63278D - McGhee

LAMA / ❑ DREDGE & FILL
iENERAL PERMIT Previous permit #
New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources t
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Name 1-41 rN C S 1 e 6rt-k--.G Project Location: County K/Z (A 0
-
�c- # l State N C ZIP tc t
❑ CW DEW OPTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
Street Address/ State Road/ Lot #(s)
Subdivision
City (4, ZIP �� 4
Phone # ( ) River Basin Lt" f A
Adj. Wtr. Body A- iy� VL' f�� ILr
yes /�' PNA yes //`no Crit.Hab. yes
Closest Mai. Wtr. Body A t \OV V`J
' Project/ Activity W C, i-A t C,�`U� •c`�!� C t% 1 ti �I,
E
i4i�V� ATF (Scale: j
ck) length_ A
I(s) a
ngth
tuber
d/ Riprap length_
g distance offshore
m distance offshon
hannel
bic yards
np
ise/ Boat
lulldozing V
V--L iCA " 12., x j I.

-•--•-- •-
5/29/2015
• -•--. _, ...- ---.._.....-
Mark Armstrong
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same _
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Wells Fargo Bank
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1070
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$100.00
renewal fee, h
renewal fee, 1
5/29/2015
ANied Marine Contractors, LLC _
EPC Holdings 846 LLC _
B of A
2005
$400.00
GP 65149D @a
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James McGhee
GP 63278D a
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WC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant;—TAfVl(c S We.Cyf-z Permit #.
Date:
)e below the HABITAT disturbances for the application. All value aho_uld�atch_the name and units of.measuremen
in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft
(Applied. for.
Disturbance total
includes any
anticipated
restoration or
tem iim1 acts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp .
impact
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL feet
(Anticipated fin,,
disturbance.
Excludes any
restoration and/
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
/amount)
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 ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: ��G ef"
Address of Property:, t'� �QU��' . (L
(Lot or Street #, Street or Road, City & County) )
Agent's Name #: A/,nd &/11�Mailing Address: ,o?
Agent's phone #: �% �Ui�rtl
I hereby certify that 1 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
they are proposing. A description or drawing with dimensions must be provided with this letter.
Ihave no objections to this proposal. I have objections to this proposal.
If 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 at r.-nr_ner_,��iehlcm/st3tf-lisrmq or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wis to waive the setback, you must initial the appropriate blank below.)
(7 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Praporty Ownje,r Information)
S gn lure l
Print or Type Name
(Ri�ria�n roperty Owner Info ation)
�
Sid tune U
Print or pe ame
I, ,
J/

CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
(Lot or Street #, Street or Road, City &County)
Agent's Name #:
Agent's phone #:��� ��y
Mailing Address:
I hereby 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
they are proposing. Ades ri tion or drawino with dimensions must be provided with thisr.
f/ I have no objections to this proposal. I have objections to this proposal.
ff 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 at
"L or by calling1-888-dRCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish t waive the setback, you must in: the appropriate blank below.)
y I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
rty Owner Information)
//Y
'Tint or Type Name
InJ:nn Arfrlrooa
(Ripa�i�,n Pro erty O n Information)
X2 t 't
Signature
Ge1) �E I)� r5
Print or Type Name /
GV
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