64618D - Von Murray

Vb P ti" V.P�A'Y
'LAMA / ❑ DREDGE & FILL A�(
iENERAL PERMIT
New ❑iModification []Complete Reissue
5-1,U6
❑Partial Reissue
;. 6 4'
Previous permit # -_,
Date previous permit issued "*�
ized by the State of North Carolina, Department of Environment and Natural Resources CT) Z Q
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
( r r ❑ Ru / s attached.
Name (,iU� V� t Project Location: County
Street Address/ State Road/ Lot #(s)
State ZIP
/O b -r -C'7 . Fax # (y) 2 Subdivision - �}
AAgent � j�1�ltic t,�-�.- City `6 SAC ZIP
❑ CW EW `:,C PTA ❑ ES ❑ PTS Phone # ( �� River Basin
❑ OEA ''0 HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body dl�l/l �S W( nat
Jo
❑ PWS: ❑ FC:
"N' Closest Mai. Wtr. Body S O cM
fes /� PNA yes / �o.,' Crit.Hab. yes
Project/ Activity
length
gth
ber7�
I Riprap Ii
distance i
: distance
innel
c yards
P
e/ Boatlift
e
Length
i
not sure yes no
not sure yes
im: n/a yes / no
yes (—no,
:tached: yes no
g permit may be required by:
(Scale: I ";
❑ See note on back regarding River Basin

64619D

PAC Division of Coastal Mgt. Habitat Impact Computer Sheet
kpplicant: r Y d t4YI\N(,f, Permit
)ate:
)escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ound 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/oi
temp impact
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 [I Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

NCDENR
North Carolina Deoartment of Environment and Natural esoul-C.60-
division of coastal Manaaeme►+•
aeverty Eaves Perdue. Governor James m. treason, Director pee Frewn, Sematn
llatr �-cs —� S
_� air rroverty Vwner Atiolvtne for rermtt:
Nimttne Address
t certtty tnat i nave autnortzea tageim /f?a to act till 1
--oalt. for the nuroose of anDivtnsl for ana Obtaining all UAiVtA Yermlts necessary to
Install or construct lactivity) 49-e4L
at (my property tocatea at, 115-19 , 15 ((a C.-L �-C) ("�- %13(a-
i nls cermicatton Is vaua tnru mates
f
Proverty Owner Surnature bat*

.5- (6
�G
6 f-,96A,(,
/114,0011f^I,
pft�e,c
fieo {(
to x 36
Zd4r
/5

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
(- e-', A.5
Dr.
A. Signature
X Agent
❑A rss'
B. R ed by G� C. Date of Delivery
D. Is delivery address different from 1? ❑ Yes
If YES, enter dejiyery }d�re'�elow: ❑ No
db ii
S
3. ,S�cervice Type
Yam -Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 1014 0150 0001 7324 4498
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
Malts
MHCDO
Tyler Crumbley
LPO
DW Review

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Triple J Properties LLC
PO Box 592
Fuquay Varina, NC 27526
�S4,gnur,� ©� ' 'vs\
/ \ t
X ❑ Addr se
e eived by (Printed e) C. Date of Delivery (
d APR 1 R )nfr I
Is delivery address di erent from item 1? ❑ lames
If YES, enter delivery 1dres below: ❑ No
�/SPS
3. SS ice Type
Ad Certified Mailer ❑ Priority Mail Express`"
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7 010 1060 0000 8476 8723.
3
PS Form 3811, July 2013 Domestic Return Receipt
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Brent Raymond Ellmers et al
122 Kings Way Drive
Dunn, NC 28334
A. Sign
X
❑ Agent
Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. SeKice Type
f9 Certified Mail'r' ❑ Priority Mail Express'"
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes