69163D - Saunders

�CAMA / DREDGE & FILL
'EN ERAL PERMIT Previous permit # A B
ew Modification IComplete Reissue El Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources 0�
.oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
� � a SOt w ❑Rules attached.
t Name
// Project Location: County � (w S LMa
2 V l j Street Address/ State Roaad/(Lot #(s)
(U � � State�Zip TJZ�Z. I Ll I - c a r e Yl O Vl JN
�) `a — _ Q I I -M it Subdivision r—
ed Agent 6r(' i {�C(ity ZIP
❑ CW [tW A Li ES ElPTS PRcSf% (�) River Basin L
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body I N (nat /S
❑ PWS:
yes / �io�� PNA yes /(n-4 Closest Maj. Wtr. Body
Project/,Activity �FAWIMMOMZMWIFAM
igth _
nber
I/ Riprap
e offshore_
yards
Length V
not sure yes o
im: n/a yes o
yes
ttached: es
g permit may be required by:
See note on back regarding River Basin
.ocal Planning jurisdiction) n p

NC division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: j�C�,i� < VVI Les Permit #:
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
Found in your Habitat code sheet.
iabitat 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 final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
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 0 Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

VJ6-63-a T M02 From:
Who m-F,Eaft.ew mor
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North Ca Dlim Depxiamt of Et vW=nW 'WW M`It4,-W K-, Du me
Owbion of Comm f+"Patem
Audicw ted Agent Consent Agr
is hamby au# --j to -c
in urrler to obtain arty C.M4 partnr'ga} req ,ed for tDft prop" 41ad below. The authorization
sp®cft acgiriiift deed in 2W _..ached sketch.
'OE �!.
PROPERTY OWWIR MMUNG ADDFJM.-
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� • � � • � .- ` M_i. ♦ i HIV 1�
Name Of Individual Applying For Permit. l .(
` ]CJ "J aqV ��
Address -Of Property;
i hereby certify that I own- property adjacent to the above-
rnefewance d property. The individual applying for this permit has
described to ma as shown on, the attached drawing the davelopment
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
�✓ I have no objections to this proposal.
I undarstand that a pie~, duck, mooring pilings, breakwater, boat
house, lilt _ must be set back a mim ixua distance of 15'
froaa my area of riparian access unless waived by me. : (If you Irish
to waive the setback, you &U&t initial the appropriate blank
below.)
z do wish to waive the 15tsetback requirement_
I do not Irish to waive the 151setback requirement-
-A« z7117
4/_ Date r•
.1�.r►
Print Name
Telephone Mmuber With Area Code

32/07/2084 19:20 9108429806 GREG H01-Dal,
PAGE 01
.4-
Name of Individual Applying For Permit:
Address-Of Property_ --.,.....I `"1 1 SC-0 c
-74
(lot 'ar Street, `tract or oad, City County)
I hereby certify that I own- property adjacent to the above-
referanctd property_ The individual applying for this permit has
dsscriDed to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this latter.
✓ I have no objections to this proposal.
I understand that a pier, dock, mooring pilings, breakwater, boat
housm, list _ must be net back a miniums distance of 15,
from my axea of riparian access unless waived by me. : (If you wish
to waive the setback, you initial the appropriate blank
below.)
" I do wish to waive the 15ts+etback raquirement_
I dQ_not Wish to waive the 15'setback requirement.
- /Z_
1 Date •
O LAJG