62697 - Smith

CAMA / DREDGE & FILL.
�ENERAL PERMIT Previous permit#
New [-]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
•ized 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
ules attached.
t Name (!. I�i i�/�%., �{ Project Location: County //,It�
i f %�_%�. �C� rJ!'7! �/Y� Street Address/ State Road/ _Lot #(s) L Iti�
1,,1,✓'lr= �5 Ir 11 rlXtate� ZIP_ 11 2 Al , 4 44,nl
( % U y�Fax #/() Subdivissio"n" "'`� }�
edAgent AwIf �!�' c''� City Wi/jf�i*j� 1.0 A*z ZIP
❑ CW -'7 EW -t� PTA ❑ ES _1 PTS
❑ OEA ❑, HHF IH ❑ UBA ❑ N/A
PWS: ❑FC:
yes / no PNA yes /, 68, Crit.Hab. yes / no
Project/ Activity
/& / /
:k) length
ngth
,nber
J/ Riprap length_
distance offshore_
x distance offshore
cannel
sic yards
e Length T -1
not sure yes 010n,
s: not sure yes o ,
ium: n/a yes ( no T
yes
kttached: yes
X—
ng permit may be required by:
Phone # ( ) �� River Basin
Adj. Wtr. Body s (nat�
Closest Maj. Wtr. Body � �thh lJl Yeti
(Scale /
4 L] See note on back regarding River Basin r
/, 11A

Acant: IVOle. / Permit#:
e: Z
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id 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 final
disturbance.
Excludes any
restoration and/or
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 ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

T complete I
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if Restricted d address on ou.
our name an the card to YOU'
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(transfer from
3g11 February 2004
Form
Yes
❑ No
p. Is deliveN address `�'r
If YES, ante TON NC
OCWI-MING
Mail merchandise
g. Service 1 impress
�ertif,,d Mai1 13 Retum Receipt for
Registered C O.D,
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4. Restricted Deliver�R i�
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Letter of agent
have retained Mark Clements DBA, Clements
Marine Construction Inc, to make application for any and all permits needed to start
construction on the work requested for our property or properties.
By allowing Mr. Clements to make such applications I do understand that this will in no
way relieve me of any obligations to perform all work according to the building codes of
North Carolina, CAMA, DWQ or any other state and or county ordinances.
date) 3 �S
Contact information
.0 r0k, Ta`[- -Cn
G t �-L�;-qGt)- Ll'1 Ll-I
RECEIVED
"`''A WILMINGTON, NC
lete items 1, 2, and 3. Also complete
if Restricted Delivery is desired.
our name and address on the reverse
t we can return the card to you.
this card to the back of the mailpiece,
he front if space permits.
4ddressed to:
JY1 4
�' )00x /�5)2 b
h kv i I le, b eadx 01 G
A. ture
X --
. TR eived by
uM L
D. Is delivery
If YEb cie` c)
❑ Agent
Addressee
C. Date of Delivery
l4/5l
> ? ❑ Yes
�Ye1oNr ❑ No
TON, NC
NOV 0 5 2013
3. Service Type
,2MCrertified Mail ❑ Express Mail
❑ Registered 13 Retum Receipt for Merchandise
Nov 0 5 2013

fto,?" — �/K CHANNEL
*N30'18'00'E-
it TIE 25.30' O
N.H. W.L.
f ERYN I
f TOWN OF
5/
30.0,1
Sit
Ao
sewer
N qp v?
�r ?
W E
5
NTS h! _
J LOCATION MAP
N07ES:
f EACH LOT IS 25.2-d' X 91.0' M.b. 3 PG. 1
I ' DEED REFERENCES:
j DEED BOOK 600 PAGE 497
DEED BOOK 836 PAGE 228
f DEED BOOK 564 PAGE 319
f DEED BOOK 600 PAGE 496 (QUIT CLAIM RIPAF
f SETBACKS
FRONT: 15',
f SIDES: 7.5
REAR: 30' CAMA SETBACK
f
THIS LOT IS IN A FLOOD HAZARD AREA ACCORE
f
TO COMMUNITY —PANEL NO.3720316700J
t
-ZONE: VE (B.F.E. 15.0') DATE: APRIL 3. 2
e
'REVISION NOTE 5/6/2013:
REVISED TO SHOW NHWL AND 30'
? BEACH OFFICIIAL ERACK YN FLAGGED
LER BY I5/2/2013
T.B.M. PLACED AT C/L N. CHANNEL. DR.
(
2 ORIGINAL PIER REMOVED
NEW PIER UNDER CONSTRUCTION
f
f
Q REVISION NOTE 5 22 /2013:
BY
4: REVISED TO SHOW NEW PIER
1E BEACH f�
NEIGHBOR'S BULKHEAD
3WEAWA SETBACK _
127A26 25
a I
77.82' m
0'2910 W I
,o
TWO STORY LA
fr
f BRICK & FRAME � « i I
DWELLING ; o
24 23 22
3
ao NN/F
�
S DALE WALKER
Z MELINDA B WALKER
O.B. 3105 PG 691
9 0' LEGEND:
21
RECEi\
M WILMING
NOV 0 5