66265D - Hoffman

CAMA / ❑ DREDGE & FILL tit `1
T_< ?
PEN ERAL 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
(J ' l o o
oastal Resources Commission in an area of environmental concern pursuant
to I SA NCAC I
pp ff
Name (Y h{ o t t ry)ck Y\
❑ Rules attached.
Project Location: County j L I \,'', A S t "J i ( -
�. r
7 .Sy
Street Address/ State Road/ Lot #(s)
State NL ZIP
i
i t �.
(1 10) (,; I Z - 2.LOd E-Mail �- K I C vJN C � (v (a tv\
Subdivision �i 1'�' 1 C S
:dAgent 1....0Ylt i46V)NS .'o"vViO nr t
city ��ov '1j�bZIP 16
v� �Y\
❑ )j CW EW El ES ❑ PTs
. •,T LL
Phone # ( �l b) L1 LA3 - LA8I g River Basin C F T
,XPTA
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
Adj. Wtr. Body A W W (fiat /n
❑, PWS:
Kes / no PNA yes / no
Closest Maj. Wtr. Body
iic yards
ip
>e/ Boatlift
illdozing
Length
not sure
um: n/a
atached:
i C
yes no
yes no;
yes no
yes no
ig permit may be required by: 1j r1/ (1 W i k C U • ❑ See note on back regarding River Basin rt
_ocal Planning Jurisdiction)

NC Division of Coastal Mgt. Habitat Impact Conl
Applicant: Tom\ e_
Date: 0\ f m(xlo
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
FI
(Applied for.
(Anticipated final
(Applied for.
(A
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
di.
Habitat Name
Choose One
includes any
Excludes any
total includes
E;
anticipated
restoration
any anticipated
re
restoration or
and/or temp
restoration or
to
ternimpacts)
impact amount)
temp impacts
ar
Vvv
Dredge ❑ Fill ❑ Both ❑ Other K
) -z- 8
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other 171

5/2015 10:33 9104549443 CYR4US TECHNOLOGIES PAGE 01/0
25 2015 1 1,30FM HP Fax page I
MMNWh Carolina DePS&W16f Envir-c-mmont and Natural Rwscwces
N.C. Division of CORS--:al? Manwjvnent
Narns of Fur-MIL6 wW App4ing fo- Peri-nik
Ow wee MWOaAddms;
IT
rqtx
Moro
.ff
L.
AOSWS M80bg AddrM,
--"o
MM f- Ish", of
SOUVWY
I co r* that 1 �-Woe allfteirad " agnnt RSW qtx)vee to 41 on my I�tWf, fol the pu"se of sl3q;Yft
for, ana obft." aft GAJVIA P-3,MRS nogesaWy ire insLOR or cons this tokrMng (ecNvky)`
U
For iry ptopsl.y Vocatod at - .2
Tft wft.40n)s vwd I year ft

2015 1:59AM HP Fax page 2
29/2015 13: 58 9104549443 CYGN..IS TECHNOL.7GIES PAGE 01/01
9 2D15 113" W Fan page 1
Nods Carolina of Emkom a and NMUMI Rasps
�O DIM
t d� t?�rtwr�� ftr P�:r,��: �':� � ��+�rxtssdi�pwvetorthis pt�ajrct
r+-
Q
l Ily 1t+wl l hm" wttvolimd tto egret %%d OM6 is &d W MY ts", ias Me Pugosa of agplyk9
fix, obRarf�np: aN �C,AMA pantfNa merry b tntekd a�rntbwd the MMati.4 r� ( ltv ri_
` &mv ft'C'�Jm (daw)

2015 1:59AM HP Fax page 3
3 2015 1024PM HP Fax page 1
! harebY oettXy ttrt i owr► prope�y; �� �t �� s..�.
�, IName
pir"O ty located at _ t ' '6; site, , t ,-
(Address, tot, SlocKjRo
on T= in
(Wnt"04) Cliyl
of Pry ty Owner)
A atc.)
---W. __ , N.C.
own anclor County)
The SPOlkant has described to me, as shown helow, the dweloP meat PrOPased eA the above
-fi t
.�s#m> i have no objerriticn tx'tots propr,,shi
to This ¢rctu)Sai.
DESCRIPTION AWMR DRANNM OF PROPCRRD DWELOPMENT
0ffVj* N proposing f �te�t +�s�A�►� cr�pfilosf for a+tbre* a a/t+s ~low
kIve jo/ We o C_k a" 9 j' "
WAIVER SEtr 0
1 unOmll ind that a Pier, dock. mooring pUVvM host ramp, breakwater, boaRr Ouse, Ic or o"n
must be W beck a minimum distance of 15, from my area of riparian access uniests w elyed by
me. Itf you wish to waive the setback, you must inttial the appropriate ble0, bf.40 AA.
i do vrish to wive the 15'setbad(requirement.
I Ado riot wieh "'Cr waive the t-5 "ttack r irerrsen .
,Prt)vady Owner Information) (Adjeoort�Pr� bft mation)
� rub s
T� Near Print o T C^
.r'�t orJ

,2015 1:59AM HP Fax page 4
03 2015 10 23PH HP Fax Par 1
hereby tttiat ! QyWt i MP" adjacW, to
PmPerty loceteC at
(Addren, Lot,
on 141. - in
one of pr.*E y Owner)
,Road, .)
Irfillown andlor county)
a he applicant has desc ed tr) rne, aS <,h below, the d(NejDpfnpnj proVosad at the above
ti
.i+Pvs n(; cje--tot to this prc i.
f
F
—.a..o,,,,,_ i have ObjectIOns to this proposal_
scRdlmON ANDOOR DRAW ter- D-�""iposg-n nwuct
l undemtaNj that a pier. dock, �N
ft'st he set back a mint icing*' boat ramp, � r�a�'ater, bsoatho , lift, or groin
e �lN1A di8lArlr�e of 1'$` f M my "i4 ref Flrf iin
' . (" ; ou Y-firth to waive the bG tt l wativvd
��• You me,�# Initla�! the appropriltt+e blank baitaWr., �
! do wish to waive tt3 •, 5,brck !ettuirerrtssrA.
.. t do not wish to wSNG the 16, setback requirement,
(property owtears iMomtawnj
fteature
tAd�c� Propergr oYrr�er lr�lbrmattonj
N
st 4 y+ "
x
or Tye nra rre
"'D'ii v Adcke.- ---

D-16 2:43W, HP FaX Page 1
,mooAIR
� 4
r/ r

2016 2:43AM HP Fax
I— I
f .. ePI4, J-42A)e-
16,
4x-

A
w �
�inecrest Dr "!