44091D - Yow

CAMA/ DREDGE BcILL
14
1ENERAL PERMIT Previous permit#
!New Modification (Complete Reissue -- Partial Reissue Date previous permit issued
ized 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/¢ 1Z id
C•ROTes attached.
t Name'U,e,lji e yG.''✓ Project Location: County /
72 C9Me/df.1..✓, Street Address/State Road/Lot#(s)(/'OO( A 130
_ L2 el State eVC ZIP2?jJD —),.t_
(2_*) 726-3 79y Fax#( ) Subdivision
ed Agent 5,4 (2 e L i J C /2,fl/2/-✓t Cit>/9AC' .4 -2n," J ZIP 2 77G.
❑Cw BMW ❑-PTA 4fS ❑PTS Phone# ( ) River Basin �lI iv
❑OEA ❑HHF IH -UBA ❑N/A /r
/3om
❑Pws: ❑FC: Adj.Wtr. Bodyetiel yt i ou> 4 cr?
yes �- PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body /��
Project/Activity /I 1 cl /.Z X /2, ' 4i9//,1Y /.. e- e'S/` A f 2
/'- (Scale:/ = .4C/
:k)length .7t,$)1,", 1 ._' y '_ -
(s)t-x tp,„7 i2 'x Fk /
er(s) d,) -1✓Cm 4'2 .,
igth
nber
I/Riprap length
distance offshore e V ,
K distance offshore !' . / '
annel , . C
:Eft i
aicyards . d
,p /Z
oatlift �2 Je!Z
!�!II''z
IIldozing
,/i37 f l'�O/11�
/6 ,‹ r
Length 60
not sure yes no _
41
not sure yes no
urn: n/a yes no 1
yes no f j� e (,-
ttached: yes no % 4._Qv ro !!v' (.5Q/�G 4 DA,.
ig permit may be required by: a9 k rS L,n/ 4 See note on back regarding River Basin ru
, . . — 1 ) /1 .-, /) . -

j , 1
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ,!KaAe er G
y
W
Address of Property: 6 DD(Q (j. B,69c f/ e_
(Lot or Street#, Street or Road)
OAe ZSL A,��, /✓c_ G28'/G.5' igeulasw,rc,C
(City and County)
[ hereby certify that I own property adjacent to the above-referenced property. The individua
applying for this permit has described to me as shown on the attached drawing.the development the
ire proposing. A description or drawing, with dimensions, should be provided with this letter.
C 13 I have no objections to this proposal.
Ef you have objections to what is being proposed, please write the Division of Coasta
VIanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3901
within 10 days of receipt of this notice. No response is considered the same as no objection i
you have been notified by Certified Mail.
WAIVER SECTION •
[understand that a pier,dock, mooring pilings, breakwater,boat house or boat lift must be se
Dck a minimum distance of 15' from my area of riparian access-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.
�/3 I do not wish to waive the 15' setback requirement.
.2.—Z7-b�
Sign Name Date

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SHORELINE MARINE CONSTRUCTION 67-7235/2532 3 0 6 3 I'1
GREG PREVATTE 3266000672
P.O. BOX 10671 J . /
SOUTHPORT, NC 28461 DATE 3/C.J q f C
PAY TO THE j'
ORDER OF l�`:T h�i T I $ .. .00'..-., ... 1 I
li J�.1 f� n
lisV 1 UCH /7 U:^tX,,,e -C. aLL.9✓3 DOLLARS B a�
,
g Coasta/Federal MBank
/N SOUTHPORT,NC 2264661 L. g
j f�l f�
MEMO /''/) We .Z7` 7YPO � a c___
NP 1,
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e: 2532 ? 235Si: 325800087210 3063 ,1