63107D - Beaudorn

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_ CAMA / ❑ DREDGE & FILL %
._ , 40
3ENERAL PERMIT
Previous permit#
.New iModification ❑Complete Reissue ❑Partial Reissue
Date previous permit issued
gazed 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 `•' ` i Z UGJ
/�
it NameL AV,/
❑ Rules attached.
Project Location: County v
111/ (A V/ t Aj p/c
Street Address/ State Road/ Lot #(s L RYA
1
/l StateNC ZIP4
?�A VI �oL-fC l �fk! I L
t 1U) Z . 73 _� -Fax # ( )
Subdivision
mcl Agent IA---
CityPt ro ►SST r F h ZIP 7E-1'
❑ CW `;'S�W ,�ZPTA ❑ ES ❑ PTS
Phone # River Basin 6/"
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body !GC<A / t SU GN+�
❑ PWS: ❑ FC:
,-1—
7 ULL
es no PNA yes /Lfio,; Crit.Hab. yes /
Closest Maj. Wtr. Body
f yProject/ Activity
'�y/L .?-L
ick) length
iier(s)
;ngth
amber
.d/ Riprap length
g distance offshore
ix distance offshore
hannel
bic yards
np
+sue Boatli
/
ulldozing
e Length _
not sure
yes
not
s: not sure
yes
no
ium: n/a
yes
no
yes
no
4ttached:
yes
no
'; 4%/ I
(Scale:
"W
ng permit may be required by:"U` ' C�fJ ❑ See note on back regarding River Basin r

kpplicant � '� /Jt A(%oQ )N Permit#: �, Zj ID
late: 2 —
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
TYPE
Name Choose One
TOTAL Sq. Ft.
for.
Disturbance total
includes any
anticipated
restoration or
temp imp/acts)
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)
FI7Feet(Applied
(AnDISTURB
disbitat
Exc
restoration and/or
temp impact
amount)
rr ,,
` W Dredge ❑ Fill ❑ Both ❑ Other.
e ❑ Fill ❑ Both ❑ Other ❑e
F
❑ 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 ❑

LARA BEAUDOIN
411 LAKEVIEW DR
HAWSTEAD, NC 28443
Pay to the L) �7- / V
Order of
fi U°
Bankof America '�
ACH R/T 063000l- /- r)
1187
66-19/530 NC
Date
doo,DQ
- ..Dollars
Bank of America Advantage®
For � � I /" U L, I � rv�l �--- —
1:053000igPi_ pi?nnramiL'l_C.110e

ar
Of JF 7-
6. A
3
t, 01!7 z
r
*T KE)
ipIL X 2
4
-6 6 i3 & zoom,*
%V-
4b OIL ■
Tr 0

90"
dard
5" x 3.50" x .32"/.19"
Alum. Association
2" x 8" x 12'
Fully Carpeted
5� S x le
Cable
Hatteras
Drive
3/4 H. P.
SS Motor
10,
23'
44" Per Min.
eels
(10') I -Beams
Rough Cut Treated
TENV C-FACED
225"
dard
6' x 4" x .29"/.19"
Alum. Association
2" x 8" x 12'
Fully Carpeted
x
Hatteras
1 H.P.
SS Motor
10,
23'
44" Per Min.
eels
(12' 6") I -Beams
Rough Cut Treated
SS Cabllee
Drive
TENV C-FACED
23"
idard
8" x 5" x .367.23"
Alum. Association
2" x 8" x 12'
Fully Carpeted
5116.. x 40'
88 Cable
Hatteras
Drives
3/4 H.P.
SS Motor
10,
18,
22" Per Min.
eels
(12' 6") I -Beams
Rough Cut Treated
TENV C-FACED
23"
idard
8" x 5" x .41 "/.25"
Alum. Association
2" x 8" x 12'
Fully Carpeted
hi lip" x 40'
r ,, I
Hatteras
Drive®
1 H. P.
SS Motor
10,
18'
22" Per Min.
eels
(12' 6") I -Beams
Rough Cut Treated
,A fle
TENV C-FACED
190"
Ward
10" x 6" x .41"/.25"
Alum. Association
2" x 10" x 14'
Full Car eted
"`' �`' x an' Hatteras
Drive
1 H.P.
SS Motor
10,
18'
22" Per Min
leis
(14') I -Beams
Rough Cut Treated
2" x 10" x 14'
Full Carpeted
Y P
tJ I I I• Hatter3/4
t�,; � Drive
Drives
TENV C-FACED
H.P.
SS Motor
10,
14'
15" Per Min.
23"
idard
10" x 6" x .41 "/.25"
Alum. Association
nels
(15') I -Beams
Rough Cut Treated
TENV C-FACED
.23"
idard
12" x 7" x AT1 .29"
Alum. Association
2" x 10" x 14'
Full Car eted
Y P
I" " 'Harives
� Drive
1 H.P.
SS Motor
10,
14'
15" Per Min.
nels
(16) I -Beams
Rough Cut Treraltid
.
TENV C-FACED

thatl�wn Pr+ol��Y adjatxnt-to---� ✓� ��� /�- �_ --
�-�r—�e�-�'�-+�-�Name o�if Pr°pet�-�[1�) - --
�.l^^ ^_ (Address, Lot, lock, Road, ate.)
(Waterbody) (CifyNown andlor County)
MFWI darua"e=-Ibe-a�e--as g ewn- ew;- the-development-proposed-st the, -above location—
-- - I have no objection to this proposal,°
I have objections to this proposal.
DESCRIPTION ANDIOR DRAINING OF PROPOSED DEVELOPMENT
(Individual proposing d$velopmenl must }ill in description below or attach a site drawing)
Q'RJ �D e��L�lyd�-� I '� oGLi'
t t\p a1- 8 .
WAIVER SEC71ON
I understand that a pier, dock, mooring pilings, breakwater, boathouse, it, or groin must be set back a
minimum distance of 15'from my area of riparian access unless waived by me. (If you wish to waive
thesetback ou must inl#lal the appropriate blank below.)
i do wish to vvaive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
4v'r-
,�-
Print or Type Name
. t/ I t X�XP r.l rc�a -•
Ma ling Address
cic
14 22 {P '0— y3
(Adjacent Property Owner I ation)
Print or TypsVarm� d
`r
ding Address
/State&ip

Jan.23. 2014 4:03PM OrthoWilmington
No.0385 P. 2
ALDJACENT RIPARIAN PROPERTY OMER STATEMENT
�rS1 ' a me of Propert�r Owner}
(Addtgs8, LABlock, Road, +etc,t
(WaibarhodY) is /Town andler
fhe-fieveloprnent�proposed-atthe-afmve-l�a�orr—
_ _— - - I have no oth ect an to this proposal.
I have objections to this proposal,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPME[VT
(1ndlyidual proposing develaprrterrt must till in descripflon below or attach a site drawing)
Q'V�'j �Ojjo--h"r' ou�-
r`
AVER SECTIQN
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be aet back a
minimum distance of 16 from my area of riparian access unless waived by me. (If you wish to waive
the setback, you must intl9at the.approoste bdartk bedew.)
_ I do wish to .waive the 1.5' setback requirement
i do not wish to waive the 15' setback requiremerrt
(Property Owner Information)
Print or Type Dame
Z
Clty/
Information)
sign < 14.4I7`l kcf
r Type NORM
t u0 U161I1 .
ArMaftAddress
wt cVN N C-TZ A j4