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GENERAL 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
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7N • IZOO
[Rules attached.
it Name-TVEVDR 4cyzNIirt._ Project Location: County 6/eUNSWJC.K,
(o3 j 9 TOW LE S 12_0. Street Address/State Road/Lot#(s)
SI1LMlNC-'j )Ni State NC,ZIP 2•.isL1 13C b E. yACri i
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zed Agent 6r2.E6 fVA i IC City )/\IL I SLAi 0 ZIP 214494
I C CW [W 'TA li ES I1 PTS Phone# ( ) River Basin CA d E
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yes /tf'io; PNA es no Crit.Hab. yes / no Closest Maj.Wtr. Body A 1 NA/VN/
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Attached: yes A% - - ._

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SHORELINE MARINE CONSTRUCTION 67-7235/2532 3 2 3 4
GREG PREVATTE 3258000872
W P.O. BOX 10671 DATE C� �3
SOUTHPORT, NC 28461 011
z
i PAYTOTHE
ORDER OP
DOLLARS e
Coastal Federal
Bank
Grair SOUTH FIT,NC 28461
II
MEMO .I\i ) L f •
1: 2532723551: 32580011 : 1 323i,
•

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ZrEdve
Address of Property: /3. ‘ g. /Ael/r-.d,e.
(Lot or Street ;`, Street or Road)
Oke IsL. gb, n/ S £,QuNs arc e
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individw
applying for this permit has described to me as shown on the attached drawing the development the
are proposing. A description or drawing, with dimensions, should be provided with this letter.
JI have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must be se
bck a minimum distance of 15 from my area of riparian-access unless waived by me. (Ifyo
wish to waive the setback, you must initial the appropriate blank below.)
JA, I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sign 1\+ e Date
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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 / / Q Agent
■ Printyour name and address on the reverse
so that we can return the card to you. ❑Addressee
• Attach this card to the back of the mailpiece, "eceived by(Printed Name) Dat•o-gelivery
or on the front if space permits. I C,
1. Article Addressed to: D. Is delivery address different from item 1? Eles
If YES,enter delivery address below: 0 No
`SCt/A/ KrxW2Ey
/7G G ✓00 4-rN-r4 S i
/Y)r,4Ri9E, /" - S'f/i) 3. Service Type
far Certified Mail 0 Express Mail
❑ Registered KReturn Receipt for Merchandise
❑ Insured Mail El C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. A•ticle Number
(transfer from service label) 7005 0390 0006 6806 0006
PS Form 3811, February 2004 Domestic Return Receipt 102595-o2-M-154o