66115D - Honke

CAMA / C DREDGE & FILL P } 11 • j4 `irJ ";%: `�
GENERAL PERMIT Previous permit# A B
CNew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
)rized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
it Name `ppA a CS Q� _ -k r �--_- Project Location: County
1
Y, ( ` E Street Address/ State Road/ Lot #(s)
States V L- ZIP 1 ri
/0)57 7 E-Mail Subdivision
zed Agent City ZIP .7
i ❑ CW
`$4EW
NJdFrA )kES ❑ PTS
❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
yes /Cnoj
PNAes�/
no
if Project/ Activity e_tg1 .,,+Y J - E I _6A-
ack)length i
'latform(s) /
g Platform(s)
ength `\
ember
td) Riprap length
rg distance offshore
iax distance offshore
:hannel
mp .
use/
Bulldozing
ne Length'
not sure yes no
mum: n/a yes no
yes no
Attached: —no
Phone # ( River Basin
Adj. Wtr. Body .`_.�N�4 v % nat
Closest Maj. Wtr. Body _57d rN Z
(Scale: 1 ft
ling permit may required by:L�J,�"�r/ l t//� �/lt ❑See note on back regarding River Basin
Local Planning lurisdiction) 1

11/12/2015
Richardson Construction
11/12/2015
Carolina Marine Construction
11MV2015
Clements Marine Constructior
11/12/2015
City of Wilmington
11/12/2015
Eduardo San Miguel
11/1 //2015
Charles or Linda Honda
Sito
Yacht Club
Bank
Bank
6162 $200.00'GP 66187D
9922 $400.00 major fee, 910 Basin I
3957 $250.00 major fee, 462 Cause,
412o $100.00 renewal fee, MP 61-1;
1007 $800.00 GP 66197D
4012 $600.00 GP 66115D

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant:
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.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
F
(Applied for.
(Anticipated final
(Applied for.
(/
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
d
Habitat Name
Choose One
includes any
Excludes any
total includes
E
anticipated
restoration
any anticipated
re
restoration or
and/or temp
restoration or
to
ternimpacts)
impact amount)
tem im acts
a.
Dredge ❑ Fill Both ❑ Other
�WDredge
❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to h O r�2 `` ��t tQ r Q_ �'� n i_%P 's
(Name of Property Owner)
property located at
(Address, Lot;
on
own and/or County)
rS
13-fN
The applicant has described to me, as shown below, the development proposed at the above locatio
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)
cc, C�1 �� s
eo- T
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bac
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to wa
the setback, you must initial the appropriate blank below.)
` t 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Trty Owner Info ation)
4�2
Signature
_Print or Type Name
Prjn f or Type Npme,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �� la IJ � IL i 9C's
(Name of]Property Owner)
property located at9032 U -1 . t� itA -5 i) S7 6-,i e c %c '-L 5,14 set[ -Pr-5
(Address, Lot, Block, Road, etc.) MAP
on S t.-)� , in - N.C.
(Waterbody) (Citylto and/or County)
The applicant has described to me, as shown below, the development proposed at the above locatio
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)
j�CZ ivC.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bac
minimum distance of 15' from my area of riparian access unless waived by me. (if you wish to wc,
the setback, you must initial the appropriate blank below.)
1+ I do wish to waive the 15' setback requirement.
J I do not wish to waive the 15' setback requirement.
(Property Owner lnforma ion)
G
Signature
Print or Tvpe Name
(Adjacent Property Owner Information)
Signature
Print or Type Name „ , i

S7