44925D - Potter

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'CAIb1A/ • DREDGE & FILL
3ENERAL PERMIT Previous permit#
TNew 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/,1 , /LQ a
IL.Autes attached.
t Name 6 4e PO NIA_ Project Location: County a2N,r 1 w,c
$7, 0, gex , Street Address/State Road/Lot#(s)6 3 2 7 A.,.
'/e f2,9,. P State (' ZIP SSW2Y5'' f— L.y r,/ z#! ,
( /Q)2 22-/ Z g,j Fax#( ) Subdivision ed Agent -S-4 2 C 1..- t trn a, „ye_ CityO, -' :f44,, J ZIP 2- Sy6
❑ON r D-PTA i .ES'` E PTS Phone# ( ) River Basin LyA
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ PWS: ❑FC: Adj.Wtr. Body Al//-i, Al
yes /� PNA yes / Crit.Hab. yes / no
Closest Maj.Wtr. Body - //Ai 41
Project/Activity PGl u V f f t /a a /DG</ci
:k)length Ma ')l I/' /e'Imp /Z ''1.3 (Scale:
(s)/2 '( /Z C, i 2f( /er �. /` f
ier(s) WA 7°
igth
nber
i/Riprap length !!l
distance offshore 12
x distance offshore
annel -
uic yards
ip
i
se/Boatlift I
illdozing 1 0
C70/9/ /2 'X7 ' I;
Length 9 of
_ c.!
not sure yes o _- .--�.-,,.__._. -_..._.:.:__ __
.: not sure yes AZ-)
y,
um: n/a yes no,'
yes no) y, . _
ached: yes no v -- -___.___..-..-._ _ e" 3 z J6/j�►4 f! S 4/,r Dit, �___ L—
st
ig permit may be required by: 6 p/' �sLfl,, t/ I See note on back regarding River Basin rt.

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k 3120
67-723s/2532
SHORELINE MARINE CONSTRUCTION 32se000e72
t GREG PREVATTE
` P.O. BOX 10671 DATE "' id—0
,`.1 W SOUTHPORT, NC 28461 44
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•
Name of Individual Applying For Permit: Gkea Pp��,Q
Address of Property:_ le 3 a 8 L/4 ilk.
(Lot or Street ", Street or Road)
OAK Ist horns, A/C a 8 AJGS J$R4,1s wre-‹
(City and County)
I hereby ccrtify that I own property adjacent to the above-referenced property. The individu:
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 wi:n this tenor.
I 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 910-395-39C
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 si
bck a minimum distance of 15' from my area of riparian.acces -unless waived by me. (If ya
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
e I co not wish to waive the 15' setback requirement.
larnie
S-2
Date
J' !77 / LL'` l- P, ct
Print Name ' ' •

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.
o Agent
• Print your name and address on the reverse X iO/ '0-Addressee
so that we can return the card to you. Received by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits. • A, 2 #i
D. Is delivery address different from item 1? Cl Yes
1. Article Addressed to: If YES,enter delivery address below: ❑No
ys4- G Wes fpA1 m r'J'Y 5'i
3. Service Type
/ram M p-)S.i'�1 E, -Sr C- .2 9)/ / Certified Mall 0 Express Mail
4 0 Registered KRetum Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(rransferfrom service label) 7005 0390 0006 6808 8543
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540