45926D - Viloski

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y)EAMA/ L.,OREDGE do FILL
3ENERAL PERMIT Previous permit#
*Jew 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 71 • H o
mules attached.
t Name €EN V I LQSKt Project Location: County Et2.v/JSN loc.
13C ( l4 O Street Address/State Road/Lot#(s)
)A. e__ 1st-A-K.)0 State IJ C ZIP ZS 94o3 3 S0 2 E- y AC tirT
( 2 LS I -7}41Fax#( ) Subdivision
ed Agent GI Ca APZeVATrE- City ( A It I SSA-AN!' ZIP ZASI-1- '
14 W G'''EW GI.PTA CcitS ❑PTS Phone# ( ) River Basin CA t'
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body A INN W e55/r
❑PWS: ❑FC:
yes /�� PNA es no Crit.Hab. yes / no Closest Maj.Wtr. Body At Win/
'Project/Activity
(Scale: i "_1
ck)length
i(s) `l ' .may_ "V }
. r
ier(s) 1 1 I, $r F11( E
I
ngth i a— j i
tuber '
tiprap length j�7 W�t�1Y1llt` 4,40 __,} . f {� t
distance offshore p, _ S( $_ 1� f i
iiix distance offshore
cannel l Q e4o I Y�� 4 I_
bic yards i
npN. Ps V. j
ise/Boatlift — '
- Vry 1 4 4 l -
ulldozing •-
44 - t , ' I '—
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e Length (00el . etio--. , , ,
t R i)(c-_-)k Q l
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not sure yes rSo 1L Ar knvuAr041 iF' —
5: not sure yes ® TY! g
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4ttached: yes - __ I j

SHORELINE MARINE CONSTRUCTION 67-7235/2532 3 2 3 4
GREG PREVATTE 3258000872 1
W P.O. BOX 10671 DATE �3
SOUTHPORT, NC 28461 G
Z 1PAYER F
ORDER OF712
;a
DOLLARS 8 b`-
Coasta/Federa/ ��
Bank
CIE
�f SOUTHPQRT,NC 28461MEMO +
i: 253 27 23551: 3 25800 �iNP
3234

,
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Tame of Individual Applying For Permit: de'il �i'/4S / /
,ddress of Property: 3369 E. )"a dT /),c
(Lot or Street#, Street or Road)
14 .2 &Urns /C/k-
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individual
pplying for this permit has described to me'as shown on the attached drawing the development they
.re proposing. A description or drawing, with dimensions, should be provided with this letter.
(/ I have no objections to this proposal.
:f you have objections to what is being proposed, please write the Division of Coasta
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390(
vithin 10 days of receipt of this notice. No response is considered the same as no objection i
iou have been notified by Certified Mail.
WAIVER SECTION
( understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
;et bck a minimum distance of 15' from my area of riparian access - unless waived by me. (I
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Si Date
A , n I � �

•
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sign- ure
item 4 if Restricted Delivery is desired. 0 Agent
X ` ��
• Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. Recei -d b (Printed Dame) C. Date of Delivery
• Attach this card to the back of the mailpiece, / _ --I.-a) -D
or on the front if space permits. All
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
lifd)6�� Lj �Jd�,n•S L4e._
57/C ._lz- Hi 1, le.,
6ie,?,I6 Loc)r AI I.i 3. Service Type
�� �/�7 0 Certified Mail ❑ Express Mail
/7"( ❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7004 135� 0004 4538 3724
(Transfer from service lat
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540