66328D - Harte

IdAMA / ❑ DREDGE & FILL
GENERAL PERMIT �) Previous permit #
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
wized by the State of North Carolina, Department of Environment and Natural Resources J�
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Y/ 4 ❑ Rules attached.
itName DO N #h, T e_ Project Location: County
�9 Sort w' 4L At-,o- Street Address/ State Road/ Lot #(s)
Te"".5� State ZIP 79'460 > 7� ! i; U / C`. L U �.• b,,f' .
l �J 7r� E-Mail Subdivision A i C-
Eed Agent r /t C ►' li City 4)7 r/ ZIP
❑ CW ❑EW OffTA
❑ OEA ❑ HHF /❑ IH
❑ PWS:
yes 1 no PNA yes / no
❑ ES ❑ PTS Phone # ( f )"— River Basin P4AI
❑ uBA ❑ N/A Adj. Wtr. Body
Closest Maj. Wtr. Body Izzy
f Project/ Activity /
(Scale: f ��
)ck) length
latform(s)
Platform(s)
Aer(s)
;ngth
amber
Ld/ Riprap length
g distance offshore
ax distance offshore
hannel
bic yards
np
i�tlift i
1 �3 Z 2
e Length f - 7' -.7
not sure yes
•ium: n/a yes
yes no
4ttached:
ng permit may be required
Local Planning jurisdiction)
G r 11Y
❑ See note on back regarding River Basin r

NC Division of Coastal .Mgt. Habitat impact Computer 5ee
)licant: p �, 4�,,
te: rj — r 3
scribe below the HABITAT disturbances for the application.
values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
for.
FINAL Sq. Ft.
NA
(Anticipated final
TOTAL Feet
(Applied for.
FINAL Feet
(Anticipated fins
DISTURB TYPE
(Applied
Disturbance.total
disturbance.
Excludes any
Disturbance
total includes.
disturbance.
Excludes any
bitat Name
Choose One
includes any
anticipated
restoration
any anticipated
restoration and/
restoration or
and/or temp
restoration or
I_.Y_ .
temp impact
1r, mm+N
Dredge ❑ Fill ❑ Both ❑ Other^ � l 2—
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge. ❑. Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other

R
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Datei
i
t t
'Bane of Property Owner Applying for Permit:
s
:Mailing address:
I certify- that I have authorized ent a � il,
(g ) �� k Luch-�ato act on mi
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (Mv property located at)
2
This certification is valid thru (date)
10Y—)

rINORI
Nk,;,qMAIUNE�eol
CONSTRUCTION
Sneads Ferry, NC 910-327-3475
Dear Property Owner,
This letter is to inform you that we will be doing Marine Construction worm at
your neighbor's home, Mr. Don Harte @ 30 Sailview Ln, NorthTopsail.
Please see the enclosed "Adjacent Riparian Property Owner Notification" and fill
out/sign by the highlighted portions and return the form in the enclosed envelope
at your earliest convenience. If you should have any questions at all, do not
hesitate to call. You can reach us at our office 910.327.3475.
Also, a drawing depicting the proposed work has been included.
Thank you O
Sincerely,
1Pnni Antinnri-FnnPtt k lPrrxi Fnnatt

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Doq _
C)
I hereby certify that I own property adjacent to the above referenced property. -,he individual
applying for this permit has described to me as shown on the attached drawing the levelopment
they are proposing. A description or drawing with dimensions must be provided with this letter.
& I have no objections to this proposal. T 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.nccoastaimangement.net/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, or lift 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.
I do not wish to waive the 15' setback requirement.
(Riparian Property Owner Information)
Signature
DaAA*D A
3o SR i LVI Ei VJ L Q Print or Type Name
N • To ffs-q 1 L S EA<'(} 4 • C • Mailing Address

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: __ DQ,y) _rt�
Address of Property: 0 s6t,�a
(Lot or Street #, Street or Road, City & County)
Applicant phone #: in by& CWSI Mailing Address: e�
ci
�1D31 3�IVULkA
I hereby certify that 1 own property adjacent to the above referenced property. -,')e individual
applying for this permit has described to me as shown on the attached drawing the-ievelopment
they are pr osing. 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.
!f you have objections to what is being proposed, you must notify the Division of Coasfal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.neticontact_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, or lift 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.
1 do not wish to waive the 15' setback requirement.
�iii�6�yj.�vl►� v
Do -A-> A rZ-
3o SR i i_vl Ei W L 4
(Ri parian Property Owner Information)'
Sign tore
Print or Type Name
10 2�, l SL-(07-1 � v 4-0-
Mailinq Address "' `'
M

,Ex's
LL.
,-3x4
RxI

1p
i ,E 1 1
C',"-.. a ► 5 n£
-a, f-AID-