39833D - Orebaugh

iAMA / ❑DREDGE & FILL
IENERAL PERMIT Previous permit#
New ❑Modification `__,Complete Reissue ❑Partial Reissu Date previous permit issued
ized by the State of North Carolina,Department of Environment an atural Resources
oastal Resources Commission in an area of environmental concern rsuant to I SA NCAC
0 Rules attached.
Name Project Location: County
Street Address/State Road/Lot#(s) /5- I, 3?
State ZIP
( ) Fax#(:'? ;) Subdivision
:d Agent . ' City ZIP .
CW ❑EW ❑PTA E ES [ PTS Phone# ( ) Riv Basin
❑OEA ❑HHF C IH C UBA 0 N/A Adj.Wtr. Body ( (( . / (nat 6
❑ PWS: ❑FC:
fes / no PNA yes / no Crit.Hab. yes / no
Closest Maj.Wtr. Body ��
Project/Activity i` _ .J d-.+>©
(Scale: / - 4
k)length
- _ I 1 -—
igth ��f ._. . i j I I
nber
I/Riprap length I• 1
distance offshore
c distance offshore 1.... _G—. 1 l U
1
Gam '
I -17
e/Boatlift 01 i j
i ' � ' 4 I
illdozing t ., r tk Y/ y, ' t4 i { i t
7J Si 5-7U I
Length"'
,J 7U /2/0 - .___ r _ ;.._ �_..._a
not sure yes rio�1 .
not sure yes now -I. r I� __ . .a .._....
um: n/a yes no
. _ ...
i — r i r _ 3
Y 1 :. .( 57 .+tip --'r-.— _-.
_ f+
ttached: yes /no
ig permit may be required by: OGc, k1c_ 5u c'15 . I I See note on back regarding River Basin rt.

2005 19:52 FAX f j001/(
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GENERAL PERMIT COMPUTER FORM
.PPLICANT NAME: O7-6 - / (
ADDITIONAL NAMES:
SEC DESIG: F} PT DEVELOP AREA:__.QZ PROJ DESC: C -
Will only take 6) (Will only take 1)
WORK: 4 C 5'7O j 70 7
Will only take 4)
VIAINT:
Will only take 4)
[MP: 543' lifarz)�
;will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: i Os- - 3/or
CAMA MAJOR DEVEL REQUIRED: 31/4 �/3/oS-

N-05-2005 11:05 From: To:99105791297 P.5'5
•
DIVISION 9F COASTAL MANAGEMENT
ADJACENT RIPARIAN PROP'ER:CY OWNER.NOTI IcATION/WaLaFORNI<
Name of Individual Applying For Permit; C((abv. t, -ST•n`At,
Address of Property; 15 t av<ikbvr �t V7 Lc.,,,x't f•)OUT5 Sk.1,.11t-av C; � . ,.
(Lot or Street#, Street or Road)
21 l.aur;AID-,r 5k J 2_3 Go.v«..bv SA-. 25 Lome.nbvip5A., 17 LAut,•^b.(C Si,
Z9 (y"vc"hb'11, .) 31 14 , 33 lAvr;•.bvcgSt. 35 Lf+.,r�w4 vr�SV.
(City andp County)
C1e_ � �ucr. �1 c- - Cbrurt 5.v,i s Co U *
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing,with dimensions, should be provided with this letter:—
_ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395.3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock, mooring pilings,breakwater, boat house or boat lift roust be set
bck 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 with to waive the 15' setback requirement.
tJ/A I do not wish to waive the 15' setback requirement.
Vie,Z&PZ404 -7'4 .
Sign N e 4E1 '' f Date
- ,il aA19191r
_
Print N e

IN-06-2005 1W:05 From: To:99105791297 P.4/5
•
PIVISION OF COASTAL 'MAN CEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOMICATIDN/WAIVEIFORM
Name of Individual Applying For permit: -41,A,' ��. L LC_
Address of Property: 't 5 1..0.yY►nVv,l.St.r t7 n1x$ S� ►�1 i-y..,t rb,,r.- St.)Li 1c ttnbN
(Lot or Street#, Street or Road)
Z3 vr:v.'b„ �1.) ZS LaU iv: ,St rl Si.) Z7(-i►ura rt U., _9 l.Ao.rr.b"vcoSi,
3 i Lavt r=a .) 33 1.40,4lnbvrc315i., 3s `O`vyfonbvr-aS
`(City and County`), /1
°awn 3 $.coke), N0- �t�V�SvJi e7vvk�`
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing,with dimensions, should be provided with this letter.
X I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response Is considered the same as no objection if
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 set
bck a minimum distance of 15' from my area of riparian access -unless waived by me. (Tryon
wish to waive the setback, you must initial the appropriate blank below.)
tJih. I do wish to waive the 15' setback requirement.
t.t/it I dodo not wish to waive the 15' setback requirement.
C
/- 9 -0
Si Name Date
rt�s U%// $ sd4
Print Name A' iA

OCEAN ISLE OPERATION 39002 January 12,
5932 TARLETON DRIVE,OAK RIDGE,NC 27310•[phone]
PAY TO THE DENR $1* *****2(
ORDER OF
Pay: *****************************************Two hundred dollars and no cE
127 Cardinal Dr. Ext .
Wilmington, NC 28405 4/d/A
f (� / A4,1
MEMO Cf'l (` d L Z AUTHORIZED SIGNATURE
1000625911' 1:053LOLL2 Li: 5L97906L6too