66562D - Morris

�CAMA / ❑ DREDGE & FILL
3 IVERAL PERMIT r7`e A B
Previous permit #
I -New El Modification ❑Complete Reissue ❑Pa ial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources M J r �`�} f
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC e1 /% ! J.
} ❑ Rules ed.
t Name A t V t''1 Orel `; y� Project Location: County
���� Street�A7ddress/ State Road/ Lot #(s)
y1�ih ✓/ / /yE'C! State ZIP17
I' /C % /Ur%✓
( ) E-Mail /'— Subdivision f
ed Agent/ �� *�g i City
❑ CW A Nef ❑ PTS Phone # ( _Ab l � �G, River Basin
❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A Adj. Wtr. Body Gl�i/ 5 nat ii
ElPWS:
yes // no PNA yes / no Closest Maj. Wtr. Body
:k) length
itform(s)
Platform(s)
er(s)
igth
nber
i/ Riprap length
distance offshor
x distance offish re�T
annel ys X is k.3
iic yards /2p
ip
se/ Boatlift
Length
,ttached: no I_L
4 1( VAO
ig permit ma)&,ta required by:
.ocal Planning jurisdiction)
Ff /-
'" -10 IJ
❑ See note on back regarding River Basin

NC Division of Coastal Mgt, Habitat Impact -Computer Sh"t
Applicant:
Date:
Describebelow the HABITAT disturbances forthe application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
tem impacts)
F[td
(Anti
dis
Ex(
re
an
im s
St5
Dredge 1! Fili ❑
Both ❑
Other ❑
Dredge ❑
Fill U/8"Oth ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other
Z
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Dredge ❑
Fill ❑
Fill ❑
Both ❑
Both ❑
Other ❑
Other CI
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
n.o.i A M Frli 1-1 Both n Other ❑
IL. Sq. Ft.
FOIAL reef
for.
ruv^p' —final
(Antici ated
;ipated final
(Applied
lurbance.
Disturbance
disturbance. .
ludes any
total includes
Excludes any
and/or
>toration _
any anticipated
restoration
temp impact
Vortemp
restoration or
7

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to 1(;t 11 S s
}} (Name of Property Owner)
property located at a t ��(; �\ (i t l- all ju
(Address, Lot, Black, F�oad,,ejc,) n
on (G in i) It 1 ' i N.C.
(Water o y) (1ty own and/or County)
The applicant has described to me, as shown below; the development proposed at the above
location_ f
_ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
YS
io k-�
oC G,J J dot-' -
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp. 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.)
X I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner lnf rmation)
ignahrre
Y�-L 1``l��ti� aa�--' gill {� wn'5
Print or Type Name
_�_ ►i� i`1 hIr
(Adjacent Property Owner Information)
' .Si ture'
P in or T � m70"'C

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ! i �i 1 �1u+ iS s
(Name of Property Owner)
property located at a } JU : �iJ1�iy�ti vlve—
(Address, Lot, Block, Road, etc.)
on�L.: E �c�G in �fn,�1� N.C.
(Waterbody) • (Clty/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
4 location,, /
(f I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.;r.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature ,
Print or Type Name !�V
Mailing Address R
(Adjacent PropertJ Owner Information)
Print or T Pe Nalne
L u VP1 , nG ,4 ✓�
Marling Address , / o
-

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hael Conard
Michael Bostic <[e-mail]>
Monday, May 02, 2016 8:29 AM
Michael Conrad
act: Re: Spoil island
oved by Michael Bostic (property manager) 4/29/16
from my iPhone
pr 29, 2016, at 10:09 AM, Michael Conrad<[e-mail]> wrote:
A afternoon Mike,
per our discussion we would like to request use of the spoil site
ass from Atlantic Marine to deposit 4 loads of spoil(approx. 140 cubic yards from Mr Morriss's residence at 221
i Lumina. Could you please respond back to this email and let me know if you have any questions or need anytF
er from us besides payment when the job is complete. Thanks Mike Sent from my iPad