39821D - Sirk

CAMA/ 'III DREDGE & FILL
iENERAL 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 7N,/-0'L)
❑Rules attached.
:Name 7.. `' -77:, /c- Project Location: County /, i,).:t(--,c A-
/0.✓o &,-L: C.-*/,e i e_ Street Address/State Road/Lot#(s) ,3 72.'%
A .,,.ig State /')-26 ZIP-2 '24-'4 /c)r, -.„/� /-'o/•)14 ,E Cic,d
(2 /o) ye/ '15557'7 Fax#( ) Subdivision ttti
ed Agent /j';e --7 k. 5#ee,o.a t City /f .'-/ . , % cr,,/. ZIP . .-23 zit,
❑Cw ;OW XPTA ❑ES ❑PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body /%i i'-'tee--) (nat it
❑ PWS: ❑FC:
yes /�no PNA yes /, no' Crit.Nab. yes / no Closest Maj.Wtr. Body - -/1/�`.i``'
Project/Activity , 4 i /
(Scale: / '_
:k)length /U
(s) /�-.k/(0 1 ..._, -. T --.-- - - .._Ir. - -i_ _._. , : -«_-_---i—
er(s) —Hi _ f
gth i !
i a j
nber
_
i/Riprap length +._. + ' k' / •
;to.
t 510
;distance offshore
x distance offshore 1 ......I t!r 4
i
lannel ' f • / tI\ ! I
E I
iic yards I 1
— } r-- ---
__ _._. ! __ __
s i.ft iqx/4 1 �;
{ ! 1 i _ 1 f j
/3V;,/373.)
i
illdozing I ' G I
,
I
v I
i
Length 75 li! ! ,
not sure yes ..a; i /. V i_ ( v I _ J'{
V 'V
not sure yes ng� —
ium: n/a yes no,
yes hot ;
i
t— .f—� .�_. __T?- ,mot•
attached: yes no,; 7 ,71 .ra./ 57.-- a I, 7 '_..__.'—'-..
ig permit may be required by: a/Lir7514,./NCk. (" i r/)ii/ 7 See note on back regarding River Basin rt

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 5;c
ADDITIONAL NAMES:
AEC DESIG: LZc> i DEVELOP AREA: ___ PROJ DESC:• P -/.
(Will only take 6) (Will only take 1)
WORK: Pk- 2/0
J
(Will only take 4)
FL /6,/8
MAINT:
(Will only take 4)
IMP: Oa) 28
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: /////05— 41////o S
CAMA MAJOR DEVEL REQUIRED: 1///05" `th/70

00 I$ XIh LEGK
00 epotRf
�E �goAT orr 1 I1
1
1 1
1 1
T .1
,AID ,
I L 1
• 1
Dr
1 1
1 is' \ 1
1,1- 1
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,101-001
5'

01/05/2005 10: 32 9727020156 TE:«M1IEF'IC ,N PAGE 02
01i 05/2005 19:18 9108452502 St-IQI?ELINE PAGE 02
•
DMICICAT np C'flsarnt_161,014Gy
ciumiznillaMELCAVI1Nfwntlynt strew
Naate Of Individual ApplyingFee Perini ___ . .fix
Addrt Of may- .2 Z.?9
apt or Sneer 1t,Smoot or Road.Oty dt Camay)
I hereby eenify thst 1 own p ispatty adjacent to the above-cafetenad property. The individual
applying ter deb permit bee described wide as than as the attached drawing tb,development
. they ere pr'opasiag. A drscriptioo of entries. with dimeasiemr.should be provided with tills
lama1 have m objectives to this proposal,
ifs Wive,T2TTT
WAIVED SECrielti
1 un letsaad that a pier,dock meorieg Piss.brearamer.boa[house.lift or saad a¢mast be
m back a mrrlmum dissmot of 15.from my area of riparian access mien waived by me;. Qf You
wish to waive the setiock, You meat Waal the spproperir*blast below.)
?do with to waive the 15'setback requirea;m
�i7�iw+'r I taunt with to waive the/I'setback cagy
t 9 5-Al crA
Sigairme
via
tkieLes NCDR
ai,tin Cade 4°r o� MP

DTVTSION OF C'O&STAT.MANAC:FMFt j
ADJ.A,¢'7T RTP&RIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: i-1 DR D 7 i —CI-
Address Of Property: 3 7,2 ei /j y PQr R b
/41L be Re4Ci-f fJG !3R_tt.�sSvsrc_%<
(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 descabed to the 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 in what is being prnpncrk please write the Division of Coastal
Mann ement, 127 North Cardinal Dive, Wilmingon -North Carolina_ 7R405 or call 910 395-
1900 within 10 days of receipt of this notice No response is con.ice d the same ac no ohjeerinn
if you_have been notified by Certified Mail
WAIVER SRCTiON
I understand tha a pier,dock, mooring pilings,breakwater, boat house, lift or sandbags
set back a minimum distance of 15'from myarea ofmust bu
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
count wish to waive the 15' setback requirement.
41171°1111illiA
Signature ,
Date

;HORELINE MARINE CONSTRUCTION 67-7235/2532 26 0 8
GREG PREVATTE 3258000872 •
P.O. BOX 10671 /-//-05'' J
SOUTHPORT, NC 28461 DATE
2/9/y7/9
;OF /DO� II •1;1'
2_ ' %' - ' Oa DOLLARS B „ •
p7
THE FIRST FIFTY YEARS
,
- lD
COASTAL FEDERAL BANK
1 9 S 4 - 2 0 0 4
SOUTHPORT,NC 28461
-- P .:a►' -'-�-A1 - -- -4. -------- "'
53272355I: 32580008720 2608

HORELINE MARINE CONSTRUCTION 67-7235/2532 2608 i.
GREG PREVATTE 325e000e72
P.O. BOX 10671 /-//-05
SOUTHPORT, NC 28461 DATE
I>
//T
� 1
TF THE "' /� I $ /oo 3 „1
�I[u.oG1 -d ¢" ���47° DOLLARS ICJ �..: .
THE FIRST FIFTY YEARS
)COASTAL FEDERAL BANK
3
•
1 9 3 4 - 2 0 0 4
SOUTHPORT,QQ ��NC 28461 - � �
ez.t....,....,.....,, il)74:4.4e___ _.
s 3 2 7 2 3 5 Si: 3 2 580008 7 2" 2608