62617D - Carlisle

r /
CAmA / ❑ DREDGE & FILL U D �/, O ✓
IENERAL PERMIT Previous permit#
New ❑Modification ❑Comple issue ❑Partial Reissue Date previous permit issued
zed by the State of North C na ,Department of Environment and Natural Resources /
aastal Resources C ission in an area of environmental concern pursuant to 15A NCAC �7
[2Rules ched.
Name L_./a Project Location: County /1/�f' /ma's/i
f c r Street Address/ State Road/ Lot #(s)
State_ Ae ZIP ? X12
.d Agent
03CW ntW [l j,j PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
,es /(1i�o PNA yes / no Crit.Hab. yes / no
Project/ Activity i
k) length S x IV
ar(s)
gth
fiber
/ Riprap length
distance offshore
c distance offshore
annel
is yards
P
6oatlif4 13 X l3
Subdivision
City !�// �,007/ ZIP 20,
Phone # River Basin
Adj. Wtr. Body
Closest Maj. Wtr. Body —
r J/
i °/': (Scale: J�!:
Length , 0" --2 1-
not sure yes
not sure yes` i
um: n/a Y's
l F i I
attached: yes
ig permit may be required by: C �-
El See note on back regarding River Basin

JG/ erm i
)ate: I Z
%3
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
wnd in your Habitat code sheet
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
ibitat Name DISTURB TYPE
Choose One
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
(Anticipated final
disturbance.
Excludes any
restoration
andlor temp
impact amount)
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
/
(/ Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other
6 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
Dredge 7
Dredge 1 v A
Dredge i
Dredge
I /" 1 1 Z.,� I (

For Check Verification Call:
Local 919-963-6257
Toll Free 1-877-963,6257
31ne iM531050591: 05203"1301
1031
66-505-531
DATE
DOLLARS UJ .. ....
Z_DOL
01�

npson, Shaun
m: [e-mail]
it: Tuesday, September 10, 2013 2:26 PM
Simpson, Shaun
)ject: RE: Jack Carlisle
lichments: 20130903160629709.pdf
haun — I have no objections to the attached project.
inks,
; Painter
lesale Banking - Owned Real Estate
s Fargo Bank, N.A. 1 301 S. College St.1 MAC: D1053-04B I Charlotte, NC 28202 1 Tel [phone]
;. L. [e-mail]
m: Simpson, Shaun[mailto:[e-mail]]
It: Tuesday, September 10, 2013 1:58 PM
Painter Jr, Ross L.
eject: FW: Jack Carlisle
Painter,
meant for you sign that you have no objections to his project when he sent you these attachments last week.
ur office now, and if you would simply reply to this email stating that you indeed,
Eect that will be acceptable verification for us.
nk you,
un Simpson
in Simpson
�onmentol Technician
iept of Environment & Natural Resources
livision of Coastal Management
Cardinal Drive Ext.
iington, NC 28405
ie: [phone], Fax: [phone]
m.5impson @ncd en r. gov
it correspondence to and from this address
be subject to the North Carolina Public
ids Law and may be disclosed to third parties.
Be Green - Don't print this e-mail unless required.
RECEIVED
DCM WILMINGTON, N
SEP1o2013

ADJACENT RIPARLAti' PROPERTY OWNER STATUN ENT
(FORA PIE'B,gy00.RING pXLEvGSIBOATL. FTIBOATHOUSE) J
I property adjacent o
I hereby certlfti that own P P tQ
(Name of Property Owner)
F
property locate L- -
(Lot, Block, ad, etc.
w N.C.
onin A
aterbody) (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 1ne.
(if you wish to waive the setback, you must initial the appropriate blank below.)
I do not wish to waive
I do wish to waive that setback requirement.
----------- -------- ----------- ------------
------ ------------------------------------
---- ON kND/OR DRAWL'�C OF PROPOSED DEVELOPMi YNT-
(To e by individual proposing developm
x
If you have o is being proposed, you must 4otify the Division of Coastal Management (DCNI) in wr►ti
within 10 days of receipt of this notice. Correspondence should be mailed to 11-7 Cardinal Drive Eat. Wilmington, NC
DCM representatives can also be contacted at [phone];,
No response is considered the same as ao b Lection if vots.have been notified by Certified Mail
(Information for Property Owner/Applicant
Applying for permit)
Mailing gAddress"to TIf
1-ih'/gtatL /7in
(Riparian Property Owner Information)
RECEIVED
DCM WILMINGTON, NC
S E P I O 2013 Signature
Print or Type Name

