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LAMA/ DREDGE & FILL (.4
IEN E_ RAL PERMIT Previous permit#
New JModification LiComplete 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 I SA NCAC ❑.�Rfifes attached.
Name /f20)/ 7i I Z Project Location: County ,hi„/ZOO
732 egg",P�J".iJ G/I O Y e C%4/4 e 4 Street Address/State Road/Lot#(s)//7 _f. /3
,v,✓dAL.e state iv C- ZIP 2 Io96
(9/0)229 "3027 Fax#( ) Subdivision
.d Agent ..5-404.t L ...- e_ /7)A Fi:<,d e City Qgk _1 L 9 ci ZIP 2-7Yai
❑CW Ca* C.PTA CUES ❑PTS Phone# ( ) River Basin C/Pce
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body�A✓,S 69", 0 Ipaid
❑PWS: ❑FC: �) y/Al
yes e,�PNA / no Grit.Hab. yes / no
Closest Maj.Wtr. Body
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(Scale: / ,.
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d/Riprap length 1 - . . -j ..-- -1-
g distance offshore { 1...-.-. t___
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cannel 1 }
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,rium: n/a yes 00 1 I• I 1 yes Co _. 1- ! , 1 `_ ,
Attached: yes eo I J
ling permit may be required by: ©A/( �SL 9'C I See note on back regarding River Basin
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67-7235/2532 3120
SHORELINE MARINE CONSTRUCTION 3258000872
GREG PREVATTE ill
P.O. BOX 10671
DATE-------
SOUTHPORT, NC 2Ei461 .
i!;,,,- •
PAY TO THE $ ?e'l)
L,t1' ORDER OF
1
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Il: 11111Bank
. i\ cry SOUTHPORT, C 28481
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Name Of Individual Applying For Permit: ✓ re)
riot L
Address Of Property: i 1 7 S-E J 3 Y h r
a (9 h SL/j ti ci( t/h
(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 to itie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
V I have no objections to this proposal.
If you have objtrtions to what is being proposal pleas writ? the Division of Coastal
M naQement 127 North Cardinal Ikiv Wilminonn North C'arnlina 2K4.ni or rail vtu i9-
1900 within 10 days of receipt of this nnticr No response is ronsidpied the same as no objection
if you have bren norifi ui by Certified Mail
WATVER sFr'rfON
I understand !hat 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 amiss unless waived by me. (If you
wish to waive the setback, you mist initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
e r.c /14 i, 2oab
Signature‘ Date
gene uct'ttk3 19v‘A+•c CtWvvkc- oe daLTs14.M/f
Print Name �J
ci S b 11 X 2,33 NCDENR
Telephone Number With Area Code NORh ��DERI
**E+T or
ENVIRONMENT AMC NATURAL RIESOURCES

•
Name Of Individual Applying For Permit ro) ri
Address Of Property: /17 SE _I . t c
0/f JVe C� d-� r1/4; L, ; L 1,
(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 to itie 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 objerrinns in what is_ being proposed, please write the Division of Coastal
Management 127 North Cardinal Drive; Wilminton, North Carolina; 28405or call 910 395-
'1900 within 10 days of to ript of this notice No response is considerrdi_the same as no ohjertion
if you have ben notified by Certified Mail
W ATVF,R SF CT1ON
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 arrrss 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_
tin not wish to waive the 15' setback requirement.
ipz F
J'1 Lf, • •
Sigpature Date wit"
Print
C NCDENR
Telephone Number With Area Code Norm,C.'°uNA *or
ENviwoNM[Nr AND 1•1.4uaaL Flourices