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Home My WebLink About62615D - Hollisf E.WA / ❑DREDGE &FILL Y"O" WNERAL PERMIT Previous permit # New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources /0 :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC i } Rules at/lathed. Name] ry r /f Project Location: County "wl h5?�0 i LY/z/b.1 Street Address/ State Road/ Lot #(s) State_ ZIP r�5 ( Fax ( ) r " �) ,may Subdivision ad Agent l�r r City l z/ ZIP ❑ CW PEW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body h'' at ❑ PWS: ❑ FC: /� yes / no PNA yes '/ no Crit.Hab. yes / no Closest Maj. Wtr. Body � ''�-�! 4d Project/ Activity :k) length -r- `� G (Scale. / ig permit may be required by: /V 14 C: e, " ri'l lrl/A074 ❑ See note on back regarding River Basin r 4) / - 4-n i/ r _ - i „l. . Perm it?;' 6, 2,� /S a e., q��o�l3 escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement and in your Habitat code sheet bitat 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 andlortemp impact amount) 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) I^/ O • V Dredge El Fill ❑ Both ❑ Other%d�' 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 ❑ I'.11aIK �Or:, DM Jimw North — CMG FAX NO. : 9102566357 Mar. 11 2013 09:55AM P3 .�-s=-- • ,� -:..-cam Veyr it es►�� e -cs ids' �i North Carolina Deparment of Environment and Natural resources division of Coastal M81, 890ment at McCrory BlExto') C. ouvia ohn z. Sl�varla,111 Governor Director S�crrxerr AGENT AIJThI _RIZaT�EORM Imo. )I �1 N Ar" of Property O ner Apphring for Permit IYrrrne of Authorized Agent tnr this: project: C wnees Mailing Address: F hone Number (4! Agent'a Meiling Address: �' 1q j% r . Phorw Numb+ar C 4/0 I ;L 3L / —J? �'j�Z_ I certify that I have authorized the @gent listed above 0 sot on my behalf. for the purpose Of appiyingl f u and opining all CAMA Permits necessary to install or construct the following (activity); "or my property located at No aeriffication is VOW tri (date) � — ! of o Property Owrre 8lpnature Date . RECEIVED DCM WILMINGTON, NC SEP 1 0 2013 /F C.AMA► / ❑ DREDGE & FILL I)ENERAL PERMIT Previous permit # New ❑Modification []Complete Reissue ❑Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources �� E :oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC J� Namez'kr t M11/ S Mules attached. Project Location: County A 1, j,�i0 Street Address/ State Road/ Lot #(s) Stated ZIP P () 52 -2jkk 3 Fax # ( Subdivision �- :d Agent - t n1rh y rv)yl City 17-! 7 ZIP UCW [Yfw "�TA ❑ ES ❑ PTS Phone # ��r/'f'SIy River Basin ElOEA ❑ HHF [IIH ElUBA El N/A Adj. Wtr. Body ' / �a� /m2 ❑ PWS: ❑FC: es no PNA � no Crit.Hab. yes / no Closest Ma Wtr. Bodyj��thS—k? LC4 Q-atg'' I' Project/ Activity C&11 j �L`/�f /%I/-7 �'� /� !,' , /`' ! �> �� : L'i l �"i✓!r'� C' 1' /3/ / f �h S (Scale: l." �� k) length S)�•e/r 11 %CZt` ..r(s) ! i gth — ❑�_ fiber � T I Riprap length distance offshore distance offshore innel c yards P I - e/ oatl' L � �7 not sure yes11 not sure yes moJ �t—; im: n/a yes yes% ttached: yes �icjl ._ _ _ W i ` 1 ' ! 4 ` �' r - 4— y► ! g permit may be required by: '�, s r1s� /l r�1� F ❑ See no on back regarding River Basin rul Jimmy North - CMC FAX No. : 9102566357 Mar. 11 2013 09:54AM P1 ADJACENT RIPA1tIAN PROPE11TY OWNER STATEMENT (P-OR A PIERIMOORING PILINGS/BOATUTTIBOATHOCIS 9 I hereby certify that T own property adjacent to D 9jE (LT ►-ta 5.,.__ _ 's ,II (Name of Property Owner) property located at IZ(,e t-A�F_ ' (I.ot, Block, )(toad, etc.) on CG' LJ .�....�, in--nl Eu.� l rA,4 o V YC--L- /' N.C. (Waterbody) (Town and/or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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.) do not wish to waive I do wish to waive that setback requirement - DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPN[ENT: (To be filled in by individual proposing development) (Information for Property Owner/Applicant Applying for permit) Mailing Address l,.) l UM . N(- ZY'fo°/ City/State/Zip RECEIVED DCM WILMINGTON, NO SEP 10 2013 (Riparian Property Owner rmation) Signature 4-'V' r W, '-L- t S Print or Type Name IM Jiffing North - CMC 0 FAX NO. 9102566357 7— Mar. 11 2013 09:55W P2 RECEIVED DCMrILMINGTON, NC S E P 1 0 2013 0 UNITE6'8iTiTES'F�(3STAL SERSfICE r _.i. ` I--Cfass. :r1SPs- _.�'1.:< 'llllllll�lllll _ ■ 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 t* card to the back of the mailpiece, or on, the front If space permits. 1. Article Addressed to: Barbara Sa�Kson 610A N01+h Crcck Load W 1 l m i vco l NCB CM09 • Sender: Please print your name, address, and ZIP+4 in^this box • &b fiolliS PO box In 1)q Wi I mi r�-bn, N� a P�lo�, 111111111111111111i' —IITTF7,r 1 I'II 1r11, A sr ure ❑ Addressee B. Q eived by (PrVrted Name) C. D e of elivery T?� �, ��o1i> D. Is delivery address different from item f? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra fee) ❑ Yes 2. Article Number -�nnr n-ron nnn� -ins-i r^�r�r