ADJACENT RIPARIAN PROPERTY OWNTR STATEVffNT
(FOR A PlER/1VIOORLVG PILI7%GS1BOATLlFTIB0ATHOUSE)
I hereby certii;y that I own property adj scent to .� ar S
� giame of Property Owner)
property located at r ► % v
(Lot, Block,Ppid, etc.)
iN L*aterbody) (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 $tteen feet (15D from my area of riparian access unless waived by me,
(if you wish to waive the setback, you must initial the appropriate blank below.)
I do not wish to waive
I do wish to waive that setback requirement.
ON �ND/OR D�in
WING OF PROPOSED DEVELOPWNT:
(To by dividual proposing developm
e- ?t
► T �' - 6'
If you have a Ls being proposed, you must notify the Division of Coastal Management (DCM) in writi
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, IBC
DCM representatives can also be contacted at [phone]_
No response is conside ed the same as �o oblecilon if you have been otified bV Certified ail
(Znform.ation for Property Owner/Applicant
Applying for permit)
86 RLOP 0�
Mailing Address C—
W'A t Al
(Riparian Property Owner Wormatxon)
RECEIVED
0CM WILMINGTON, NC
5 t F 1 0 2013 signature
Print or Type Name
CityJstate/zip

1i;/201A 08:33 311]3136559 STAPLES PAGE
• copy&pri ntcenter
Complimentary S , ff-Serve Fax Cover Sheet
New m
,.09329,\ !�Pro -
#' o4 i C) — -Jq (t-D q� Phone #; oqs` . t ' "5DS 0
fiber of Pages (Including Corer);
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Reply Fax k _
urgent E] Confidential [] Confirm Receipt [
We'll do it right the first time — guaranteed.
Black & white copies • Color copies • Custom printing * Bindlgg * Folding * Wi99-format copying • Custom stamvs * UPS shipping and more
that was
SJd
DCM WILMINGTON
SEP 162013

'/M/2017, 08:33 9103136659 STAPLES PAGE 02,
ADJACENT RIPARIAN PROPERTY OWNER STATETMINT
(FOR A PiERllbmoopuNG P:l iNGSB4ATVFT/BDATHOUSE)
I hereby certify that I awn property adjacent to .,3 Q C �- -- - ho
Q -� {lame of Property Owner)
property located at _� - �,., �� C�,
(Lot, Block, ad, etc.
on in Ld ts�J� . N.C.
(W aterbody) (Town and/or County)
He has described to me, as shown below, the development be is proposing at that location, and, I have
no objections to bis 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.)
I do not wish to waive
I do wish to waive that setback requirement.
SON AND/OR DR4WING OF PROPOSED DEVELOPMENT:
(To;eitii�by individual proposing developm
7
r(-N V:a
wvsm
If you have o [s being praposcd, you must notify the Division of Coastal Management (DCM) in writi
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Fit. Wilmington: NC
DCM represcntatives can also be contacted at [phone]_
o response is considered the same as no ob'ection if you,haye, been n0i red by Certified Mail
(Information for Property Owner/Applicant (Riparian Property Owner information)
Applying for permit)
Signature
Print or Type Name
SbN v R o &A
Mailing Address (
City/StatelZip
r1A 14- f4cl :M"I