67999D - Ivers

?CAMA / REDGE & FILL PA Al A B
''ENEL PERMIT 'p
ermit permit #
New -Modification -Complete Reissue ❑Partial Reissue Date previous permit issued_
sized by the State of North Carolina, Department of Environment and Natural Resources }
Zoastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �� I
❑ Rules attached.
it Name 1 Gl Project Location: County (( S
n V 'vAA` w S Add / S R Al AL-�
of y i 6`� t ��� State ZIP L ZZ�p
W -Ir L17 QE-Mail
:ed Agent �� �V �� �yn (6y1 VVC( -b O
ElCW ElEW ❑ PTA �S '�PTS
ElOEA ElHHF ❑ IH ElUBA El N/A
❑ PWS:
yes /may PNA yes / Q
f Project/ Activity
'mil 1A)i�V'%.-
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atform(s)
Platform(s)
ngth
tuber
d/ Riprap length SO
distance offshore__
a distance offshore_
Iannel
Ac yards_
1p
se/ Boatlift
Aldozing /
26
Length So
not sure yes
ium: n/a yes
yes
\ttached: yes
ig permit may be required by:
-oval Planning jurisdiction)
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Subdivisi n
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City ' ZIP Z
Phone # () 3(j�] `��� iver Basin LIU
Adj. Wtr. Body Ca V1 r (nat /i
Closest Maj. Wtr. Body 1 I�
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(Scale:
1 T/ UWV1 0V (+CQ � i!e c,,C "�. ❑ See note on back regarding River Basin n
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NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: IVCV - Permit #:
Date: 0 Z /0 91A v I I
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
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 fli
disturbance.
Excludes any
restoration any
temp impact
amount
b
Dredge ❑ Fill Both ❑ Other ❑
000
( Do Z
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both p 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 1711 Fill ❑ Both 171 Other ❑

ame) I Homer I I Number I amount I Number/ I Refund/Reallocated
chardson
instruction Ed & Lisa Ivers
I I I Comments
GP
BB&T 6619 $400.00 67999D
SF rct. 3495D

K.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson
Governor Director
AGENT AUTHORIZATION FORM
Date: 1-19-2017
Name of Property Owner Applying for Permit:
Ed & Lisa Ivers
Owner's Mailing Address-
4516 Grandfathers Way
harlotte. NC 28226
Dee Freeman
Secretary
Name of Authorized Agent for this project:
Will Richardson
Agent's Mailing Address:
3235 Seacrest Ave. SW
Supply, NC 28462
Phone Number( 704905-4936 Phone Number( 9�0-367-0335
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 new vinyl bulkhead wall
(my property located) at 130 Tarpon Drive Holden Beach NC 28462
This certification is valid thru (date) 6-30-2017
f" r �,', _
Date Property wnevSignature

CERTIFIED iti14I1 — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL K42NAGEMENT
ADJACENT RIPARLA�+ PROPERTY OWNER STATU ENT
I hereby certify that I own property adjacent to Ed & Lisa Ivers is
G ame of Property Owner)
property located at 130 Tarpon Drive Holden Beach, NC 28462
(Lot, Block, Road etc.)
on Canal in Rcolden Beach N C
(Waterbody) (Town and/or Connty)
Applicant's phone #: [phone] Mailing Address: 4516 Grandfathers Way
Ji
/He/She has described to me as shown below the development he/she is proposing at that location,
VVV and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fidl in description below or attach a site drawing)
Install new vinyl bulkhead wall.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writin;
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC
DCM representatives can also be contacted at [phone].
No response is considered the same as no obiection if you have been notified by Certified Mail
(Property Owner Information)
c,,�
Signature
Will G Ri .hard on Auth Agent)
Print or Type Name
3235 Seacrest Ave SW
Mailing Address
(Riparian PropextytCVner information}
igna're
Lewis Mitchell
Print or Type Name
132 Tarpon Dr.
Mailing Address
Supply. NC 29462
City / State / Zip
Holden Beach, NC 28462
City / State / Zip

... _ — low K.heo,d
CERTIFIED MATE—RETU&N RECEIPT REOL�STED
DIVISION OF COASMAL IN ANAGENIF.NT
ADJACENT RIPARL-k PROPERTY OWNER STATLY ENT
I hereby cer* that I own property adjacent to Ed & Lisa lvers
Cyame of Property Owner)
property located at 130 Tarpon Drive
(Lot, Block, Road, etc.)
Canal , jn Holden Beach A N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: [phone]
Mailing Address: 4516 Grandfather's Way
Charlotte,
NC 282M
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 DRAVMG OF PROPOSED DEVELOPMENT:
(,Individual proposing development must fidl in description below or attach a site drawing)
New vinyl bulkhead wail
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writ
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, N(
DCM representatives can also be contacted at [phone].
o resDonse is considered the same as no ob'eclion if you bave been notified by Certified Mail
(Property Owner Information)
Sign wee
Willie C Richardson (Auth. Agent)
Print or Type Name
3235 Seacrest Ave SW
Mailing Address
Supply, NC 28462
(Riparian Property Owner Information)
Signature
Michael Addante
Print or Type Name