66669D - Riddley

CAMA / ❑ DREDGE & FILL / V 1� 1 . IA B
iEf1IERAL PERMIT, -- �` f Previous permit#
14ew [-]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
)astal Resources Commission in an area of environmental concern pursuant to I SA NCAC7 Rules attached.
Name ` )�Avfl" ` tl 1{ Project Location: County-
�� SV\/ Street Address/ State RT
d/ Lot #(s)
State Nl ZIP SCE �� l Cn✓�(
-Mail / Subdivision
:d Agent t/ \ li'i A ��1 lr`IV�� �DV n , City7i�(� ZIP
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� (v - River Basin l�
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❑ CW �� Ew PTA )QEs wrs Phone # (1�) ; ,10� �'
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ WA Adj. Wtr. Body r 1 at n
❑ PWs. Closest Ma' Wtr. Body
(es / [no % PN,
Project/ Activity
aid S �^
itflength
�tform(s)
(Scale: \ '`
ling permit may be required by:
a Local Planning lurisdiction)
❑ See note on back regarding River Basin
Aim:

_ NC Division of Coastal Mgt. Habitat Impact Com
Applicant: 1 *,vy� �-t4l
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.
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
Ex
anticipated
restoration
any anticipated
re:
restoration or
and/or temp
restoration or
ter
ternimpacts)
impact amount
ternimpacts
an
d
Dredge ❑ Fill Both ❑ Other ❑
1 5o
l So f
`j
Dredge ❑ Fill Both ❑ Other ❑
Q
1 o U
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

North Carolina Department of Environment and Natural Resources
Division of Coastal Management
dy Eaves Perdue James H. Gmgsan
MW Direcbr
Dee Freem
SWW
AGENT AUTHORIZATION FORM
Date: June20th, 2016
i of Property Owner Applying for Permit: Name of Authorized Agent for this project
Alien Riddley
irs Mailing Address:
W Stage Coach Trail SW
)y NC 28150
e Number J7041 718-8542
Will Richardson
Agent's Mailing Address:
3235 Seacrest Ave SW
Supply NC 28462
Phone Number( 910) 367-0335
fy that 1 have authorized the agent listed above to act on my behalf, for the purpose of applying
4 obtaining all CAMA Permits necessary to install or construct the following (activity):
lead Wall Replacememnt
iroperty located) at 2044 West Sea Aire CAnal
mrtirrabon is valid thni (date) 9/16

..---. 4z)w -r%e,axd
-' K pill. ` 4 ' 1 • a •• r r
DDYMION, OF CO.9STAL MAI A.GEi1 '47
ADJ-'A,,M t,T TUPA32I_ANi PROPERTY OWNER STAT iisT
I herby C-r* th$t I oval prope2ty adjacent to Terry Allen Riftey ,g
Pr°PertY located at 2044 West Sea Aire Canal SNIT (tame of Property Owner)
on AlWW (Lot Block Road, etc-)
in SuPPIY
�a#erbody) �,
N.G.
Applimfs phone #. 704-71 &a542 owit andfoorCounty) coach Tian sw
adiag Address. 5 s
Shelby NC 28150
He/She has d es��ed to me as shaven aelaw the development he/she is proposing at that location,
and I have no objectiaas to the proposal.
DBSCRIEMON ANi-DIOR DR-4,WI iG OF FROPOSF.D DEV
ELOPMFI�IT:
(Inriit L*Wproposiag d'evelopmerct mushfrll in ,description below or attach a site dra7vu7a)
Installation of new bulkhead wall
If you have ob jec6o ns to what is being proposed, you must no
within 10 days of receipt of this notice Comes dfy the Division of Coasts/ i4S*Wement (DCM in vyrib
DCM i epresentatives can also be contacted a# poudence should be marled to L7 Cardinal Drive Ert wdmialmn, NC
o
o response 'is considered the sameas n mob. - n
if u Itaye been notified by Cet-ti(ied N1a$
gerty Owner informa#on)
Will Richardson (Authorized Agent)
Print ar Type frame
3235 Seacrest Ave SW
Mailing Address
Supply NC 28462
City/ State I Zip
TelenhnnaN...,},a.. Q1fL�R7_tl'24�
(Riparian Property Owner lafformaiion)
sigoatnre _
Yl/l�,li � sa � � ,�1� a►�
Punt or Type Name
8112 c
Mailing Address
"-8vous Y1S &LVYU nt4- AJ C Z`12 ,
city 1 Smote l zip

CERTIMD MAIL —RETTIEN RE CUM REQUESTED
DIVISION OF CO_4ST_AL JyL��iAGEMENT
ADJACENT RIPARL-k-N, PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Terry Allen Riddley Is
(dame of Property Owner)
property located at 2044 West Sea Aire Canal SW
(Lot, Block, Road, etc.)
on AIWW _ is SuPPly
NC
(Waferbody) (Town and/or County)
Applicant's phone #: [phone] Mailing Address: 2825 W Stage Coach Trail SW
Shelby NC 28150
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
Installation of new bulkhead wall
If you have objections to what is being proposed, you must notify the Division of Coastal Mi aenagement (DCPQ in writing
within 10 days of receipt of this notice. Correspondence should be mailed to M Cardinal Drive Ext.Wilmington, NC
DCM representatives can also be contacted at (91o) 796-72I5.
response is considered the sarne as no ob `ection U you have been notified Certified Mail
roperty owner Inm foration)
signature - —
Will Richardson (Authorized Agent)
Print or Type Name
3235 Seacrest Ave SW
Adailing Address
Supply NC 28462
City / State / Zip
Telephone Number 910-367-0335
(Riparian Prope Owner information)
op"Llure . /,
T f'!zy E, /�zL�C_rs
Print or Type Name
F. o . c /0
Mailing Address
�K,rv1 r4r l f N ( ? % `77 2-
City / State / Zip

Melodie May
33b-5b0.3145 Cell
33b-656.1604
Scope of Work:
Replace approx. 100ft of
AINN
Allen Riddley
2044 West Sea Aire Canal
Supply NC 26462
104-71 "542
bulkhead wall
N
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