69071D - Morrison

CAMA / ❑'"DREDGE & FILL
'ENERAL PERMIT
New ❑Modification El Complete Reissue ❑Partial Reissue
A B
Previous permit # -•
Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources
concern pursuant to 15A NCACEl
oastal Resources Commission in an area of environmental
Ru s attached.
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Project Location: County
Name
Street Address/ State Road/ Lot #(s)
r Ile State
7 32`520E-Mail
Subdivision
ad Agent ��'' 1 �. ��u-><v. I Gr)fy`
City ��r' ZIP_
❑ CW '�EW 11 )4PTA ElE ❑ PTS
Phone # ( River' Basin � k
[IOEA ElHHF ElIH ❑ UBA ❑ WA
Adj. Wtr. Bocl'e4 'e'/f Al-"�UT (nat k
❑ PWS:
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yes / Po/ PNA yes / no
Closest Maj. Wtr. Body �Ka e
1 .�
Project/ Activity
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atform(s) f
4er(9)---5' K 7-0
;ngth
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g distance offshore
ax distance offshore IkL
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ne Length
not sure yes
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)rium: n/a yes C goo
yes GD
Attached: yes no
ling permit may be required by:
❑ See note on back regarding River Basin

omplete items 1, 2, and 3.
rint your name and address on the reverse
that we can return the card to you.
ttach this card to the back of the mailpiece,
on the front if space permits.
ticle Addressed to:
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II � IIIIII IIII III I I I I I II IIII II II I III I I IIII I I III
9590 9403 0758 5196 8221 50
-ticle Number (Transfer from service label)
0910 0001 9699 6161
'orm 3811, April 2015 PSN 7530-02-000-9053
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❑ Agent'
❑ Addressee
B. R ived by (Printid Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
O Priority Mail Expresso
❑ Adult Signature
❑ Registered MailT"
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
Certified Mail)
Delivery
Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
O Signature Confirmation-
0 Insured Mail
El Signature Confirmation
ElInsured Mail Restricted Delivery
Restricted Delivery
(over $500)
Domestic Return Receipt
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Z • r lication.
tribe below the HABITAT disturbances for the app.'
,alues should match the name,.and units. of measurement found in. your Habitat code sheet.
TOTAL Sq. Ft, FINAL Sq. Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticlipated final (Applied for. (Anticipated final
ance
DISTURB TTYPEDisturbance total disturbance. Disturbance disturb
inciades any Excludes any total includes. Excludes any
itat Name Choose one anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact "
tem imp acts impact amount temp irri acts amount
t n, Dredge ❑ Fill ❑ Both [I other
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IVDredge ❑ Fill [I Both El Other cob
Dredge ❑
Fill ❑ :
Both .❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
other ❑
Dredge ❑
Fill [I.
Both ❑
other Cl
Dredge. ❑.
Fill ❑
: Both ❑
other ❑
Dredge ❑
Fill ❑
Both ❑
other

March 27, 2017
Date
James & Peanie Smith
Adjacent Property Owner
8807 Wellesley Manor Drive
Mailing Address
San Antonio, TX 78240
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that we, Shirley & Scott Morrison have applied for
Property Owner
a CAMA Minor Permit on my property at 9061 9 h Street Surf City, NC 28445 , in
Property Address
Onslow County. I have enclosed a copy of my project drawing(s) as notification of my proposed
project. No action is required from you or you may sign and return the enclosed no objection
form. If you have any questions or comments about my proposed project, please contact me at
910-358-3200 ,or by mail at the address listed below. If you wish to file written comments
or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may
submit them to:
Jason Dail
Local Permit Officer for Onslow County south of
New River
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
Sincerely,
Scott Shirley Morrison
216 Iverleigh Lane
Jacksonville, NC 28540

• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to +Sk ( s
ar, g f Pro a Owner)u1��
� ►�) _ Zaf
property located at 00Q
(Address, Lot Block, Road- etc.) S
on (��,I�DI in . , N.C.
(Waterbody) (City/To and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locati
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
�'w
w-.1
WAWLJR SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
r-1 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
A(M""6� I it'—
ig turd I Si nature *
V1 or Type Nar(re 11 Print -or TvDe Name . ,.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to `� �j I�� r !'s
N me of rppe Ow '
property located at
on f AM-1 (Address, Lot, Block, Road, etc.) b
, in -:SLAr-f C /D c-.In, 1 66 , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locati
-C— I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION W41(
1 understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
S re
Print or TvDe Name. I
(Adjacent Property Owner Information)
C ANC
Signet ru e * V
C�j1Q�r I Do.y i 5