66637D - Morse

+CAMA / ❑ DREDGE & FILLL' A B
aENERAL PERMIT �% �� Previous permit#
�lew ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued_
rized by the State of North Carolina, Department of Environment and Natural Resources`
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �t . Z U(
ADY
Rules attuhed.
t Name--K- Project Location: Countyy 11SWI C4—
qaID (A ' ✓ Street Address/ State Road/ Lot #(s)
I AV1Gi StateNC ZIPS N51 Gt Ytit,t }
( k) E-Mail Subdivision iv S
ed Agent
❑ CW A EW XPTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ N ❑ UBA ❑ N/A
❑ PWS:
yes (i no J PNA yes / no
' Project/ Activity
ck) length
atform(s)
ngth
nber
i/ Riprap length_
distance offshore
x distance offshore
cannel
Ac yards
ip
se/ Boatlift
Addozingr' L 1.
Length U-1
not sure yes no
cum: n/a yes no
yes
kttached: yes no
�- �, V"i v
City �,,.K C1 ►�C� ZIP 29H�
Phone # ( ) River Basin-Oaiw
Adj. Wtr. Body ae r--c(L ✓ nat
Closest Maj. Wtr. Body ✓
(Scale: ,
ig permit maybe required by: ❑ See note on back regarding River Basin ri
-ocal Planning jurisdiction}U ► J i { I i I.,,

NC IDivisa of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: � � . Permit #.
Date: .
lO 1
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
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 fin
disturbance.
Excludes any
restoration and)
temp impact
amount)
6 V AJ\
Dredge ❑ HI ❑ Both ❑ Other
3
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 ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both [] Other ❑
Dredge ❑ Fill 171 Both 171 Other ❑

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: KF-Vl& i -QSE
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
9 2,76 c
1-154-44J AEI & 29Y4 J
71 -- 30S -6Y93
Me, RR,P,�R � � �A Nae E e o '-'?
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Lpf
at my property located at
in
County.
1 furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
AZI
Signature
t4F-,('1 tJ Meta !E
Print or Type Name
Title
�s 27_f zoe�

CERTIFICATION OF EXEMPTION-Y.
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
- in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Aicant Name nl\ k'k- rklylt t= R } ilt1 Phone Number (r
cress r s-- 7 -'f , V; €:- c;'
r L ' ,;. t1 l fut ; ( State t l� Zip
ject Location (County_
State Road, Water Body, etc.)
)e and Dimensions of Project a V s L4/ t i
1 proposed project to be located and constructed as described
ive is hereby certified as exempt from the CAMA permit re-
•ement pursuant to 15 NCAC 7K .0203. This exemption to
MA permit requirements does not alleviate the necessity of
r obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA parr
valid for 90 days from the date of issuance. Following expira
a re-examination of the project and project site may be neces
to continue this certification.
{ETCH (SCALE: �" L 2,.i o

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to K �y i A j /n p &5E .S
(Name of Property Owner)
property located at `9Z 1 76 )eCP-tA)e-6 �� Lg 44A)1� AIL Zgj/c t
on COP& PCA-p Qi (Address, Lot, Block, Road, etc.)
in `.£ L6AJ i % (JUS W �iC , KC.
(Waterbody) (CityfTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must ill in description below or attach a site drawing)
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 appropriaOWank below.)
1 do wish to waive the 15' setback requirement.
c� I do not wish to waive the 15' setback requirement
(Property Owner Information) (Adjacent Property Ownn r Information)
pk.�� t,�
�yyrrlure Signat re
Print or Type Name Print or Type Name
12 7a JS i cr. CT ��Yz - ,n�ICA D
Mailing Address Mail � g Address
L 1 na i� '�i� 29 YES' I C -LOLA, NC')�LL

ADJACENT RIPARIAN PROPERTY OWmER ,C-rATEMENT
I hereby certify that I own property adjacent to !A! i1 y �n c-s
C (Name of Property Owner)
property located at _ l z 7 '— 1' L'ee A(/) A/e' Go 7— 27��
on �g PE N (Address, Lot, Block, Road, etc.)
✓c 2 , in �f C 9a` �� �2/y AS b N.C.
(Waterbody) (CityjTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above Iccation.
_ I have no objection to this proposal.
I have objections to this proposal.
utsVKIFI1UN AND/OR DRAINING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in description below or attach a site drawing)
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.
I do not wish to waive the 15' setback requirement.
(Property Owner information)
Signature
,6FV �J /4 a 2S
Print or Type Name
17276 Z o ce, gti tE-�
Mailing Address
[Aa cen rope er Information)
ii nlie
i a"(ass la%h�f✓���
P_ " or Type Name
G;,. /'9 M'z to 89
lmg ddress l rr
�/ .-., ' h,, " ^'(2-

1
33' 1 Y4"
t -IK
1019%"
Tom Daluka 20'
Lot 224 35'
r.
Property line
GEO
N 34.33830 r Riparian Access Corridor Line
W 078.06857
0
4 81 0
Kevin Morse
9270 Buccaneer Ct
Leland NC 28451
Lot 225
52'
82'
North East Shore
Cape Fear River Flow
4'
T
12'
1
T
4'
1
.4 6'
South West Shore 4 21'
Riparian Access Corridor