63132D - Harrelson

*LAMA / DREDGE & FILL
"ENERAL PERMIT Previous permit#
T1�lew Modification L]Complete Reissue Partial Reissue Date previous permit issued
prized by the State of North Carolina, Department of Environment and Natural Resources
Zoastal Resources Commission in an area of environmental concern pursuant to 15A NCAC_ :7 R , 112
�j B I Rules attached.
it Name !� [ k �} ��,� b1J Project Location: County 12 (A NJ SWI U
1L GJL Art,4 State QC1 ZIR�2, 9 q6
E ftU)2a7S - , Fax # ( )
:ed Agent AUZV %(f�j MA-4W1 r
❑ CW ❑fW 11�TA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
Street Address/ State Road/ Lot #(s)
sw 7!�1fi' ST
Subdivision
City n A e- 1 S L.AiY t;;, ZIP tS
Phone # ( ) River Basin L-1 �A'I
Adj. Wtr. Body: ATJA L 0� _f j`7,, , i Si�j(_ //"nat /
yes / no PNA yes / Crit.Hab. yes / no Closest Mal. Mr. body �yv
f Project/ Activity
(Scale:
ck) length u
'(s)Y
ier(s) 'J
ngth
tuber —
d/ Riprap lengtl
distance offsh
v distance offs)
cannel
)ic yards _-
np
se/ Boatlift
ulldozing
'4
Length
not sure
not sure
cum: n/a
atached:
(( 15 KA—U
ig permit ma;

AMERICAN MARINE CONSTRUCTION INC 85494
CHARLES H. OR KAREN Z. PERRY
P.O. BOX 11046 910-457-5488 66-30/531
SOUTHPORT, NC 28461 453
DATE -
PAYTO `
OR ER
ORCt�� ER OF I < %n
t . a An
DOLLARS
® ,First Citizens
FOR
II'08 S L q Lu■ on i; :t inn anni•nn v c: :i 1 , Cn , , � ,

Division of Coastal Mgt. Habitat Impact Computer Sheet
plicant: t`1 ) 4114 111 �'xt,; Permit #: ( 13132
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
)itat 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 fina
disturbance.
Excludes any
restoration and/i
temp impact
amount
V
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

J
LA
�7Ll�-

un or Individual Applying For Permit: �VA G,f tl5 off
darts Of Property= � 7 S
(Lot or Street 4. Stmt or Roedl -
c',�4
Cirm-and _Co j
sereby certify that I own property adjacent to the above -referenced prope.n.. The individum
plying for this permit has describcd to ate as shown On the amched drawiao ;he devtioprxatii"
proposing- A description or drawing, with dimensions, sholald be crov;ded w'rthtNts leRer
I have no objections to this proposal
you have objections to what is being proposed, please write the D« uic.,n of Cofist*�-
:auagement, 121 Cardinal Drive Extetaion, WilmingTon, RC 218405 or call 41 - 95-724S
ithin 14 days of receipt of this notice. No response is considered rho some as no oWe&ioniif
)u have been notiited by Certifled Mail.
WAMR SECTION
uadersmnd that a pier, dock, mooring pilings, brenkwater, bout, house or boat tilt must beset
ck a minimum distance of 15' from my area of riparian access - unless Nvaived bti rite. Cl��rou
-is6 to ,-vaive the setback, you must initial the appropriate blar.i: beiom;
do wish to waive the 1 setback reaeirer--e_ -
i do not wish to Nvaive the i 3' setbaci;
s eta
le_I 4—j,r C,*, If
'rent i�

7GCC
arnc or Individual Applying For Permit;
:duress of Property I C-1� 5.. W , oZ�f fib' S-t.
'Let or Street #, Street or Road) - -
I/
'Ci*v and Cotmry3 -
hereby certify that I own property adjacent to the above. referenced propc::y. The >individuei
plying for this permit has described to me as shown on the attached drew3ao the deveiopm—athey
e proposing. A7ntion or drawing, with dimensions, shoWd he provided with this Wier
have no objections to this proposa�
F you have objections to what is being proposed, please write the Di--i;i-.,n of Cofisi!&'L
lanagement, 121 Cardinal Drive &tension, Wilmington, NC 28405 or c:111 41`i 79b-12AS
+itbi❑ 10 days of receiptof this notice. No response is considered the some as no objeLtionif
ou have been notified by Certified Mail,
WAIVER SE CTIO N
uaderstand that a pier, dock, mooring pilings, brealcwater, bons :'Ouse or boat lift tniistbtset
ick, a minimum distance of 15' from my area of riparian access - unless »•aived b, +mt• (if you
visb to woive the setback, you must initial the appropriate blank below
do wish to waive the lam' setback reacire�--c—
i don wish to waive the 1;' setback
Print Name e