73541D - Carlisle

_' CAMA / A DREDGE & FILL No. 73541 A B C
GENERAL PERMIT Previous permit#
view ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �� N • j ��
�1
❑ Rules attached.
Applicant Name m✓�Lim /t Project Location: County�/�,W HAnVy4r
Address /p0 ble ✓1 he wi V 11 , Street Address/ State Road/ Lot #(s)
City State ZIP 6 X� �� K
Phone # ( �0) 5 ( E-Mail MSU/b-SIR �r1M�___C�_Om Subdivision _
Authorized Agent$O41hI&" 6whe &Q571'W4 ZReL�1P/? (P%�itr ZIP
Affected I CW [IEW ElPTA N ES 511PTS Phone # (__—_) River Basin A
AEC(s): ❑ OEA ElHHF ElIH ❑ UBA ❑ N/A� k
❑ PWS:
ORW: yes / OS PNA yes / no
Type of Project/ Act i ity
� � (1S 4 4G
Pier (dock) length V1
Fixed Platform(s)
Floating Platform(s) '
Finger pier(s) 4o4 *vAAnsAs n 6r
Groin length swrHm DOMANW4 QWUP;
number
�gulkh ae Riprap length \ 75' AEC
\._
vg distance offshore kh 4J 4�
max distance offshore
Basin, channel
cubic yards_ -
Boat ramp
Boathouse/ Boatli
Beach Bulldoi g —
Other
Shoreline Length M5 L F
SAV: not sure yes Q
Moratorium: n/a yes
Photos: yes V
Waiver Attached: yes ®°
Adl. vvtr. Bodybs Gt / �man /un n)
Closest Maj. Wtr. BodyA/14✓61.,
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(Scale: N I `' )
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1299'
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39.70'
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19
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3561'
20
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A building permit maybe required by: h f PJA 4y1(`Vt ( C OIM:h4t
( Note Local Planning jurisdiction) Notes/ Special Conditions 74 d 1-a& l h (" j2K? d,*n 5 -bm 1�
or
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* Please read compliance ent on back of permit
Fee(s) Check #
75' AEC
ZONE AE
a—n eo.1r
❑ See note on back regarding River Basin rules.
9
Permit Officer's Printed Name
Aftd.
Signature
Issuing Date Expiration Date
aor

Pat McCrory
Governor
low
WA
�ENR
North Carolina Department of Environment and Natural Resources
Donald P, van der Vaart
Secretary -
AGENT AUTHORIZATION FORM R
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
b
Owner's Mailing Address:
4'a le'A�A,l
Email AIC7
Phone
Agent's Mailing Address:
Email: S uj -2G . #^r, coo,
Phone 173
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for, and obtaining all CAIMA Permits necessary to install or construct the following (activity):
Project Site Address: k106L (
A / t zz
Property Owner Signature Dabs*
This certification is valid 1 year from date signed by property owner.
N.C. Division of Coastal MenwpirvWt
i 127 C.- dinatWw EA. Wilmington; NC 28405
Phone: [phone] FAX: 910-395-M intenW: www.ncaaastalrr►ana nest net
• ; An Equal Opportunity \ Aftnagm Action Employer

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to
W vj-"— her e.
X Sign tore
e �) ❑ Agent
X Addressee
B. Received b (Printed Name) C. Ve cif Delivery
r.,ii
it
D. Is delivery ddress different from item'"
If YES, enter deluter, gddress belr, ,
APR 2 2 2313
6cpress®
3. Service Type
❑ Priority
III
(IIIII
IIII
III
I III II I IIIII
IIIII
I
I I I II
II I I III
❑ Adult Signature
Adult Signature Restricted Delivery
[3❑
❑ Registered red Mail
Registered Mail Restricted
9590 9402 4922 9032 9505 28
❑ Certified Mail®
❑ Certified Mail Restricted Delivery
Delivery
El Return Receipt for
on Delivery
❑ Collect on Delivery Restricted Delivery
Merchandise
Signature Confirmation'
7018 1130 0002 D D D 1 8 D 7 7
red Mail
red Mail Restricted Delivery
❑ Signature Confirmation
Restricted Delivery
(over $500)
Domestic Return Receipt
PS Form 3811, July 2015 PSN 7530-02-000-9053
r
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
, ,►,�,, rV � G 2713 2
A. Sign ure
❑ Agent
T� ❑ Addressee
B. Received (Printed Name) C. Date of Delivery
D. Is deljveIx I, ddress differentfrom tterrr; ❑ Yes
If YES, anterdeiiverYi address below :_ ❑ No
AIR 2.
r
3. Service Type
❑ Priority Mail Express®
1111111111111111111111111111111111111111111111
❑ Adult Signature
El Registered MaiITM
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
9590 9402 4922 9032 9505 35
❑ Certified MaHO
Delivery
❑ Return Receipt for
❑ Certified Mail Restricted Delivery
Merchandise
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
❑ Signature Confirmation'"'
2. Article Number (Transfer from gPrvirP iahon -
ured Mail
❑ Signature Confirmation
018 1130 0002 0001 8 2 7 5
ured Mail Restricted Delivery
Restricted Delivery
7 _ _ __
—er$500)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt

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44.51'
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