66698D - Meacham

CAMA / ❑ DREDGE & FILL A B
aENERAL PERMIT ` l� Previou s pe rm it #
(Vew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
irized by the State of North Carolina, Department of Environment and Natural Resources n � U 1; ,
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �� �� •
�Ilel.�`attached.
iti
Name Project Location: County U�,,v Y� Y U
1-1 C4- A )l -� Street Address/ State Road/ Lot #(s)
-`
1 V �l}t State ZIP 71 H -1 0,
E0 JQ) L f c3l 5' E-Mail _ _ Subdivision"" -�^-
:ed Agent 4' Q City�� IC 1 ' ZIP
❑ CW E�W*TA ❑ ES ❑ PTS Phone # ( ) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body J+t \rQ V\% lnat /
❑ PWS: .�
yes /�o PNA yes / o Closest Maj. Wtr. Body . - ,y
f Project/ Activity
1
Eck) length
atform(s) 11f'
Platform(s)
bT
ngth
tuber
d/ Riprap length
g distance offshore
uc distance offshor
cannel
bic yards
np
is oatlift K
i
e Length 1 ,4 )
not sure yes no
ium: n/a yes n
yes no
\ttached: yes
rig permit may be required by:
Local Planning jurisdiction)
(Scale: 1
❑ See note on back regarding River Basin rn
i. a I ^N ki I t l,.., _. r.i -

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: �/n ((t A V1 r„ 1��, Permit #.
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.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft
(Applied. for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
. FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge [I Fill ❑ Both ❑ Other ❑
Dredge El Fill [I Both [I Other [IDredge
[I Fill El Both [I Other ❑ .
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

ArSTfAL 1.
r�c.uit,inK
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross J
Authorized Agent Consent Agreement
order to obtain any
'rfnted Name of
permit(s) re
is hereby authorized to act on my
for the property listed below. The authorization is limite
:�ecific.activities described in the attached sketch.
OCATION OF PROJECT:
Yrrn +.rrltt Kr rr irrr LSrlfrl k-x
r-r'ur i � r rK
ROI PERTY OWNER MyjA�IANG- ADDRESS:n, Anl mA►rnsirr r,.., „{,
��Z 3ullo�k l��e
14-" k M, -7713 PHONE NO. cI I '�5/6
AUTHORIZED AGENT MAILING ADDRESS:
Q YY1 E_C' 1 C0.n M c r ioe. C-nr1L
3 G,e. r ocr�
C1 G, Qy I
PHONE NO. C h.n'4S -I' !�'K$
,ignature of Property Owner:
innnh mn of A r eth—,;- ^A A..-- r—� - . . 1Y _ - .

4R-23-2009 12:18 From: To:9104576551 P.9
CERTTFWE D MAl'L', — R&TUI ,CI. IP C REO��r>JMM
DBISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Q
Name of Property Owner; 1 tAr j C 4\ (V\ ga ck. ,
Address of Property;
4 2
CA r.
(Lot or Street #, Street or Road, City & County)
Applicant's phone µ; of �Ot _ Wl ✓3 Stu , Mailing Address; 1--1 z ou, live-K L-418
12W � v%, C 2--1 '"1 3
I. hereby certify that 1 own property Adjacent to the above referenced property. °Cho individual applying for thi
has described to me as shown on the attached drawing the development they are proposing. A desarintion of c
wjlhdimensions mm% to gLoyided 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 COASUI Manu6Cme11l (
In writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Dr
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No respou
con ere iCartiflgd Mail,
WAIVER SECTION
T understand that it pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back n mini►num disl
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial
appropriate blank below.)
_ 1 do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owner Information) (IZipari repot or Xnfortnation;
Pafr G� , me 4-6% (-W-
Si nature
g Signature
0-
Print or Type Name
Mailing Address
:Qur�� nc_
EQ t C_ I i&,e-2,4
Print or Type Name
2 3 y 15 q PPtf- Cx ,F-.✓ LN
Mailing Address
C HA�-t-v1 i *v-_- A/ C: 2 f26

"!41 rb-i-51
Nerve of IadMdual
ApDlyinB For pa-Mit
Address of Pm+pert}= -2 lz
!Lot or Street it. Sava or Road
_0ry and Countyti
hereby certify that I own property adjacent to the above-mferet:ced proptr:y. The indiridW
appl�iftl f0r this permit haS deserilW to me as shown on the anached drawing :he dey+AWvva#y
are proposing. A descries ' nor drawing. with dimensions, should to rrovided with this lacier
? have no objections to this propose;
If you have objections to what is Wag proposed, please write the Di%isi.,n of Comet
Management, 121 Cardinal Drivo Utensiou, Wilmin;ton, NC :8405 or call 9B?96-7215
withia 10 days of receipt of this notice. No response is considered the some as no obie 6nif
you have been notified by Certified Mail,
WAMR SECTION
I understand that a pier, dock, moring piliugs, breakwater, bout house or boat lift an%*beso
bcka minimum distance of 1.4' from my area of riparian access • uniess wai.td b. me. (lfrsu
wish to waive the setback, you must initial the appropriate blank below
do wish to waive the 15' setback reauirer—,!
i do not "A-ish to waive the i 3* setback rza-zirt-r- -,

`tI VL L IOLA II VI
iap. -
Feature 1
v Feature 2
J Feature 3
.� Feature 4
Wilmington Harbor -
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