45837D - Talbott

LAMA/ I 'DREDGE & FILL /
JENERAL PERMIT Previous permit#
ew -Modification LiComplete Reissue CPartial 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 I 5A NCAC 7(-r , j j 0
Enules attached.
t Name WAL _ ar Project Location: County , U(SSW 1 Ems,([—
Zo8 p(L1 n1Ct6.S (A-2ot...i/Je.; CT_ Street Address/State Road/Lot#(s)
-ON 1 2& State VA ZIP 2,2S2 -Pc-J 11/9 U' ( 1O W
( 41A (o t�q 3-I 3 d Fax#( ) Subdivision'si
ed Agent M 4-lL1G, fit oNAi2-1-- City imp L )E-1--) C 1-}' ZIP 44
❑CW ii& P`` [ ( ) River Basin �.,/.�TA S ❑PTS Phone# w '
❑OEA ❑HHF ❑I ❑UBA ❑N/A Body Wtr.
. CAI-)
El PWS: ❑FC: I y v h'F f�k 1 N/V�/l(nat
yes /, PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body A%W W
'Project/Activity - X IST1 NCB � (
(Scale: r 2
:k)length
,(s) , ,- t . i 1 r a
ier(s)
ngth - t-- _-
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rber
sl/Riprap length 21 _taili IPy���Ll
;distance offshore Z "�(ANA F.- — t
x distance offshore 5 ( } _
1 �I
cannel i. ..- — , , - rwe
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>ic yards ...... T _ ; n O A6
se/Boatlift _ I ) I
-
JIldozing 1 II ' 1 QOFw -A _ t
, 11
13U AD.. NCI 7 Cc
4X M7 IP
a Length S2- -I _
not sure yes 6 l ` .
s: not sure yes
Ium: — 1 ...
n/a yes 1�.. i
,� _ �� t o +fit ev: --
yes �-_�- � �- : � � --- --.,ttached: yes 0 I i 11.4.f 1 _

3194 I1
SHORELINE MARINE CONSTRUCTION 67-7235/2532
3258000872
GREG PREVATTE i9
ki P.O. BOX 10671 DATE 7_c;7p-06 i,
1 6-9
SOUTHPORT, NC 28461 j
t', ORDER OF E 19�I I $1.3eo e-e- '-
'; Coastal Federal
1k' —Bank
SOUMEMO .ljrThPORT2C2846S� � -q_i„,.._4(A.A,„4„... -
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• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: �LBerri—
Address of Property: ? 9 8 Cj5, ✓ £LiT, t )
(Lot or Street 74, Street or Road)
(City and County)
I hereby certify 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 with this letter.
I have no objections to this proposal. feR o--Lwo cv t t..sSt'A
R..eLncsr.,a IAA 11-1 .n/
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 s+
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.)
I do wish to waive the 15' setback requirement.
/fr I do not wish to waive the 15' setback requirement.
C •� �? l t b
Sign Na e Date
Print Name Air;1!'diria

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sig ature -
item 4 if Restricted Delivery is desired. /� 4 0 Agent
• Print your name and address on the reverse •X ❑Addressee
so that we can return the card to you. eived by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits. _ t�. � y 6-.2g4o6
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to:
If YES,enter delivery address below: ❑No
'TA me. sHurJAF,es-
0 9/ ✓nr D LiAy E .
pp
rJ a r//'tf�, /1�L oZ INZ Z 3. Service Type
[81 Certified Mail ❑Express Mail
❑Registered Ell Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7006 0810 0002 3696 4543
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540