ArF.NT RIPARIAN PROPERTY OWNER NOTIFICATIONJWA VER FORM
•
Name Of Individual Applying For Permit kite�/ eb Beess,64ee
Address Of Property: //9 Sf 791 47---
DAB ss t,9 N4, n/e atgyo exeelascorcre
(Lot or Street d, 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 to tie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
lener4
v� t///
I have no objections to this proposal.
If you have nh.rrsinnc nor �t 'c ing ntrac a 'te thr Divicinn
Management 127 North Cards al Driv Wilms nn North (' rnlma wnc nr Call 91t► ;y1_
39(1(l within 10 davc of nrrirr of this nastier Idn rt�ennnc ie rnnei Jn
if you have he-en notified by f rrtifieji 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 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 dn.not wish to waive the 15' setback requirement.
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