61520D - Ivers

' CAMA / DREDGE & FILL /kA6
61
ENERAL PERMIT Previous permit#
-New ❑Modification ❑Complete Reissue —Partial Reissue Date previous permit issued
rued by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
tt Rules attached.
t Name Uyyavt f Off ✓5 Project Location: County 1.,' 7y r ',�./ ti
t l 1xV1 Y+L-(t oe- Street Address/ State Road/ Lot #(s)
(kydo 4e StateKy ZIP Z24,
Fax # ( ) Subdivision �1P
i1
zed Agent ( `,�l fi Lt (('11 �,- City4..1 L Oe V, ���F G ci, ZIP -�
d Cw EW PTA ❑ ES ElPTS Phone # ('I � 0 ) 20 - 0 5 �5 River Basin )) l 1
OEA HHF IH UBA ❑ N/A
PWS: ❑FC: Adj. Wtr. Body N V\ tO (nat
yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body 41 �'j �J
)f Project/ Activity t
lock) length `j t
'm(s) ! C 1 Z X
length
umber
:ad/ Riprap length_
vg distance offshore
iax distance offshore
channel
ubic yards
imp
)use/ Boatlift
Bylldozing
%A Al 1"
HxIL"
ne Length
not sure yes no
i
gs: not sure yes no
All
wium: n/a yes no T J T,
yes no
Attached: yes /no
ling permit may be required by: �V�1 tIT 1' li
x
(Scale:
A
L-,t rr��lC L�L ❑ See note on back regarding River Basin
f1.f,r .1t-7f�1 c 1, r,.A !�,1, —i

II VI IV�r
ich NC 28462
OD
Ed & Lisa Ivers
ion St
indfathers Ln
NC 28226
5-4936 Ed
3-1115 Lisa
tech.com
I.com
LO 6�s
� 9�
: Will Richardson
i Construction
335 Cell
,[e-mail]
,oncetta Addante
!r Hill Circle
28210
?0
Boat Lift
sm=mmsxuu
11 12'
N
CANAL

=.=^+rM f'`rr.�3��•-.:'ate :ir:a :• _ .nr.^.i7�1G� _— '_lam :!- Y.^- ^.?'r y'�=;
oveinor
RNA
iv! �re:a i..{ ems•; ii'ia et ;: `
_ �•::�s =�1v: ink Qr emt ra,Q of ALs:- Or;2� ��e1ITCr .-.is nroce...
r�33iiiity�.�uAl C-
r£.aS:
i�%�i%3irJ riii�+"F'SS:
T,�e ? kaw: n,;thnri7Rd theagent iisred ahovP. to act on rr,,/ behalf. for the ouruose of appi in
(:ht ;ni- Ril C r- e v to . s ..... on rule I o Tv� N n : �� �tr
_ - _ :�A: •J/-� e:�,tts I�ceS,.G� - : �� � c , sz., �.. tr:., cr n� .aCII sI,
tl-a l.Le H -8 eq C- 4
his ^P.'-Cificavon 1c v2?iG thr a Watel _
iirnnpr{y t wnpr SF znaiurt: vci 1.
AC

C-43. t i kA14.. Y
CERTIFIED INUIL — RETURN' RECEIPT REQUESTED
DIVISION OF COASTAL I kN- - .GEiv1ENT
ADJACENT RIPARIAN PROPERTY ONV�iER STATEMENT
me of Property Otivner: e "I # ks A - 1 e-{'a
dress of Property: / '-� 0 T4 r,o j
(Lot or Street #, Street or Road, City & County)
plicant's phone ;': 714'- %�l ` �93fr Mailing Address:
ereby certify that I own property adjacent to the above referenced property. The individual applying for this per
described to me as shown on the attached drawing the development they are proposing. A descr�tion of drawi
th dimensions, must be provided with this letter.
7 �1 I have no objections to this proposal. I have objections to this proposal.
you have objections to what is being proposed, you must notify the Division of Coastal Management (DC1
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive I
ilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
nsidered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTIOti
nderstand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance
' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
propriate blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
r per}}ty) Owner Information)
gnature;�
int or Type Name
01 S S eJ fltr` r e, S1
[ailing Address
(R.iparian Property Olmner
Information)
% /N•
Sig at re
Print or Type Name
Mai inaa / Address
--/. � �, %*.

ar.12.2013 09:07 AM Richardson Const & Marine 9108425597 PAGE
! d 13vu. L__
CERTI IED MAIL — TU ?ti RLCFffl REQUESTED
DIVISION OF COASTAL, ?YIA.NNUMENT
ADSACE; iT MARIAN PROPERTY OWNER. STATEMENT
me of Property Owner: --
.dress of Property: % �� 0 7_ -
(Lot or Street #, Street or Road, City & County)
�plicant's phone #: %C� (I— Mailing Address: �� c „[ i �'�•
iereby certify that I own property 4scent to the above referenced property. The individual applying for this permit
,s described to me as shown on the attached drawing the development they are proposing. A description odmwin&
ith dimension£ m»at be provided with th' to r.
' ,,,, I have no objections to this propo5al. , _ I have objections to this proposal.
7
' you have objections to what is being proposed, you must notify the! Division of Coastal Management (DUrl)
i writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Est.
Viicnington, NC 28405-3845. DCNI representatives can also be contacted at [phone], No response is
onsidered the same us no obieclian if you have been notj)ied bw Certified Mail.
WArVER SECTION
understand that s pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distEM6 of
5' from my area of riparian access unless waived by me. (If you wisil to waive the setback, you must initial the
appropriate blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the W.-Bet back. requirement.
Property Owner Information)
Signature
Print or Type Name
-3Q-vJ
Mailing Add�re�ssq
(Riparian Property
ner Information)
Signature
POP 6LZ
Print or Type Name
,Mailing Address
City 1 state i Zip

ar.12.2013 09:08 AM Richardson Const & Marine 9108425597 PAGE. 3)
■ Complete items 1, 2, and 3. Alec complete
Item 4 It Restricted Delivery le desired.
A Print your name and address on the reverse
eo that we can return the card to you.
■ Attach this card to the back of the maliplece,
or on the front if apace pFgmltB.
i . Artie Ad2vmdd'}to-
jjOl
A. BIQna!LM
. °`drrsee
e,Rwehred by (Printed AWw) C. D o*vary
7
D, IadelNery6d{)rbe6 '6 r 1xn.tteml4Er yed
It YES, erg ve w: © No
�f (� BeNloe
Certified' ail
0 Regrete>et'.•, a(yrn neoalpt for Msse
C1 Waved Mal
4. -P-- �O�q 0'An
PS Form 3811, Fat; Domesliv Return Reoalpt 10259 2-M-t64v

e A$
pplicant:' �Edwad P 1{S Permit #: 1520 D
ate:
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
DISTURB TYPE
ibitat Name 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)
�U W
Dredge [IFill ❑ Both ❑ Other �
Z�
32C)
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 ❑

IENCE RICHARDSON
5279
IDSON CONSTRUCTION
5
66-112/531
AVE SW
162-2589
l
Date^��J
/ [yj
L-j 44
Dollars
ICH BANKING AND TRUST COMPANY
1410043ANK BBT BWA=n