69320D - Morris

�GAMA / DREDGE & FILL
�ENERAL PERMIT
Previous permit # A B
New __.Modification LJComplete Reissue JPartial Reissue 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
' L�
to I SA NCAC 044.
❑ Rules attached.
t Name 1.. AY LS d �gz,eyo per* S
Project Location: County (J
1 Z (o S C 3 ``� ��
Street Address/ State Road/ Lot #(s)
Q Tt �� J State N C ZIP L� 6 S
��
(�) 132 ' 253 -Mail
Subdivision
ed Agent is (i; Cd Ma r-; ne
City �"-- ZIP
❑ CW KEW ❑ PTA ❑ ES ❑ PTS
Phone # ( ) RiverBasin
❑❑ PW ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body 11
yes /�o� PNA yes no
Closest Maj. Wtr. Body A k13
Project/ Activity
:k)length x 32
itform(s) a ' X i"; C
Platform(s) SIX 2d
er(s)
igth
nber
I/ Riploffshore
distK disanne
is yards
p
;e/ Boatlift 3, X ( 3
dldozing
1,%t4.J
im: n/a yes no ti >�
es o
ttached: yes no
g permit maybe required by: q �(� k � S(Qy�A_
ocal Planning jurisdiction)
(Scale: j `%
❑ See note on back regarding River Basin

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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
1ACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
'Property Owner: (1616 ��a ��, 111201f 1
of Property: 1,;)L 5c-- 'e)�- a4l,
(Lot or Street #, Street or Road, City & County)
Name #: _ J fvMailingAddress: phone #: ��©',�r��r)�?
t
1 certify a own property adjacent to the above referenced property. The in ivi ua
3 for this permit has described to me as shown on the attached drawing the development
proposing. A_description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
?ve objections to what is being proposed, you must notify the Division of Coastal Management
n writing within 10 days of receipt of this notice. Contact information for DCM offices is
e at htto.11www.nccoastalmanagement.netlweb/cm/staff-listing or by calling 1-888-4RCOAST.
onse is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
tand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
3ck a minimum distance of 15' from my area of riparian access unless waived by me. (if
i waive the setback, you must initial the appropriate blank below.)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Information) (Riparian Property Ow er Inform i nl
rner
Sign e
we -
. Print or Type Name

-- CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
ime of Property Owner:
(dress of Property: r� 04,t I" 6/
(Lot or treet #, Street or Road, City & County)
!!
dents Name # o � I Mailing Address: Q6 'S t 3 r�
�l� i
gent's phone #:
ere y certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
ney are proposing. A description or drawing, with dimensions must be provided with this letter.
P*'/ I have no objections to this proposal. I have objections to this proposal.
f you have objections to what is being proposed, you must notify the Division of Coastal Management
"DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available athttp //www nccoastaimanagement net/web/cm/staff-listin orby calling 1-888-4RCOAST.
No res onse is considered the same as no objection )y Certified Mail.
WAIVER SECTION or lift must
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse,
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.
(p# per{y �/t
r Information)
Signature
Print or Type Name
(Riparian Property Owner Information)
Signature
Print or Type Name
1416 1 t l�� � -

Name of Property Owner Requesting Permit: 11�1�'�S 4-y/Is
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
Agent 1 contractor
•
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
do`�
necessary for the following proposed development: �f
at my property located at
in RI-HnSx )d<-' County.
I furthermore certify that I am authorized to grant, and ��cer and then agein fact grant nts/ssion to enter
Division of Coastal Management staff, the Local
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property aw er Information:
Signature
C�1c��t�S ,f/ r 6(Ti5
Print or Type Name
-
T:LIi.

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: I✓� W r- �wtm,c rn ovfi l #' �n� B 2OD
Date: -�Ijl 9 j I -�-
Describe below the HABITAT 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
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
anticipated
Excludes any
restoration
total includes
any anticipated
Excludes any
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount
temp im acts
amount)
L M
Dredge ❑ Fill ❑ Both ❑ Other
Z
1 1 Z
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

irzirtui i
Allied Marine Contractors
Chris Cichan
First Citizens Bank
5766
$200.00
GP 69262D
7/21/2017
Allied Marine Contractors
Southern Premier Pr rties
First Citizens Bank
5768
$200.00
GP 69321D
7/21 /2017
-
Allied Marine Contractors
T Smith
First Citizens Bank
5765
$200.00
GP 69263D
7/21 /2017
Allied Marine Contractors
Charles and Cammie Moms
First Citizens Bank
5767
$200.00
GP 69320D
7/21/2007
Ethel A. Nobles
Alvin Nobles
South State Bank
6142
$200.00
GP 69340D
721/2017
Will Richardson Construction
George McManus
_
BUT
6774
$600.00
GP 69333D