43908D - McKinney

'CAMA/ DREDGE & FILL
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3ENERAL PERMIT Previous permit#
"New Modification Complete Reissue Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources r� /�G�
'Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC /
ul
�� es attached.
it Name� i9 � c j,✓N 3/ Project Location: County.(S Q N,✓S�yi c k
67 /'�o.., c S�, / Street Address/State Road/Lot#(s) (p 7 /77di'i
1301:1CA State /VC ZIP 2T hI7
F(?ich 2)9-5joc" Fax#( ) Subdivision
:ed Agent Roi/,', e 77J irvi CityDCPg.✓ .../e I/Ac�i ZIP 27�/`
❑CW CAW C TA l ES ❑PTS Phone# ( ) • River Basin Ly, ,
❑OEA ❑HHF IH UBA N/A Adj.Wtr. Body 000,✓A L d�' /,�/iv 1/ (nat
❑ PWS: ❑FC: A/�
yes no PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body �j` !✓
F Project/Activity e/t,, v ft i/ v. r „b 'cl(
�/ (Scale:! ,
ick)lengtho'X Trgt,My /�/ �( y
,(s) 1.9 (� �-
lier(s)
:ngth " � 4-SA
mber
d/Riprap length
g distance offshore ZQ '
,x distance offshore
iannel I
f ZL ion I:0
bic yards _ �A/h e /G X !�
np
ise/Boatlift
ulldozing /+ it O
t:/0 f 20 's' Y' �!
e Length
not sure yes 0
s: not sure yes /�,-
ium: n/a yes 6 ? / "�(ji✓/L O t`.
yes g
\ttached: yes
ng permit may be required by: OC,o, I.'S'if fC3 O/7c I See note on back regarding River Basin r

•
nCi�i\j JVAYNE ?JiINTL• 6001003307
DBA MINigTZ CONS 66-7143/2531 1 2 7 1
TRUCTION
4739 FOUR SEASONS WAY /�C�
ASH, NC 28420 DATE
•
a PAY TO ORDER
/1/ CDG_^' ? $ / �,
i ORDER OF �/ !, •
"-' L - Ct _v 1 - f�° DOLLARS LI -' =li
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SECURITY- ti
1' SAVINGS BANK
Shallotte,NC 28459 .i ,
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I I: 2S3 L7 L4301: 6 0 L00330711' L 27 L l

2/03/2006 17:53 19102767822 MILLER SUPPLY PAGE 01
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It tuu blest' nt jt.cti,ua to what is being prolu►.eri.please writ..('ttroltua Befits ut Jim
(;relsun %sill' the 1)1t sl im.01 C'uysial Maui•T:ctricut, 127 Cardinal Drive Estensinn.
Wlintorgron, \(' 2$405 or c311 AIq-'96-7215 a ilhin 10 das•of the receipt of this
ooticc.\u response is eonxitfcred[hoe%Ann'at nu IIn-jt•ctinn ir)otl 113114'ht•ctt notified
ttt (-rrlifirtl Moil.
( uudruitA11d that A plcr.dock.. moorings pilings breakwater.boat house ter tome MI
must lie set hick a minimum tli%laucr Or 1d' lrvtn my area of riparian acccs- Linfrs
waived by rite.(If Non wish to waive rile setback.you most initial the appropriate
biotrk hclnw.l
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/31/06 14:49 FAX [phone] LSG AD)IIN OPERATIONS Z001
31,2006 15:47 Mintz Construction 9108427546 Page 1
DIVISION C)F. C 0 A S'I'A 1_, MANAGEMEha
ADJACENT RIPARIAN.PRQPF.RTY_OWN'F,$IIIMF7CAMINZWAIVER I?.QRM
l- \TN ' s ve /-.‘c,c.er --1 d f
Name Of Individual Applying For Permit: , \---4-
V p
Address Of Property' 10 V40 J 3+
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The :ndividual
applying for this permit has described tone as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
5'1 have no objections to this proposal.
lI you have, tions to what is being proposed, ple C�iw, h . Division of_C naslal
Manag nie nt, ,1,,27 North Cardinal Jlrlve, Wilmington, North Caro1ina,2R405.or_call.919.395=
X_wifhin lt1 1 yc of re .ipt of this. ti No rr spouse is consid red the cam as no_objertion
if you have hern iwirifiedhy Ce-riflexpMai1
-�------- - :ate
WAIVER SEC'USN
1 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 or riparian access unless waived by m<_. (If you
wish to waive the setback, you must initial the appropriate blank below.)
•
I dO wish to waive the 15' setback JA/g- I dnnni wish to waive the 15' setback requirement.
. _. IF / 31 .100g A7C1•119111
Sig a Da ; u�
1) Eder ,o vt ��..,smaiti ._.
Print Name 6 3g NCDENR
Telephone Number With Area Code " 44 ' °JRA °
!� [•'jH/,NONMEM Nib NnTVR.4 RE:,bOVRCL9
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