62637D - Clark

C AMA / ❑ DREDGE & FILL N? K
GENERAL PERMIT Previous permit#
❑New :]Modification L_1Complete Reissue El Partial Reissue Date previous permit issued
prized by the State of North Carolina, Department of Environment and Natural Resources .4 P ' 1 Zcr
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
nt Name < Project Location: County C
s ff }/' 1 ii yr, Street Address( State Road/ Lot #(s)
%� 1 ale.vN State*zip <`Y(Q'[)2�
# #Subdivi ion
zed :t&i City ( zip 2SA
❑ CW � EW � PTA El ES ElPTS Phone # ) River BasiUja
❑ OEA ❑ HHF IH ❑ UBA ❑ N/A Adj. Wtr. Body j A (n
at
❑,�P-WS: ❑ FC: l
yes // no PNA yes / no Crit.Hab. yes (no Closest Maj. Wtr. Body A
A Project/ Activity
pier(s)
ength
umber
ad/ Riprap length
vg distance offshore
iax distance offshore
:hannel
ibic yards
imp
,use/ Boatlift
Bulldozing
Li' x I
ne Length --
not sure
gs: not sure
mum:
�> (Scale: I
ling permit may be required by:
- .... -- i
❑ See note on back regarding River Basin

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: S�f Vt � t4A) CI C I� t Permit #:
Date: I Z/ 101 l' j Vn
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremei
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 fir
disturbance.
Excludes any
restoration and
temp impact
amount)
O
Dredge El Fill ❑ Both ❑ Other
G o L�
2c7
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 ❑

CA RO LI NA B LUEWATER CONSTRUC87OIN1
Custom Beach, Mainland, and Golf Course Homes
Complete Design / Engineering / Building
6934-9 Beach Dr. SW, Ocean Isle Beach, North Carolina 28469 [phone]
15'-0" 19'-111,
CANAL
11, x 12'
Boat Lit
r � 8 6" Piles
I
Existing Pier — — — —
15'-0"
8'11" x 8'
Alum. Floating
Doc k w/ 8" Piles
to be Removed E
a
K
I
49.89' N20° 10' 05"W
MHWt.
kr
L—
Existing Walkway roposed
It o
to be Removed lalform 1 x 7
Existing Bulkhead
•
Deck
I
I q
I �
LVrE
Above I
b II
h I
I
N $
I
I
I
I
I
I
I
I
John Stratton
m
I
House®®
I
h 23 Scotland Street
Above
I
Ocean Isle Beach, NC
19 Scotland Street
I FFE 6.1
I
to
June Zike
1716 Turnberry Ct.
$
I
I
—
High Point, NC 27260
76 Setback
—
I h
I i
I
III
Dock
Front I m
I� Above AbovePorchI
I
t

//. qM15— -
DIVISION OF COASTAL MANAGEMENT
2TAAT Uu nb�T, Tyr
• Ll\ A' Vlt1Vj
Name of Individual Applying For Permit: e
Address of Property: fX / e l/o
(Lot or Street k Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above -referenced Property. applying for this permit has described tome as shown on the attached drawingthe evele mdividua
are proposing. A description or drawing, with dimensions, should be Provided °pment they
+� �� P with this letter.
I(-Y. �t
0 I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call of Coastal
within 10 days of receipt of this notice. No response is considered the same as o objection
i
Fou have been notified by Certified Mail. no objection if
understand that a pier, dock, mooring PWM9s, breakwater, boat house or boat fift
et bck A minimum distance of 15, from my area of riparian access - unless waivedmust be
ou wish to waive the setback, you must initial the appropriate blank below. by me. (If
)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Name 11 J.3
ate
!fun -Z
a XT_ � �

A4'r
.A
rMEERR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
3everly Eaves Perdue Braxton C. Davis
aovemor Director
AGENT AUTHORIZATION FORM
Date: as
PPm of Property Owner Applying or Permit:
> e vQ xf
Mailing Address:
me Number (76) q`2Yf IDS (
Dee Fi
SE
Name of Authorized Agent or this Froject:
10 yr&ZA /-3/L0'1-r1�
,� �, ee 71'4 VU�i� �;
Agent's Mailing Address:
?/'TP4 c /), S ,/
Phone Number (�! 7 ) S) 7�/D DD
rtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
and obtaining allIlCAMA Permits necessary to install or construct the following (activity):
106k- Ii�
my property located at CV
certification is valid thru (date) %
PIZIA/1 2
Property Owner Signature Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: e
Address of Property:_ o elAwj
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above -referenced property. The individi
applying for this permit has described to me as shown on the attached drawing the development th
are proposing. A description or drawing, with dimensions, should be provided with this letter.
V I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-391
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
-
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
set bck a minimum distance of 15' from my area of riparian access - unless waived by me. 0
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15 setback requirement.
v I do not wis
h to waive the 15 setback requirement.
AQ'A