41528D - Roberts

•
.\70'CAMA/ ]DREDGE & FILL , ; LI
3ENERAL RAL PERMIT Previous permit#
'fVew Modification Complete Reissue -'Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources /G7
2oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7ff, OD
/�,//-- les attached.
t Name ///ike /l p be/4s Project Location: County rt/A S[vit lC
Ji? DCek.PI6-tet ee'14 Lel Street Address/State Road/Lot#(s)
ti4 LJGt 6e.c11 State /06 ZIP
( ) Fax#( ) Subdivision
:ed Agent City ZIP ElL N [CW TA !DES ❑PTS Phone# ( ) River
Basin (�/
i�0€
❑OEA ❑HHF El IH ❑UBA N/A Adj.Wtr. Body C/i 2 a Ie ! Aoeie' (nat A
❑ PWS: ❑FC: �J�
yes /67 PNA yes /61 Crit.Hab. yes / Closest Maj.Wtr. Body �`T! ��
f Project/Activity AD/ace) 11*,o4 iPt , P,- r' TlOoiP."
(Scale: / ,
,ck)length ''x L330
i(s) /0 x /ji 'bt. /i 71 dri-
lier(s) X
i
ngth �ti.
mber
d/Riprap length 1 ' . C
g distance offshore
tx distance offshore \\\,,N7tYAV€-
bic yards - _
1�
np ___
Ise/Boatlift _
I/ 60X K' IP
ulldozing
'/D‘ ✓ /0x/L iv
J
,`
i
e Length /70 1 c-(s 1-y
not sure yes `" /10
s: not sure yes
cum: n/a yes
yes
kttached: yes •
ng permit may be required by: f14..)015ry IC tc 6, See note on back regarding River Basin r

DIVISION OF C'O&STAI.M&N&GEMENT
ADJACENT RIP&RIAN PROPERTY OWNER NOTIFTCATIoN/WAI\,,R FORM
Name Of Individual Applying For Permit: in I � ( G j r
Address Of Property: S OC L/y_
C/9- S 1,W_e t C f3 e/tc_A A/L_
(Lot or Street#, Street or Road, City &County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tortte 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. G e.aa ovt "wit .44. e
If you have ❑hjrrrionc to what is being proposed please write, the Division of Coastal
Management- 127 North Cardinal Drive, Vr_ilmin5on North Carolina_ 2840Ior call 910 345-
1900 within 10 days of receipt of this-*once Nosrspans is ronsidere I the same as no obje-rion
if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian arrrss 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_
I do not wish to waive the 15' setback requirement.
• G/za/zras
Signature ate
j of L . _7a.ti.es

1.
i\
, :t‘, , e Q a 6 2917 -
If— II. 4„i_ick,2,
t,}A i
.13o x4
Y 70
1 - IA a'fc�
I
w mhrsA x
kr '1 I -1 i ik,
iti );
1
IA- V- )1 , i "k

•
To: Division of Coastal Management
From: Oceangreens Homeowner's Association
Date: June 20, 2005
Re: CAMA Application for Dock Proposal, Mike Roberts
This is the note referenced in the signed Adjacent Riparian Property Owner Notification Form
for Mike Roberts of 153 Oceangreens Lane, Caswell Beach,NC 28465.
The Association has no objection to this proposal, so long as the as-built dock location does not
materially interefere with access to the water via the indicated finger of water, "Ditch"on the
sketch enclosed with the drawing.
WI. `--
Michael L. Jones- President

PAY TOTHE COREiR OF /91// /)L I $. /Oaco..
n ? / U j1c.1 / LC n' DOLLARS L'J ..
COASTAL FEDERAL BANK
SOUTHPORT,NC 28461 /J�
MEMO / A.
'I: 253 27 23551: 3 25800087 211 784