67224D - Stokes

PAMA / ❑ DREDGE & FILL K1-
�a
"ENERAL PERMIT
New ❑Modification []Complete Reissue [-]Partial Reissue
a 67224 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 15A NCAC❑� Rules attached.
Name Y( S k kit Z"� Project Location: County
Street Address/ �State Road/
,Lot #(s)
StateYIP �tWDr%i V"�4Y1/),�%�/ . q6
( ftIE-Mail
Subd'vision
edAgenti'l i/ 1/t -Ki lb City] ZIP
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❑ CW ❑ EW El PTA �J ES pp PTS �(phone # (l ) — V River Basin
❑ OEA ElHHF ❑ IH / ❑ USA (❑ N/A Adj. Wtr. Body V/ Le n r
❑ PWS: WIAI
114n .14� Closest Maj. Wtr. Body
Project/ Activity
ax distance offshore__
not sure yes
)rium: n/a yes
yes —
r Attached: yes '
ding permit may be required by: low
o "' ' 6
P I ncal Plannine lurisdiction) A
(Scale: t ��
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❑ See note on back regarding River Basin

NC Division of Coastal Mgt. Habitat Impact ComPuter Sheet
Applicant: Permit #: �a a —
Date: C4 A (tft Y
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 El
q0
l
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 0 Other ❑
Dredge ❑ Fill 0 Both ❑ Other ❑

A
APIA,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue .lames H. Gregson
Governor Director
Dee Freeman
Secretary
AGENT AUTHORIZATION FORM
Date: September 2nd, 2016
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
Charles & Rose Stokes Will Richardson
Owner's Mailing Address:
870 Heron Landing Wynd
Holden Beach NC 28462
Phone Number( 910) 842-7178
Agent's Mailing Address:
3235 Seacrest Ave SW
Supply NC 28462
Phone Number 910 367-0335
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
Installation of Vinyl bulkhead wall
(my property located) at 870 Heron Landing Wynd Holden Beach NC 28462
This certification is valid thru (date) 10/16
Q 9-4-c4't,
6 �4 -1Z16
Property Owner Signature Date

Scope of Work:
if Installatlon of new bulkhead wall Property Owner:
Location to be determined by CAMA/VE0 Charles Stokes
N 8'70 Heron Lending Nnd
L— — — — — — — — — — — — — — — — — — — — — — — — — — Holden Beach N6 Z64 .0 . . . . . . . . . . . . . . . . . . ..
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
New vinyl bulkh6acl wall AlVqN