44004D - Flexner

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-LAMA / DREDGE & FILL
iENERAL PERMIT Previous permit#
few --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 7//,J2ai
Ci.Rafes attached.
t Name trei C 69 4d Flex N el Project Location: County Pew J,(4/1 CX
73 U '1 i Pe/i rAA/ bit. Street Address/State Road/Lot#(s) / 7,70 A' Po
k' .if LA.i 41 State/i/C ZIP 2 J''ye s""`, J) i(
( ) Fax#( ) Subdivision
ed Agent Cie, 610 krAhle. City(rk ,z-s Lam,.,d ZIP 2 i yE
Li.0 f ❑EW PIrA [( ❑PTS Phone# ( ) River Basin L-4/.1y4
❑OEA ❑HHF E IH ❑UBA ❑N/A Adj.Wtr. Body D/91/t1 C40w4 L /r
❑ PWS: ❑FC: d
yes V7 PNA yes Iaib, Crit.Hab. yes / no Closest Maj.Wtr. Body !! 111/%1
Project/Activity en. ,,,,,/, e t 4/DOC7(--
(Scale:/
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distance offshore- ; 3 3, -
x distance offshore
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annel i �� s �1 7) '� 3
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>ic yards J 4 ' ?f -* `
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se/Boatlift
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Length l 0 67:1) y
not sure yes no _
not sure yes o _ 3 y �?.
urn: n/a yes no
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yes 'Sj --> -, �)
attached: yes el}
ig permit may be required by: QF},e 1 L/„r d ii See note on back regarding River Basin rn

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SHORELINE MARINE CONSTRUCTION 67-7235/2532 30 24
GREG PREVATTE 3268000872
r P.O. BOX 10671 %/ 6
//SOUTHPORT, NC 28461 �n►E"
PAY TO THE �� `/y� /1 I $3 Co
ORDER OF �T �J_ ---
hf (! v 1.Z-2 Ii�/ 4cS DOLLARS El
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Coastal Federal
`—Bank Zr
I. SOUTHPORT,NC 28481 0S C' I !
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I, I: 253 2 ? 235 El: 3 2580008 ? 2i1'' 24 k

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DTVISIO\ OF CO4STAI.M4N4f FMEt1T
ADJACENT RIP4RI4N PROPERTY OWNER NOTTFICAT1ON(WAT TR FORM
Name Of Individual Applying For Permit 6� , C Aid EL 6 xue�
Address Of Property: /7 . C) 6/1, I L;GAS �r
t .92 4��' ( rthIsreiffh)
(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.
f 1 1T I have no objections to this proposal.
If you have nhjertions to what is being prnpnsed, please write the. Division of Coastal
Management, 127 North Cardinal Drive, Wilmin inn. North Carolina_2 or all 91D 395-
.3900 within 10 days of rrmipt of this notice No response is rnnsidered the same as no objertion
if you have been notified by Certified Mail
WATYER 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 mast initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
141
7
kfr) 7 fZtD6
Signature
7� ,P :Date �� _

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
lame of Individual Applying For Permit: k,A cL �2 e)(we
address of Property: /730 c,, Pc,CC 4 h 6
(Lot or Street#, Street or Road)
0(4k IS2/44,1 Ale
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individual
pplying for this permit has described to me as shown on the attached drawing the development the)
re proposing. A description or drawing, with dimensions, should be provided with this letter.
1.\-' I have no objections to this proposal.
f you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390C
vithin 10 days of receipt of this notice. No response is considered the same as no objection ii
•ou have been notified by Certified Mail.
WAIVER SECTION •
understand that a pier, dock, mooring pilings,breakwater,boat house or boat lift must be sel
ick a minimum distance of 15' from my area of riparian access- unless waived by me. (If you
vish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
IA' 41t_ I do not wish to waive the 15' setback requirement.
Fzio 1 z0 0
;ign Name Date