61675D - Carter

CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit #
X.New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina, Department of Environment and Natural Resources —4 H f �
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC I
X Rules attached.
nt Name Project Location: County E6Z-Ic%,
f7� rfyr StateNZ ZIP H
ii JJ ,,,
1 tt. v a d3
❑ CW
❑ OEA
❑ PWS:
yes / no
Q EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FQ
PNA yes
if Project/ Activity
i
ock)length y
m(s)
pier(s)
ength _
umber
ad/ Riprap length
ig distance offshore
iax distance offshore
:hannel
ibic yards
mp
use/ Boadift
3ulldozin¢
ne Length A.+
not sure yes P.0
gs: not sure yes
,rium: n/a /Yes
no
00
Attached: yes no
Crit.Hab. yes no
Street Address/ State Road/ Lot #(s)
Subdivision
��citwe#
ZIP �.
ftIt) vsm River Basin Urm
Adj. Wtr. Body CalA04 (natV
Closest Maj. Wtr. Body
(Scale: 1 �'.
ling permit may be required by: �Aa' ,-_ Su e4lliF. ❑ See note on back regarding River Basin
--4 L 1 1-7 1 1 (1Irl All P. I -A ✓

C Division of Coastal Mgt, Habitat Impact Computer Sheet
plicant: Q a Cavuv/
ate: 7
Permit #:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
bitat 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)
1
J
Dredge [IFill [IBoth ElOther
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 ❑
1r� (A X `l l — n o

BULKHEADS 69-129
DTHY HOLDEN E}., 515 203 5126
tS NCDL 5202642
MNE V
NEY AD. oarE
28462
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L OCAT M OF PRp,MCTM
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RECEIVED
DCM WILMINGTON, NG
MAY 3 1 2013
PROPEM OVOMM MAtf, M AOORM&
a Pm020L=Loti
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UL /'Y—'/— $ � 7�-
AMIfiOI�D I�BEMT MAN�i ADDME8'S: L.C� 2 i � �
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RIJG-03-200T 10:02 From: To:8429eO6 P.2
CliiRTIFJBD MAIL - RECEIM—A[O&ILMD
DIYLSION OF COASTAL MANAGEMENT
A0116l~FM RIPARIAN PROPERTY OWNER NOTiFi &JJ0N/WAIVER FORM
The purpose of this form is to provide proper notice to you w an a0want riparian property owner to the individual or
individuals Used below, The LAMA General Pennnit applirstioa prnscadura require that appolka n provide the CNvision of
Coastal Managainent confirmation that a written smmrrtent has bean obainied signed by rho adj=cw riparian property owners
indicating that they have no objection to the proposed work gt that the adjacoant riparim property owners have been notified
by ctni fled mail of the proposed work Often these I}ams, are submitted to the adjacent ripatrim property owners by a mature
contractor or utrw indiv'tdtutls aetlrta as an authorised agora on behalf of the applicant.
This form was scut to you by the following individual or company de*nated by the applicant at as
authorized agent:
-7-t V-4- LLU y L V.:
AuthorisedAgent's Signature Date
Name of Individual Applying For Permit. ��"f-T- �Y "l e 'r
Address of Property: 56 (1 • D h S �.
(Lot or Street it, Street or Road)
©L L?.
(City and County)
I hereby certify that I own property adjacent to the above-referenced'property. The individual applying for this pen
has described to me as shown on the att*hed drawing the development they are proposing. A description or drawn
with dimensions, should be provided with this letter.
1 have no objections to this proposal.
If 'you have objections to what is being proposed. pleam write the Division of Coastal Management.
Cardinal Drive Extension, Wilmington. NC 28405 or call 910-796-7215 within 10 days of receipt of tbis net
No response is coasklered the same as so objection if You have been notified by Certified M21L
WAIVER SECTION
I undetstaaa pier. dock, moo altw►atsr. boat house or boat ilR muss be set bat
miai�lstance of 15' from my area of ripe access 'v d hh (U you wish to waive
y" mast initial the appropriate blank
2910s�a<1
i do wish to waive the 15' setback requt rent. •
1 Ill wish to ve the 1 S' setback tequi L
701> Siym Name Dale
MCDENR

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