44924D - Driver

AMA/ "_"DREDGE & FILL /ID-- '
3 NERAL 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
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7/i. //9O
[ R11es attached.
it Name ��M Pj AR I v o L Project Location: County 3R Nrs 4,,cie
392 Y Al. DGL,pd,.. Dz , Street Address/State Road/Lot#(s)392 Y 4/. Z
i� ...5I4 v State/'C ZIP 2 7YC f r) , .
(910)2 7, 302> Fax#( ) Subdivision
:ed Agent s11i/t e L, - t in.94,^ e CityOAk l$L.9..- , ZIP 2 7/�
❑CW L EW ❑PTA r ES ❑PTS Phone# ( ) - River Basin Ly4
❑OEA ❑HHF ❑IH = UBA N/A
Adj.Wtr. Body /"41 a%/
❑PWS: ❑FC:
yes `oo-, PNA yes no Crit.Hab. yes / no
Closest Maj.Wtr. Body w`'�
f Project/Activity k?L A c e EX ii I,,. , e4 I 4."/yL--.4
) i"i 10 M e /74, 'ye_1,, ,,
(Scale: /':--..
,ck)length_
n(s)
:ngth
imber
Lc iprap length 50 /
g distance offshore
ax distance offshore -1,—
hannel
ii
V U 4 ' /' 1 4 1 dy -1. ' 1/ b!
ibic yards r
it, i
mp { i
use/Boatlift T.
lulldozing + ,^")i"/AY/ 35 1
)t L v ,..,,,,,,,),.)/
ie Length 50
not sure yes no .
;s: not sure yes no
rium: n/a yes no L L.
yes no
Attached: yes no 3 2 Y A'1,4'
ing permit may be required by: O R fr L A...d . I See note on back regarding River Basin 1

3
120 \
SHORELINE MARINE CONSTRUCTION 67-7236/2532
72
GREG PREVATTE ��_ G l',
P.O. BOX 10671 DATE
3 SOUTHPORT, NC 28461 -.,. _ ?i
I PAY TO THE ???De--
t W ORDER OF
iL1 ` • 4Legoa' Ot,✓e-ris/'/4Sa-! &A,/de..-s)ziAte32-3....110/- - N
G'OaSrd—Ba I(� �`f{L`t ��+.
IIIIIiirg SOUTHPORT, C28461 L /0 l
Ivi� MEMO 14 92" M/L
1: 253 2 ? 23551: 3 25800087 211' 3�L 0

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DIVISION OF COSTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAI -FR FORM
Name Of Individual Applying For Permit: i l m e S �r i ✓�j
Address Of Property: 5(l -I /CULL- 1 E Or.
CIA 1ST '41' .4 ,tic 03rvnsWic:11 )
(Lot or Street#, Stree(or Road, City &County)
I hereby certify that I own property adjacent to the above-referenced pre-perry. The individual
applying for this permit has described tolie 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 nhjerrinns to what is being prnpnc r1, please write the, Division of Cnasral
Manaoerrtent_ 127 North Cardinal Drive, Wilminian North Carolina_ T or call 910 395-
3900 within 10 days of rerript of this notice No response is ransidered the same as no abjection
if you have ben notified by Certified Mail
Iv' A pPL.CA b6r-/ 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 do not wish to waive the 15' setback requirement.
Stgna / •

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X 7 /��.��1/ CI Agent
• Print your name and address on the reverse -- ❑Addressee
so that we can return the card to you. B. Received by(Printed Nal C. .• e.4eliv
• Attach this card to the back of the mailpiece,
or on the front if space permits. . i c--l&'�"-�-t 1
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
�ac&-L ,A, a Shnu `l k
g 0 k d e'j
er-tree _ �Ss,�+q
K
3. Se ce Type
i �(� GA3O(46ACertified Mail CIExpress Mail
10 ��( El Registered CI Return Receipt for Merchandise
v Cl Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. A(Trans rfnNur 7005 0390 0006 6811 4242
(Transfer fn
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete
item 4 if Restricted Delivery is desired. MOAT,
❑Agent
• Print your name and address on the reverse i Cl Addressee
so that we can return the card to you. B.=elved by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits. - r711 ee— J`)ye-5 4/-/q-O6
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
iU nil aS bfrl-eS
i ar1 f1-CAP Oa 'Pd'
f_ 3. Service Type
/1 S e v 0��, N C c� �3 44 Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail El C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Articl' 7005 0390 0006 6811 4259
(Trap: --
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540