64715D - Mohr

84
,' CAMA / ❑ DREDGE & FILL ' 1
3EN ERAL PERMIT Previous permit # �- -
�Ievo ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued Z
rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC """t✓'�'r �i'"'� t. 7
❑ Rules attached.
t Name Project Location: County
ro- wxe Street Address/ State Road/ Lot #(s)
State wc, zi pZc- ti ! Z f% %(J, �I hl f,01� C % r .
Fax # (—)
ed Agent I ✓!W) 1��i
❑ CW V EW ,ETA ❑ ES ❑ PTS
❑ OEA '❑ HHF , ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
' Project/ Activity
:k) length
i(s)
ier(s)
h
nbe
i/ Ripral�Jength
distance 61( hore
x distance off`t Ore
cannel
)ic yards
ip Y
s / Boatlift
t Length
not sure
yes
not sure
yes s
um: n/a
yes ; rfo
yes
ttached:
yes no
�:
ig permit may be required by:
ZIP z8at
River Basin 6t)i
❑ See note on back regarding River Basin rt

7/17/2015
Stanley or Sharon Stubbs
same
B of A
4859
$200.00
GP for 1304 Carol
7/17/2015
Richard or Sharon Love
same
Wells Fargo Bank
1434
$200.00
GP 64712D
7/17/2015
Antinori Construction, Inc.
Chris Mohr
B of A
3780
$200.00
GP 44715D
7/17/2015
Holden Dock & Bulkheads
Anna Odam & Rufus Yates
CresCom Bank
2181
$200.00
GP 64697D
71
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v
0 L a = Of QJ O 3
F— O

me Division of Coastal Mgt. Habitat impact Computer Sheet
Applicant: `,(\,v j s VIAO f Permit #:
Date: ? --1 '1 I S
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat 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 amQount�
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 ❑ Othe
C�
�✓
Dredge ❑ Fill ❑ Both ❑ Ot er ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill 0 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 0 Both ❑ Other ❑

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 1201
Name of Property Owner Applying for Permit:
chug mDh1Z
Mailing Address:
720 Willbrook Cir
Sneads Ferry, NC. 28460
I certify that I have authorized (agent) � to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) 1 Z p Wi��ng, b �iA
This certification is valid thru (date)
1n 22 June 2015

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
Mailing Address:
720 Willbrook Cir
Sneads Ferry, NC. 28460
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) V t 1" w +J
at (my property located at) 12 0 W � � On % 1�11(
This certification is valid thru (date)�0-121DIQ _
rk-tw-L -\„ 22 June 2015

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISIOWOF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property: f Y ""''S n _�
(Lot or Street #, Street or Road, City & County)
5` �''�StJ a15� N�.t+f IV,
Applicant phone #:toob
'( 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. 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.
If you have objections to what is being proposed, you must notify the Division of Coaz tal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangemenLneticontact_dcm.htm 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, 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 to
waive the setback, you must initial the appropriate blank below.) -
I do wish to waive the 15' setback requirement.
l_ I do not wish to waive the 15' setback requirement.
(P In#ormJ*t,,,L.
Signature
Chris Mohr
Print or Type Name
720 Wilibrook Cir
avian Pro erty Owner Information)
nature
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Print or Type Name=
X 114 77 L e a l- r, _DJ
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CERTIFIED MAIL • RETURN RF- EIPT REQUESTED
DIVISION -OF COA$TAI- MANAGEMENT
AIDJACM- RIPARIAWPfWKKTY OWNER NOTIFICATiON1WAIVER FORM
Nam of Prop jt QWr>�= , i:'
Address of Prcrpat!llti )-
D ) --`
kk
(Lot or Street 0. Street or Road, City & County)
s ••..a et j, d.
.�t: i
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 � dbtidn or drawirt� dimer�ibr�s miustrbe aroiridet# with this Ietter.
I have no objections to this proposal. _ I have objections to this proposal.
if you have objections to what is being proposed, You must notify $*►Division of Coss'Of Afanagement
(DCU) in wilting within 10 days of receipt of this notice. Contact information for DCU offices is
available at www.necoastaimangemeni.nej+contact dcm.hbn or by calling 1-888-4J2COAST. No
response is considered the same as no ohjeet on if you have bow d by Cwtffle.i Mail.
WAI1MN
I understand that a pier, dock, mooring pilings, breakwater, bow, to lift must be set back a
minimum distance of 15 from my area of riparian access unless Waived by me. {If you wish to
J waive the setback, you must irittial the appropriate blank below.}
�. I do wish to waive the 15' setback requirement.
I C19 twit wish to waive the 15' setback requirement.
pC16
o (RiparianVOwner Information]
..�"
igtsatwe Knmure
Chris Mohr Lv�)
e Nam r _
720 Wiiibrook Cir 1
Mat"try Addre r
Sneads Ferry, PVC. 28460
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION'OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner: S IY4.
Address of Property:
(Lot or Street #, Street or Road, City & County) J '
nb aka C� �t +�f (�
Applicant phone #: '�_ Mailing Address:
�11 CGtdS (�G 2�
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. A description or drawing with dimensions must be provided with this letter.
C✓ I have 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 www.nccoastalmangement.neticontact_dcm.htm 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, 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 to
waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
_Z_ I do not wish to waive the 15' setback requirement.
p Informati
,_.l
Signature
X Chris Mohr
Print -or -Type Name
V-tRiparian erty Owner Information)
Signature
Print or Type Name
Irl 1