62619D - Chance

CAMA / DREDGE & FILL
F �� titi
IFENERAL PERMIT C�` c� 0
New ❑Modification :]Complete Reissue ❑Partial Reissue 1
zed 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_
Previous permit #
Date previous permit issued
❑ Rules attached.
t Name V11 C. (14k,'
Project Location: County .A
t-i. ,!!�
_
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Street Address/ State Road/ Lot #(s)
State A=
ZIP
` — 12wA/! rf
( ) Fax # ( )
Subdivision
zed Agent
City 1411
ZIP ZO
Cw EW _ PTA ES
PTS
Phone # ( ) "''
River Basin (__ �'
OEA HHF ` IH - UBA
] N/A
/
Adj. Wtr. Body'/t'/��<//�</c
l
(nat
PWS FC
ff
Closest Maj. Wtr. Body Ip!'PCrl L'i��P
yes / no PNA yes /, no Crit.Hab.
yes / no
if Project/ Activity
ire 'f r
(Scale:
/
ock) length X r/ /
-nisi
ength
lr■
/ ,11
imber
■■■�llilii�ll
ad/ Riprap length_
eg distance offshore
iax distance offshore-
■���■�11
■■■�11
■■9111
■■■�maii
OEM
Moll
MMl
jbic yards
rnp
■■■
NEI
use/ Boatlift
■■�'1Ri
/■!mill
BEIMi
oil
owl
Mill
• r
,
rr'
rr
ing permit. may be required by: R /V N Ke . ,�i% 51��'Y//�7j J�"��. ElSee note on back regarding River Basin

AtVld
he:
3
Permit P:
o2-
scribe below the HABITAT disturbances for the application. All values should match the narne, 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 1,. Ft,
(Anticipated final
disturbance.
Excludes any
restoration
and/orternp
impact amount
TOTAL Feet FINAL Feet
(Applied for. (Anticipated final
Disturbance disturbance.
total includes Excludes any
any anticipated restoration and/or
restoration or temp impact
temp impacts) amount)
141 Dredge ❑ Fill ❑ Both ❑ Other
z U
zCi
/ V 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 ❑

-ECEIVED
WILMINGTON, NI
0 C T 0 7 2013
OFFICIAL CHECK M16779
50063889
ISSUING BRANC4F-I,S-,5f--17-1,,)I1-Mit4TC,f-4 -- u6i-'-BEN
DATE CKJOBER 07, `.007 68-236,5
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$ +t
DOLLARS
TH R1 ED SIGNATURE
-iASER .11-jll­'!::;�-! 1`V.*-.Pf'I,F
IIISODE3iBa909111 i:0SLL,023691:000LC)L90L0097110
........... ... lid 4:171FTIM. 1-111,111 K-114 Nnks i-A
OFFICIAL CHECK 50063889(
ISSUING BRANCFr'.-1­1,S75C17 -W I L11 I N%TOI
DATE '11- � .. - C I - 68-236,5
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DCM WILMINGI
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2306120142
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DUNCAN MARNE CONTRACTORS. INC
2052
Th I s 1 s a LEGAL COPY
t your chock. You can
ru nj ;'
2728 N 23RD STREET
` WILMIYOTON, NO 2641
6&IIv$3
use i t the same way
0=
you would use the
.
original check.
oru
ETURN REASON -A
10o
OT SUFFICIENT
OOrdertote
FUNDS
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IRS, INC 2052
66-112/531 ^
Date
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$ )-00. ° o
Dollars
NY
200 14693 11l00 205 2

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RECEIVED
CM WILMINGTON, I
S E P 1 6 2013

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: d4"'s
Address of property:
/11
(Lot or street#, street 4 road)
(City &
"4t�ui 1J& %eqe5 3
I hereby certify the I own property adjacent to the above referenced property. The
Individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
7"ons' should be provided whit this letter.
I have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management,127 Cardinal Drive Extension, Wilmington, NC 28405 or call (910)
796-7215 within (10) days of receipt of the notice. No response is considered the
same as no objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or
sandbags must be set back a minimum distance of 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.)
/
l do wish to waive the 15' setback requirement� 2013
SEP 1
1 do not wish to waive the 15" setback requirements
/ / rl Sr' lc�1 G✓ �` UGC

CER7 A�A1II, — �� RECEII'T REQUESTED
DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATiONIWAIVER
FORM
r
Name of individual applying for the Wit-
z?
Address of property= / --
(IAR ar str esis, �+• •n • ,
fey a 00.=1y)
I hereby certify the I own property adjacent to the above referenced property_ The
Udm&cdaffVingfor this permit has dita bed to me (as shown on the attached
drawino the development trey are proper A or drawing, with
diomemSzons, should be provk1ed what tbus letter
-
I have no-objecfions to- tbjs Proposal
If you have objectow to what is being proper please write the Divmon of Coastal
Managenoient,127 Cardinal Drive won, WftwVbnib NC 28405 or call (910)
796-7215 within (10) days of receipt a£ the - No �po� is considered the
same as no objection if you have been noticed by CertMed Mao -
waiver Section
I understand that a pier, dock, mooring per, breakwater', boat lift or
sandbags must be set back a min nnum Mstewe of 1F From my area of r4m-mn
access ntdess waived by me- (If you wish to waive the setback, you meat 'the
appropriate blaEk below-)
RECti V i=D
DCM WILMINGTON, NC
1 do wish to waive the 15" setback requirement S E P 1 6 2013
Mt wish to waive the 15" setback requirements
---� - , k —a Date

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER
FORM
Name of individual applying for the permit:
Address of property:
(Lot or street#, street of toad)
(city &
vk i�6v / Z 2ege5 3 /,V-.l1
I hereby certify the I own property adjacent to the above referenced property. The
Individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
/ ions, should be provided whit this letter.
✓ I have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call (910)
796-7215 within (10) days of receipt of the notice. No response is considered the
same as no objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or
sandbags must be set back a minimum distance of 15' From my area of riparian
access unless waived by me. (If you wish to waive the setback, pu l",iopthe
appropriate blank below_) dCM W€(MINGTCj NC
(P-1 do wish to waive the 15' setback requirement SEP Y 6 Z013
I do not wish to waive the 15" setback requirements

�r�-��i- ©�,vvler✓ �-© Fll outs©�
r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
1 F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Authorized Agent Consent Agreement
r-A , % S �cln n is hereby authorized to act on my behalf
(Print Name of Agent}
r to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to the
: activities described in the attached sketch.
FION OF PROJECT:
,.-t fl A
ERTY OWNER MAILING ADDRESS:
n
f r-t (og /Z) n OL z
DRIZED AGENT MAILING ADDRESS:
A e EL 4r, 3� S�
Ll.t l 64 -j„ Nc z�Ya(
IJ
Lure of Property Owner.
PHONE NO. S CZ 3L�2 -5� S�
Date: ZLL-q L
RECEii