66566D - Helms

ICAMA / ❑ DREDGE & FILL
aENERAL 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 SA NCAC }
` 1 1 ❑ Rules attached.
Name�(�� ' 1 `'1 C 1YMS Project Location: County Vv"
(O v r T Street Address/ State Road/ Lot #(s)
VY State N LZIP 15 -1 5 V'6 \`n � "%-IV\ s .
8 0) 5 - A VE-Mail Subdivision
ed Agent ,,�0 Q \' /� qs s City y" i� &Am 9,((4 L ZIP
❑ CW `}�EW ]PTA El ES ❑ PTS Phone # ( River Basin
❑ OEA ``❑ HHF ///❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body A V\ % (nat
ElPWS: 1 �v Vt/
yes / PNA yes / i no Closest Maj. Wtr. Body
Project/ �C-Ivlty �( `�, I �� Z� V O _
0 V 1 �A 1M (Scale: ,
�i
:k) length_
xform(s) _
Platform(s)
er(s)
igth
nber
i/ Riprap le,
ip
se/ Boatlift
Aldozing
ium: n/a yes no j 1 1
yes
\ttached: yes; no
ig permit may be required by: �nN) I� `C
Local Planning jurisdiction)
❑ See note on back regarding River Basin n

n ' f- I S NC Division of Coastal Mgt. Habitat Impact Com
Applicant: �' ( ft
Date: d 5/ l a /a o I ("
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
FII
(Applied for.
(Anticipated final
(Applied for.
(Ai
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
dis
Habitat Name
Choose One
includes any
Excludes any
total includes
Ex
anticipated
restoration
any anticipated
re<.
restoration or
and/or temp
restoration or
ter
tem acts
impact amount
tem impacts)
rc a
v
Dredge ❑ Fill El Both El Other ,f
�i/m
1 1` O
1
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

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Fwd: Contract
Eric Helms <[e-mail]> Apr 23 at 5:18 PM
To [e-mail]
I hope this is sufficient. If not let me know.
Tim Helms
Begin forwarded message:
From: Marie Campanini <catswiththumbsQidoud.com>
Subject Contract
Date: April 23, 2016 at 5:15:37 PM EDT
To: Helms <ehelms0Garolina.rr.com>
JI
P
AHORA CON
15 % MAS
CEREAL
en nuestra caja
de tamaito ecorromico.
a_ MAS INFORMACION n

v
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owners Gail P Helms
Address of Property- 113 Budin ton St. Holden Beach, NC Brunswick
(Lot or Street #, Street or Road, City & County)
Agent's Name #l: Joel Klass
Mailing Address.- P O Box 279
Agent's phone # [phone]n Supply, NC 28462
I hereby certify that I own property adjacent to the above referenced property, The Individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawingwith dimensions must be provided with this letter.
I have no ohjectinns to this proposal. I have objcctions to thus proposal.
if you have objections to what is being proposed, you must notify the Division of Coastal Nanapernew
MCM) in writing w►tllilr 10 nays or mcefpt of this notice. Contact information for DCN offices is
available at Im neftorrfaGt dim. or by calling 9-888-4RCOAST. No
response is considered the same as no objection if you have been notified by M%rtifiw l un:r
WAIVER SECTION
I understand that a pier, dock_ mooring pilings, breakwater, bosthou3c. lift, or groin must be set
back a rrrinimum distanoe of 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' setback requirement
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
signature
Gail P Helms
Print or Type Name
9628 Callis Court
Mailing Addrpca
Harrisburq, NC 28075
City/state/7;p
(Adjacent Property Owner Information)
Signari�re
Linda S. Averette
Pnnt or Type Name
4503 Riverside Lane
Mailing Address
Murrels Inlet SC 29576
City—Statwzip
Telephonn Nrrmhpr
ltZ/_3 f/- _. ��
Telephare Number

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Gail P Helms
Address of Property: 113 Burlington St. Holden Beach, NC Brunswick
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Joel Klass
Mailing Address: P O Box 279
Agent's phone #: [phone] Supply, NC 28462
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing_the development
they are proposing. A description or drawing, with dimensions must be provided with this letter.
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. Contact information for DCM offices is
available at www.nccoastalmanagementnet/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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 must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
S . __ I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signature
Gail P Helms
Print or Type Name
9628 Callis Court
Mailing Address
1S � ":S4 2 l toll Z t
Sigiwil(re
H C Corbett Jr. Et Shirley
Print or Type Name
PO Box 41
Mailing Address
Harrisburg, NC 28075
Citylsta te/Zip
Riegelwood, NC 28456
City/State/Zip

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