66603D - Peabody

CAMA / ❑ DREDGE & FILL `C Q
'ENERAL PERMIT �I V
New ❑Modification ❑Complete Reissue El Partial Reissue
A B
Previous permit #
Date previous permit issued
•ized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC G ! �~�`• D6
l❑ Rules attached.
t Name ,�W Y i 0 Q\� Project Location: County ✓\M S Vvj—(F-
�� CA J t �`yi" Street Address/ State Road/ Lot #(s)
ya^eSVi1��C, S&i!C ZIP Wk
$ S `E-Mail , Subdivision }} edAgent -!'•
` C \ ,eAA' City I+V (L��\ �� ZIP 3TY6
ElCw XtW 'XPTk ElES ❑ PTS Phone U
# (I (� ) `T �J4 " 1 1 �S River Basin
fit; U/1
❑ OEA ❑ HHF ❑ IH * ❑ UBA ❑ N/A
El PWS. Adj. Wtr. Body C (ty\� t (nat /r
Closest Maj. Wtr. Body
yes /C PNA yes
' Project/ Activity
( v. v ((
:k) length_
dorms) (17
Platform(s) X I L
igth
nber
i/ Riprap length
;distance offish e
x istance offs ore
cannel 4 (19 ! )6
_1.
>ic yards ^'
ip
se/ Boatlift
i,j'XICXv
13,16-1m- U ■:■■���® ■i
6V\a
(Scale:
Local Planning jurisdiction) n , I
❑ See note on back regarding River Basin n

NC Division of Coastal Mgt. Habitat Impact Coml
Applicant: l
Date: O
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
Fit
(Applied for.
(Anticipated final
(Applied for.
(Ar
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
dis
Habitat Name
Choose One
includes any
Excludes any
total includes
Ex(
anticipated
restoration
any anticipated
res
restoration or
and/or temp
restoration or
ten
temp impacts)
impact amount)
temp impacts
am
Dredge Fill ❑ Both ❑ Other ❑
—7
v
G
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill 0 Both ❑ Other ❑

NCDER
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
James H. Gregson
vernor Director
AGENT AUTHORIZATION FORM
ne of Property Owner Applying for Permit:
-76x dS- S(, & &.,--
ling Address:
13 _L� 4 y,.ei � L 1Ilk
(Zr '1le lk'L fir'! l7
ine Number: ON) 90, 7 t6-5—
rtify that I have authorized (agent)
Dee Freem;
Secrete
to act on my
alf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or
struct (activity) h} i , IiJ LL-1L l (1:�► -� c �i �, .ti ; �i� 1`
-ny property located at) (;: (
s certification is valid thru (date) 15
6�- 1%f, r 4A y - 2 �-1 G

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
rorneosl (FOR A PIE&HOORING PIEINGYIBOATEIFTIBOATHOVSE)
Inbo,, I hereby certify that I own property adjacent to 'Ici.t*4d
Starred {NsIDeOtPropatyUwater) Tr
Important
Sent Mail property located at I,i{,. LJ�ibi�� tJ+
Drafts 0) (Lay Block, Road, etc.)
Personal / 7
Travel on l �L m �G I:1 t 'l, 1 ?i_'."5k.—�„_.e N.C.
More (Watelrbody) (Town muter COunity)
Applicant's phoneN: ?��`'lv'l MailingAddren:,z1 _' k, '>.u•t�� I_,4y�
Ile has described to me, as shown below, the devclupmccrt he is proposing at that location, and, I
have no objections to his proposal. I untlerstand that a pierinmoring pifings I bnatiift / boathouse
must he set back a minimum distance of fificen feet (1 S) from my :area of riparian xcros unless
µHive by me:. (if you wish to waive the setback, you most initial the appropriate blank
below
_ 1 do "w wish to waive
___ 1 k wish to waive that setback reyuiretrrent.
DUCRIPTION AND/OR DRAWING OF PROPOSFU DEVELOPMENT:
(To be flied in by indiwdualproposing deWapniient)
r1i1r
__----------- _------ »____»---- ...___..»..__________._.._________............. _. _.........
. _.
(Information for Property Owner Applying (Riparian rty er In rmation)
for Permit)
k,4Ls
Mailing Address - SW31KUM
City/State/Zip riot or Type vame
.Z
1 elephone Number
Signature Date Date
liII afisseGr
n@yahoo.c_ .
X

b O f.4-7 V Vi—
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORLNG PILLNGSBOATLIFT/BOATHOUSE)
I hereby certify that 1 own property adjacent to _ :•+ '� �: r _' •_ �s
('•dame of Property Owned)
property located at -
(Lot, Block, Road, etc.)
on yin N.C.
(Waterbody) ('Town and/or County)
AppIicaat's phone #: ' = :flailing Address: ,�, N.,�eC� 4 •Z�- fa:�„
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatiift / boathouse
must be set back a minimum distance or fifteen feet (I T) from my area of j.parian access.'unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
t/ I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DES' MOPMENT:
(To be filled in by individual proposing development)
4
(Information for Property Owner Applying -
for Permit)
Mailing Address
(Riparian Property Owner Information)
Signature

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June 7, 2016
Mr. Sean Farrel,
I, David Hewett, authorize Ricky Hewett to place dredge materials at the Town's Scotch Bonnet property
adjacent to the Holden Beach Dog Park, located at 146 Scotch Bonnet Drive. Permission to use thi
property for the placement of dredged materials is valid for six months from the date of this letter.
Please contact me at [phone] if you have any questions.
Sincerely,
David W. Hewett
Town Manager

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