69064D - Frye

@Emil

NC Division of Coastal Mgt. Habitat Impact Coml
Applicant:
Date: I
Describe el I the H�BITAT 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
FII
(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
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Perrrit: Gc� .4 i. ; Sti-
Mailing .4ddress: o, t5 S ,-AC r;n�c S_ _a.:i
Phone Number: 0`'D -
Email Address:
I certify that I have authorized 1A vkAL
Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed deveicpment:_�
at my property located at
County.
I furthermore certify that I am authorized to grant. and do in fact grant permission ro
Division of Coastal ?Management staff the Local Permit Officer and their agents to enter
on the aforementioned lands in connection ivith evaluating information relatec to this
permit application.
Property Owner Information:
Sig ture
�j?^t,r— FTZ
Print or Type Name
Title
1-) /_ 7 1 ao 17

• Complete items 1. 2, and I
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailplece,
or on the front if space permits.
T—A-rtTd—eAdd,e.s'&Vt,---r LV—
Ok'D'.r � VCX
L4 5D-0 5C%-'�At4XXA
111111111 IN 11111111111111111111111111111111
9590 9403 0319 5155 0058 10
2. Article Number (Transfer frorn service tabeh
?016 19?0 0000 ?501
• Complete items 1, 2, and 3,
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A. Signature0 Agent
0 Addre.
B. Received by (Printed Aku-he) of
D. is delivery address different from item I? U Yes
it YES, enter delivery address below'. E3 No
3. Service Type
0 Priority fMi F-x presse
0 Adult Signature
0 Acluj S;gnatirs Restricted Delivery
0 Registered Mail-
I Re, Mail Restricted
[ o cwuftd maim
3
T103C*rdfisd Mall, Restricted Delivery
D ',',s1'ered
0 Return BeceV for
0 Coftect on Delivery
0
0 Cdject on Delivery Restricted Del very
mercharodise
griature ConfIrmatton'
FL
nature Ignature Coffirrnatcrl
Sig
all
? 191 ail Restricted Delivery
Restricted Delivery
J)
Domestic Return Receipt
A. Signature
X I Lj Agent
Addressee
B. (F"Ved by Panted Nanxl)
f C: Qate of Delivery
D. Is deWety address different from Rem 1? 13 Yes
If YES, enter delivery address below: 0 No
I COOTYo C—t--
'QUW;�SyNt
illillllll
11
MIR IIIIIIII
111
3. Service Type
0 Adult $Weture
0 P�icrlty Mail Expresst
0 Registered mah-
9590 9403 0319 5155 0058 27
0 Adult SOlamoe Restricted Dervery
13 certified Maft
M1641,
o d Mail Restricted
--
13 C-Uftd Mell Restricted Domy
0 cow on Delivery
0 Return Receipt for
Memilandise
2 f,,,m -sandca JaW
7016 1970 0000
C3 called on Defivenj Restricted Dellivery
UO
ri Signature GorrlirrnatW�
E:, signature
7501
718'41---t
I Restricted Delivery
Restricted
Ps Form 3811, April 2015 PSN 7530-02-000-W53
Domestic Return Rect

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SEE SHEET 1 OF 2
FOR THE SURVEY
THIS AREA
!n & STEEL
------------
CP 1 -\ 138.44' Y
J
BULKHEAD BREAK;
26
N&
ERIC LISA
FRYE
1 I
m PID#235EB007
2558 MARINERS WAY
Z ST. JAMES PLANTATION.
I
LOT 26
V) MAP CABINET W PAGE 302
+
Z 46.757 FEET' OR
a
1.073 ACRES
U
ZONING: EPUD
IT
BOARDWALK
I
EXISTING COVERED
` I
CK
i I
top FT'
2 .80' I
iI
PROPOSED — — A
ar
1
tt
NEW DECK o �F
m
1 I
200 FT'
lam-
20.60' ---
NOTES
'LOT 26, P0X35EB007, 25M MARNER•S WAY. IS ZONED
TOWN aF . ES - EruD.
XIS7ING FLOATING DOCK
9UEDNG ! 6g10VEWIENTS ON NORTHERN PART OF LOT NOT
TO BE REMOVED
LO — BY REOIEST.
'LOT 26 IS LOCATED N FLOOD HAZARD ZONE AE ELEVATION 11.
ACCORDING TO WIRM J720206600JL OAIED 6-02-06.
'LOT AREA FOB LOT 26 . 46,T57 SOMARE FEET OR 1.073 ACRES.
AREA CALCULATED BY COORDINATE GEOMETRY.
�ToZONALL TwAD 1663 (2011) AausTMENT. ATLANTIC INTRACOASTAL WATERWAY
-Vmnc& DATUM NAw IBM. ,� r
NO NGGS CONTROL MONGAENTS FOLNMR D •T2000 FEET. (TIDAL)
'THIS n SHEET 2 OF 2.
-SHEET 1 OF 2 S A SURREY OF AN D3STINC PARCEL OR PARCELS OF LAND.
-'REFERENCES:
MAP CABINET W PAGE 60.
MAP CABINET W PAGE 300 - 303.
DEED BOOK JA61 PAGE 32.
DfIRM 3720206600J.
DUSTING PHYSICAL EMOONi.
dMDONAL1EmmL 10 0 10
PIO PARCEL 0 NUMBER
NA NOW GR FawrcRLLY
rr VS SAWY FEET SCALE 1' 10' FEET
CP CALCULATED POINT