62636D - Allen

t_.
C'AMA 1 DREDGE & FILL
1AENERAL 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 jj
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC R. • 6 �( �.
-; Rules attached.
Name i�iAilC� /'� �tj& Project Location: County ��iU �1 S.HI1 ff ��,
r
�1�1�(�,J� . Street Address/ State Road/ Lot #(s)
Statj,: ZIP?�' 4:-z (A (.►tiky41A (Z�
.WFax # ( /) Subdivision``' N A c
ad Agent` G1 ri Y"1J� j 4� ° City I GV� ter a C� ZIP Z� U
❑ CW ❑ EW ❑ PTA r, ES ❑ PTS Phone # 0 IC )Z31- Sy3� River Basin LU m
❑ OEA ❑ HHF C IH UBA F, N/A Al W W (nat
Adj. Wtr. Body
❑ PWS: ❑ FC: A
yes (no PNA yes/%no� Crit.Hab. ye(/ no Closest Maj. Wtr. Body
Project/ Activity i ; t 1' `� 1'�i C:T W W \A ✓i �,3 1.0 1 i
:k) length
(s)
er(s)
igth
nber
i/ fZprap length—
: offshore
x distance offshor;­O�
cannel
>ic yards
ip
se/ Boatlift
illdozing
-41rfrAl/
CTJ
Length LG f 1
not sure yes
s: not sur yes no
ium: ! n/a yes no j
i
( yes . no
kttached: yes ` / ..--
rig permit may be required by:
I ii
t l V t AT Id cIti1iX/,t tip,
(Scale: 'l
_;
❑ See note on back regarding River Basin n

NC Division of Coastal Mgt.
Applicant: V UV I /I A,, 4
Date:
uc 2q
Habitat Impact Computer Sheet
�itvN
Permit #: GZ63QI
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
found in your Habitat code sheet.
Habitat 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 fins
disturbance.
Excludes any
restoration and/
temp impact
amount)
SDredge
❑ Fill Both ❑ Other ❑
2
Dredge ❑ Fill Both ❑ Other El
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 ❑
n --1 .. , I r7 . r

66-456/531 1787
L13
Shield'"
DATE
$ 4p-
i DOLLARS
r
7300 25431 01?13?

__--
�-- -4.7'
3.2' -4.F
-1.2'
18.2'
I N
I I
I I x
I � I
I STATIONARY O
I PLATFORM U
NORMA L LOW WATER LIN
AS OBSERVED ON 12-13-20
14 -2.i2 -2.5'
o I �+0.5' I `� +0.5'
i
I
I I I V+'ATERWARD EDGE OF
I I SALT MARSH 12-13-2012
I�
¢I I a WAN HIGH WATER LINE AS DEFiNEI
�I p M BY 2.04' ELEVATION (NAVD 88)
NI I r BASED ON NOAA TIDAL STATION
cod
22'31.
3.1 T
- I -FRONTAGE
2.7 68' _ �tYl r 1
:! 3.8
4. � 3.0
.9
2.7 2.3
.2
2.7 � 1.0
2.
� `� • '� / � � � 75ALI
' .E.C. SETBACK
2 9 NE
FROM MEAN HIGH WATER
a 1 2. / g PTO BE VERIFIED BY TOWN LPO)
-,, 1N ' I 6.3 � N
0

DIVISION OF COASTAL b1--NAGS-LENT
ADJACENT RIPARIAN, PROPERTY OWNER STATELMEtiT
I hereby certify that I ovn property adjacent to 119— ZI .�C�I�'
s
Property located at Q� J—
(,Name of P�-oPerty O vner)
T C Ift(Waterbody /, R.ge4Z--A-0"�
(.Lot, Block, , ctc.
an 4—k , N-C.
(Towu and/or Cout, Applicar is phone #: 2, d — trI Mailin Addr ss:
He/She has descr bed�o �c�as Sbelow � de���� he/ is � tyl
���`-'t�� ---ram
and I have no objections to the proposal. P she �, proposing at that location,
DESCRIPTION AND/OR DRAINING OF PROPOSED- -------------•------- ------
DEVELpPMFNT:
(IrrdividuaI proposing development must fill in description below or attach a site drawing)
T 7C/VJtx1
If YOU have objections to what is being proposed, you must notify the Division of Coastal Management ()DC�tit) in writit
within 10 days of receipt of this notice. Correspondence should be ailed 127 Cardinal Drive Ext, wilmington, KC
3lCM representatives can also be contacted at (910) 796-72,g. 1o)
o ons
res e is considered the.camr ac nn �1 I "1
(Property Owner Tnformation) (Rapar;aa Pro,
Signature
re
Prins or Type Name Print or Type Name
erty Owner Info

DIVISION OF COASTAL MAA- AGDff-NT
ADJACKNT RIPARIA. PROPERTY OWNER STATEME. T
I hereby certify that I own property adj acent to z- 7 .1,� � Z z E'l +5
property located at
T,_ (Name of property Owner)-
� ��� � f.L
(Lot, ock,JRoad, etc.)
Oil 4-! , inB _ _Ll ti°� �3 L�'G C . �i. C.
(Waterbu�,/ (Town and/or County)
Applicant's phone 4: X6 Maili.tag Address: y (ex
.��3�
He/She as described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT.+---_----
(Individual proposing development mart fill in description below or attach a site dr wing}
IL'you have objcctons to what is being proposed, you must notify the Division of Coastal Management (DCK in writ
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC
DCM representatives can also be contacted at [phone]•
No response is considered the s3me as no ob'ecrien if you have been notified by Cerbfgd Mjkji
(Property Owner Xaformation.)
'Signature f
Print or Type Name
l 2 o 0?
(Riparian property Owner information)
Signature %tla t'S ��,a.,,r
7-`QA41.
weo as A 46;(O"l
Frint or Type Name