61658D - Ferrante

CAMA / "tREDGE & FILL
GENERAL PERMIT Previous permit#
New J Modification Complete Reissue ❑ Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources _ ( (Z �, v
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC I"t
^' �- -� El R attached.
nt Name ( �% e G��/I Project Location: County
s ''n f CJ ✓! Street Address/ State Road/ Lot,#(s)
GtiV► __. State ZIP oc-'% T-A6 0' i1
# ( ) y'�V+`` C�//(�,F�j� # ( ) `------= Subdivision
ized Agent 1 .1 �lU 4h t/3r�....- CiZIP �
d E- CW EW PTA ❑ ES ❑ PTS Phone # River Basin �!
u OEA HHF IH UBA a N/A
❑ Pws: _ _ Fc Adj. Wtr. Body �C 111 �111G%2-
yes / no PNA yes / no Crit.Hab. yes P no
Closest Maj. Wtr. Body
A Project/ Activity
lock) len h
•m(s) 1 (O
pier(s)
length
lumber
!ad/ Riprap length
vg distance offshore
nax distance offshore
channel
ubic yards
amp
)use/ Boatlift
Bulldozing
ine Length
not sure yes
tgs: not sure yes
)rium: n/a yes
yes
Attached: yes
Jing permit may be re
Z-f /%
(Scale: f
P

'w
3971
66-21/530
BRANCH 50004
I
Date
J $ 070 7y'
NP
173733036ll' 3971

77
Dplicant: /N�G;� ��f � Permit #: /�
ate: �� ! r0 IJ
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. FINAL Sq. Ft.
(Applied for. (Anticipated final
Disturbance total disturbance.
includes any Excludes any
anticipated restoration
restoration or and/or temp
temp impacts) 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)
/
0k1 Dredge ❑ Fill ❑ Both ❑ Oth "R
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 ❑

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date ' J-U4G 8 . Ac) 13
Name of Property Owner Applying for Permit:
/jtc:_K ( W(::tC-W P67P-.P- P*�z
Mailing Address:
S�� OL.b e `��,�, i L'0 010
I certify that I have authorized (agent) �� to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity
at (my property located at)
This certification is valid thru (date)
Property Owner Signature llata

ADJACENT RIPARIA-N PROPERTY OIN ER STATEy1ENT
(FOR A PIERlf00RLVG PIL1-'iGSZB0ATLYT11B0ATHOUSE)
I hereby cot,ify that I own property adjacent to kieLK PM(cE0 FC/2J24W1 `s
(Name f Property Owner)
property located at 0 -F I _ & nvt,),2 O► u- &,k -r Boo k J 1 f} so
(Lot. Block, Road, etc.)
on OL,b ToPSt+1L C12�cJ< , in 10PS&I` TocyN-1.Hi P--patc o, _> t 1-C.
(Waterbody) (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 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.
-- --- -- ---------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
AJ 55MLL f2-vor- OJ Is-i7A) 4 � i P�UOti AAW bo r-kt
0 9
TX
hArFo,e�ac
1f you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in wri
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Est. Wilmington, N,
DCM representatives can also be contacted at [phone].
No response is considered the same as no objection if you have been notified by Certified Mail
(Information for Property Owner/Applicant
Applying for permit)
Ou & e L c &iA)T •Coy to
Mailing Address
City/State/Zip
(Riparian Property Owner Information)
Signature
iUIKc i00o LC
Print or Type Nam(
Telephone Number
q/0 7 0 - 51S0I?
Telephone Numbe

I -
ADJACENT RIPARLa.N PROPERTY 0'�VNER STATEMENT
(FOR A PIERXOOR.ING PIUL GS,B0ATLIFT/BO.4THOUSE)
I hereby certify that I own property adjacent to //ic_e hto&EL v
i (.-Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on (5L-b I D��Sf�l t-- %FFK- , in DP-5Pe1L 16QWL5#1P 4e�UbEe &, , N.C.
(Waterbody) (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 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
iA Ss i A-L, ` ROOF OVEJ2 ck(s7-),)6
. pl p-' i Fo,
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in wri
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Est. Wilmington, N,
DCM representatives can also be contacted at [phone].
No response is considered the same as no obiection if You have been notified by Certified Mail
(Information for Property Owner/Applicant
Applying for permit)
a� C) c-pt Aoli k17- L co
Mailing Address
City/State/Zip
(Riparian Property Owner Information)
Sig, ature
Print or Type Nami
Telephone Number
•- ' / - 1
Telephone Number