67202D - Thompson

Project Location: County I&V rL,W1L�,
Street Address/ State Road/ Lot #(s)
Subdivision
City 1►u� ZIP
Phone # ) 30 ­O'M River Basin
Adj. Wtr. Body�,/�/(/ V n h
Closest Maj. Wtr. Body��.
9 rL ��iiZM71IFU
!eAMA / ❑ DREDGE & FILL
V /(G A B
�ewENERAL PERMIT Previous permit#
❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources —7 1 I hO
.oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC o j j 0 tl
❑Rules attached
t Names
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State
ZIP �, 5
( )77' ( / E-Mail
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edAgent
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❑ CW
[4w *TA ❑ ES
❑ PTS
❑ OEA
HHF ❑ IH ❑ URA
❑ N/A
❑ PWS:
yes /�o)
PNA yes / no
Project/ Activity
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ck) ldhgtf
atform(s)
ng permit maybe required by:_
Local Planning jurisdiction) ri
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❑ See note on back regarding River Basin r
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NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: SQ
Date:
/ h �,
'"l,/ o�-tJ/l
Permit #: �7-10� '�
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
tempimpacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)temp
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
impacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
\
I 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 ❑ Other ❑
Dredge ❑ Fill ❑ Both 0 Other ❑

HCDEHR
North Carolina Department of Environment and Natural Reswrm
Dvisiw of ODDSW Maiagwent
Beyedy Eaves Penbe JwW M. CAqgs&n Des Freeman
Governor Direw seaetary
AGM AMORILABON EORM
CWq: cr—1 S -1 (0,
Name of Property Owner Applying to Permit-. Narne of Authortzed Agen for this project
Ownef's Mailing Addrew�
Phone Number R )I) -z,3L— i q?
Agents Mailing Address:,
4-
Phone Nurnber
I certify that I have authonized the agent listed above to a--t on my behalf, for the purpose of applying
and obtaining all CA1,
� n I i L - %' �+ t A.,
cnz�=W
This certification is valid thru (date)
114 /IG,
Owneirsionaftim Do"

DIVISION OF CO.-.S-TAL MAINAGEMZN-T
ADJACENT RIPARLAIN PROPERTY OWNER STATLNM-N-T
I h=by cmtffy that 1 0)4m property adjacent to Is
of PropertyOwner}property located at
(Lo
B16* %4 et
�kj in N.C.
(Waterbody)
Apphalaf s phone#: '-I (Town and/or County)
Mailwg Addrem let
He/She has described to me as shown below the develo ent helsht is proposing at tfiat location,
and I have no objections to the pmp,..Itree 5stau
-
DF,SCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT;
(7ndivi6id'Proposing development must fill in description below or attach a site drawing)
Ui 4
tv
If you have objections to what is being proposed, you Must notify the Division of Coastal Management
(I)CM) in writing
within 10 days Of receipt Of this ZIOUM Correspondence should be mailed to 127 Cardinal Drive EA Wilmington, , NC
DCM k*preseafttfves can also be contacted it [phone]-
No response is considered the same as no 0iec—doft if have been n
(Property Owdo Information)
1.2 i
Print or Type Name
(Riparian Property Owner Information)
re
Print or Type N
Mailing Address
el:—. I a —I- JV —
Mailing Address

10
DIV'S'r
-kD"�j A CF-"NT Rlp kRl�-LN PROPERTY OW-',s7—R STATUNLENNT
p et
Na
(Town and/or Cowy)
2- . ......... MaL*0-9
H4'Slle-bW de$W- bed t0lr-t u she Wa belllvtht devt-lopmentheishe lis g70posmg ett6t. lowicin,
"Ad -k have r-C 06jections --.) tle prcpasal-
DUCRI"10N ANDIOR MAWING OF PROPOSED Dn-BLGp*,,
(7naw.,dual,pro yffiNT:
'poslng
� t 'Muslfj" 'n d—ovcriPbOn bzl0lv or edack 4 site dranine
"T" h2vt0bjtctJGrst0 what iF bei*ag prsposedyvu must'EMUY thttkivisjot[ of C'Ow*WM*nszeQfttcL�j 12 Vf
I -
'W[th'u 10`#-ys Of rtzeiPtuf this ztotice-
DCM tonLacted all
,Property Owner h1forulk tion"
LRI r= Prqprtw OwDer Inform Ition'
Print c-r Type 'Nsim- e
Na�s
+re
civ -/ AA t,
p
lyfaililnz A-ld"ss
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Propo5ed PRICK
II Boat Lift
II II
Exis inag Structures,
NT5
Property owner west:
Dunescape Corp.
111 Ounescape Or
Holden Beach NC 25462
gr � =
-,a-- I UP
II I Owner: Joseph Thompson
30q Nindswept NN
Holden Beach NC 25462
q10-136-614b
PropertL
Penn
311 Nir
Holden Bear