66601D - Hooks

ICAMA / G'] DREDGE & FILL I� 3 / ! A B
GENERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources —7 f [
�oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1 1 ? �n i%
'' ``` (� Rules attached.
it Name `� W�Q S t�G Project Location: County RLA,V 1S(n C
+7" 41& Street Address/ State Road/ Lot #(s)
V1- V\ State ZIP 7 L%o,ln C M\-1G1 �•Cy� S
(W , ) �J E-Mail ( __ _ Subdivision
ed Agent (C, i h I q . h� ZIP��
❑ cw ❑ Ew ❑PTA Es KJ PTS Phone # ( i U) � l River Basin � 1/L
❑ OEA ❑ HHF ❑ IH ❑ URA `❑ N/A G I
❑ PWS:
yes / no
yes / no PNA
F Project/ Activity
L'C
ck) length
atforni _
Platforms)
ier(s)
ngth
c�
d� fZprap length � D,
distance offshoret` ,
.distance offshgre��
cannel //
Dic yards
np
s oatlift
ulldozing
e Length
not sure yes
ium: n/a yes
yes
\ttached: yes
r
Adj. Wtr. Body na i
Closest Maj. Wtr. Body
Cl o
(Scale:
-19 -� r f
rig permit may be required by: o W 6— QQ y U See note on back regarding River Basin n
Local Planning jurisdiction)
- .. _ .... J., � , C —7 1\ IN A

NC Division of Coastal Mgt. Habitat Impact Coml
Applicant:
Date:
Describe below the HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
Fit
(Applied for.
(Anticipated final
(Applied for.
(Ar
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disl
Habitat Name
Choose One
includes any
Excludes any
total includes
Ex(
anticipated
restoration
any anticipated
res
restoration or
and/or temp
restoration or
ten
ternimpacts)—impact
amount)
ternimpacts)
am
1 /
Il v
Dredge ❑ Fill Both ❑ Other ❑
Ij C) o o
6 6 6
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

:verly Eaves Perdue
)vemor
AbOW! W.,&
fw
North Carolina Department of.:Environment and Natural Resources
Division of Coastal Management
James H. Gregson
vain. �• -
.me of Property Owner Applying for Permit:
Scarier A. Nooks
uner's Mailing Address:
Z-c, ,,s A. 14eo�s'
2.12 7-ckr4ar+ 90(
L v m ber-I a 1 NC 2835�
hone Number f'3141
Dee Freeman
Secretary
Name of Authorized Agent for this project:
50"ies W. I4OFS
Agent's Mailing Address:
�aw+eS W �nkr
w. �Lq 54yrQf
L Limber-6 NC 2g3S8
Phone Number
18'-gg41
certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
)r and obtaining all CAMA Permits necessary to install or construct the following (activity):
t,lrw Fi-�4q (Sr ') S 4257 Vin V ( 8u1 LA"Pad
my property located) at 4S W' 1 1 4a4a S4 • 019 , NC
certification is valid thru (date)
Date
Property Owner Signature

CERTIFIED MAIL, - RETURN RECEIPT .REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROP +.RXY OWNER STATEMENT.
Name of Property Owner: a M e S fq , H-6U'` S
Address of Property: 4s- _ W'( m 1 V14-on st' 6 f S i N C ts, ru nS
(I.ot or Street 4, Street or Road, City & County) Applicant's phone Ii: =� 3 �' S 2 lvlailing Address: I 1 TG t` 4y r l /�
A . _
L �w�ber�r N C 2F'
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this pern
has described to me as shown on the attached drawing the development they are proposing. A description of drawir
with dimensions. must be provided with this letter.
V/ I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive E;
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, clock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance
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 wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(P o caner I orm, t'on) (Riparian Property Owner Information)
co
All atur ._ � Signatur
�w� s /} , 1--p o
Print or Type Name Print orTyprNanie
212. Tar4,, �gellevca,Dgk-
i nilina Arlrire.SS Mailina Address

6EbVecJWSF; -TJ1.- LJ KNy :140H - : ;,(� �#-4f-.,`'-t,2-
IUYt ISION OF COASTAL MAN A G EMINT
Name of Property O miiir: GI f'Y1 �S� ,kto k S
At'dom of Property, __-- 4 S- Lj r l m�..�.. r vvj - cs n St •
U,ot 4r sftd- ), Street or
Npp►►mit's pbono C_ T6 -'131 - 6 S ;2'1 Mas; Ati<09W 1 � ✓�� 1' �d n t �t
umber4r, NC
I h aebry unify that I ow-i propq ar, amt to the obve referenced property 'Me individual applying far this peamit
has described to no as sbovm on $0 a =IW drawi% L46 deveiopmmit they *m pnVosing. A ON of
I have to *eotione to 31hts Propoext. I U.ya ob)aodam to this;,poml.
if yam, have objoatiou to what 3A bejug pr©powd, you mwt uotti'y thsDivtfcn of Coastal Mxuagemmit ;DCK
In writing wttltia IQ days of receipt of this notice. Carrupottdwioa skoutd be meiled to ill` CardlxA) Drivt pxt,
WilgWaSton, NC 29t0!j.,W. DCM mprmetatives m aW bs ant" at (910) Mo resPouae to
sd 4 d tba.atttaa m fir ff Too iten bon n4U&W hi UO SI xM-21_ „_,.,^„ —
WA.IM S C'110N
1 <sar�rr�dt�a�igr� tigCk, x4Qog P.►�6, b►(Cvva.Wc,.o#�stus!�s,,or sift meat be cot hngk minitr►tu�t Aistaroc of
i5" frommy am ofriparkn act" Uttkar vn►ivad by me. (Ifyou Wish to rvalvt the wtb#rk, You must lAtUxi t�&
apt 6prime blank below.)
. I do wtah to waive tbo IS' of ba:k mqukarrmat,
I do not wid m 4nhfe dxo I5' sat back. muirment
A, 400i s
212 T-4rJhvr% Rck
Mailing Address._....... ._...._._.�»�.
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or Ty"N%m4
Melting Addrm

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