62646D - Carolina

❑' jCAMA / ❑62DREDGE &FILL ` / R
GENERAL PERMIT v Previous permit#
New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
Drized by the State of North Carolina, Department of Environment and Natural Resources -44
T
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC - U
... I attached.
nt Name ✓_1 A.. Project Location: County NQ� K GVt1.
s Street Address/ State Road/ Lot #(si(I)
i
. G ( State, ZIP-� ` i � �t i r
o lb � IC) Fax # ( _ Subdivision •�� Q C
zed Agent •—' jkity `.,Ykl ZIP tNu
1
j E CW �cl EW )4 PTA ❑ ES ❑ PTS a' ! "' a # loy
River Basin `
ElOEA I HHF ElIH ❑ UBA El N/A Adj. Wtr. Body YD at
PWS: ❑FC:�' l
yes / no PNA yes no Crit.Hab. yes /!no ~j Closest Maj. WtW
of Project/ Activity
ock) length
m(s)
pier(s)
ength
umber
ad/ Riprap length
ig distance offshore
iax distance offshore
:hannel
ibic yards
ID
use/ Boatlift
3yl dozing
L m
4-1J _ AOL "1+14IIn
(Scale:
LIN M ON=
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■■1�■Irfli�iYiii■i WIN■■
III MA UWWIWA�1111010M
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Applicant: ti�� ►� (1" rC(, Permit #
a w Date: c0 � /� � ,
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 I DISTURB TYPE
Choose One
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 ❑
TOTAL Sq. Ft.
FINAL Sq. Ft.
(Applied for-
(Anticipated final
Disturbance total
disturbance.
includes any
Excludes any
anticipated
restoration
restoration or
and/or temp
-tempimpacts)
impact amount)
V�
TOTAL Feet
I FINAL Feet
(Applied for.
(Anticipated Tina
Disturbance
disturbance.
total includes
Excludes any
any anticipated
restoration andA
I
restoration or
temp impact
temp impacts)
amount)
Dredge ❑ Fill ❑ Both ❑ Other ❑

1108
WKEE ENTERPRISES OF NC, LLC
405 BUTLER CT 66-19/530 NC
WILMINGTON NC 28412-7153 DATE to - 1857
$ doo-
-DOLLARS
vt
.SMt-
mericalla-P
,1013112 1:053000L96i: 23
.............
70 2 113 9

AG;i5y
A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
AcCrory Braxton C. Davis
temor Director
John E. Skvarla, III
Secretary
AGENT AUTHORIZATION FORM
Date: Y� a �-- /-�;
of Property Owner Applying for Permit: Name of Authorized Agent for this project:
�%l� �' LArD �►`v►,a �e�L► �av�. C},►1�S wakzif,-ge Lnt-Aq3r► Se-
.r's Mailing Address:
i lU • L Pyi,L 61>b
-o 1% h v� V�C-H
C2Ll3S
Agent's Mailing Address:
L40S %U7IVr Cave%
e Number( ) Phone Number (5/0 ) -)J - Cfy S7
Ce LL 774/—� 3&— tvIr
ify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
id obtaining all CAMA Permits necessary to install or construct the following (activity):
ny property located at SL i i) 44 y 0,/1,.-011,ki kt ' ,(A( +�.�-7 �4S �•
-ertificatio
ru (date)
ner Signature
'3Uzo 1,3
7 ate

siooi
r

_jl aw
I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to S Z i io s
(Name of Property Owner)
property located at n i4 cafiT y See
(Address, Lot} Block, Road, etc.)
on b0v-0 .5DUkJ _ in 13e,-, fl , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
_x I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
RECEIVED
DCM WILMINGTON, NC
SEP302013
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to wain
the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro rty Owner Information) �r'r=rvi
at e
c N<< � S
Print or Type Name
Agna&r
Print orfXpe,NanjA
n)