36869D - Lee

( AMA/ ❑DREDGE & FILL
1E14ERAL PERMIT Previous permit#
glew ❑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// /7."'r)
E Rules attached.
ProjectCounty .5(.-cam/cl...K
Name �,U3� �f� Location: �� ;;�
' C)8 CO, (C!Cd/t` J r/ vc Street Address/State Road/ Lot#(s) 2 308
,/G /SIGnd State JG' ZIP Z8'4/-67` 1./(.)6 5IL \/tteAi- hr.iV(.
( ) Fax# ( ) Subdivision
!d Agent 7)--) (.r ,( 5/u a =/ City 06. lL /51r •ici ZIP ,geq 6
LX,CW 54W ATA L ES PTS Phone# ( ) River Basin LLi/
❑OEA ❑HHF ❑IH L UBA N/A Adj.Wtr. Body /q 1 L(..)GCJ (nat�f4
❑PWS: ❑FC:
,es trioPNA es no Crit. Hab. yes / no Closest Maj. Wtr. Body /�%�
Project/Activity ( 'U>i-Y u c t l"'lc r/ 'E`l d i) -/ t L'f-;-
(Scale: I z
k)length /5-0 r
r
s) Jo x 12. Co verrr/ .
r(s)
h I(A)(,U .
gt
fiber - .
Riprap length
distance offshore
distance offshore a l Z/ I
IL-'
mnel
c yards /I. I ( ,
0 • ;4....... .
oatlift / K/ 1
Ildozing
1
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r ! . 1 I
Len h d / ll' k,i'
St L+Zed —
/' 'J F ',J' i
not sure yes no" j +I\M v �{ ' v/
not sure yes . I /
n>o L,L,z r .. {
im: n/a yes I 1
yes �) . I /l Ct 11.1 i'a ( `Fl(fid 1434. j i
1
tached: yes no) i I i . , i Pt, '
g permit may be required by: ' 7 -i r -7 6e, L. / y�C/ See note on back regarding River Basin ru

GENERAL PERMIT COMPU'1'EK FORM
APPLICANT NAME:
ADDITIONAL NAMES:
AEC DESIG: C ) P T DEVELOP AREA:__. PROJ DESC: ( - I
• (Will only take 6) (Will only take 1)
WORK: PV-- (50) (L I r7
(Will only take 4)
a_ (0) 0,-
MAINT:
(Will only take 4)
IMP: OW
(will only take 6)
•
ACTION EXPIRATION
DREDGE&FILL REQUIRED: ( Co•03
•
CAMA MAJOR DEVEL REQUIRED: 3(2-3)0L{ lv '23 �O�

vo t,419/84, I ' . 7 '4° Y av/75T 4 r'4, 7 w IT
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DIVISION OF CO 4STAL MAN 4GEMENT
AW.ACF:NT RIP4RIAN PROPERTY OWNER NOTIFICATION/WATVER FORM
Name Of Individual Applying For Permit / ► & Z e
Address Of Property: 3 e b f I2
D l i ZSz Iva /v'e,
(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 tome 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 objection to what is being proposer, please write the Division of C.nacral
Management 127 North Cardinal Dive wilmin_inn North Carnlina 28405_or call 910..39s-
1900 within 10 days of receipt of this notice No iirponse is rnacidered the same as no objection
if von have been notified by Certified Mail
WAIVER SECTION
I understand thzt 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 access unless waived by me. (If you
wish to waive the setback, you mutt initial the appropriate blank below.)
I do wish to waive the 15' setback requirement_
I do not wish to waive the 15' setback requirement.
3 _1 y - (.:u A,v A
Signature f j Date

SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1, 2,and 3.Also complete A. Sig au
item 4 if Restricted Delivery is desired. w X # K�id 4-)4D Agent
IIPrint your name and address on the reverse p Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date o Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits. I .
D. is delivery address different from tern 1? ❑Yes
1. Article Addressed to: if YES,enter delivery address below: ❑No
‘A Oa_lc\ c peal lel-
1 to Co(o►A,Ca(_ r.
3. Service Type
�� rtified Mail ID Express Mail
i lA i ) (" Registered L7 Return Receipt for Merchandise
J p/tiC / � ❑Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Nr 7001 1940 0004 3547 4647
(Transfer
PS Form 3811,August 2001 Domestic Return Receipt 2ACPRI-03-Z-0985

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/'°.;�. _'87-7235/2. 1;-�+_':-- .:.2'3-4 6-
'�-'' SHORELINE MARINE CONSTRUCTION..;,,..-,,,,, 3258000872_ �..... ^�. .s''
C�
GREG PREVATTE _. ' , _. 3^0�/ �•;,r"
,..,o.r"^`. ,.�^�� F P.O. BOX 10671 •. f'w� DATE 7 o� ! v. s" M�
`�%.• ~SOUTHPORT, NC 28461 _ ... ,
.� ,�' •• �.,I''�`mow w a+" "'«.. ..... •
.PAYTOTHE QMA ,.w " r-� /OD
rI
• ORDER OF --- ti
A
g COASTAL FEDERALL,BANK �=- --
�• ! :- !F�+ • Y.- ,...
SUTHPORT,NC 28481
�?36�O_ ���` f r ' Y :
MEMO ' /24A"'` � "- o aA`
' : 253-2723551: 3 251300087 20 '-2346 ,.•`-,-:.,..--."' '''