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Home My WebLink About61511D - Malion❑CAM.► / ❑ _7REDGE & FILL YENERAL PERMIT Previous permit # .New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued prized 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 �/�% r _ 2, G ❑ Rul h d A) ke nt Name _ S ?zv �/�✓! /l•-t• BW1t s State A%C ZIP 2,15'�� # /L) ViI3 Fax#c^( ) !zed Agent ll2 Si441.7! d ❑ CW 0 EW PTA 6ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: yes no. PNA yes Vo A Project/ Activity ock) length pier(s) ength wmber ad% Riprap length_ rg distance offshore - iax distance offshore_ -hannel ibic yards imp 'use/ Boatlift Bulldo 'n ne Length • 3 not sure Yes /Ko'. gs: r mum: yes yes U Crit.Hab. yeses: �ll es attar e . Project Location: County may/ l-s— Street Address/ State Road/ Lot #(s) W�1 /¢/' L J 6lel-4 J / � t� Subdivision City �l+rd �. /3�/� ZIP Phone # ( ) River Basin Adj. Wtr. Body- (nat Closest Maj. Wtr. Body � /''f•' �. ling permit may be required by: r/S 7 ��C�� '/.l- 1744-�❑ See note on back regarding River Basin ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to U)ic " 9 4') 1*Y\'r);hb 's (Name of Property Owner) property located at \ 31$ Sa it �� (Address, Lot, Block, Road, etc.) on 641dh— in Carohr -A Cecc'% . N C, I -el- 4. o1fl• , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above IocatioA 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) C6PSA ry C � 0_1 Q � �, imp. o'J T RECEIVED DCM WILMINGTON, NC AN N 1 9 2013 WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 1 ' ea of riparian access unless waived by me. (If you wish to waive the setback, yo must initial th appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature mite Q ♦�tnni...) M�elino Print or Type Name (Adjacent Property Owner I f nation) Suture -I {rm is c Q . eon ` 'll Xoozz Print or Type Name 24 17 'Mos Mig 49Z.00N O '-'-IJAOdO lllidO, "1l In.6 a 0 PM XATV-10�1\1. t u h A N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date / —) �-)3 Name of Property Owner Applying for Permit: AlAadJJ 4 l;1 D Mailing Address: 300 �_ �t"")1 �r X 79M I certify that I have authorized (agent) U9 5AOW-to act on my behalf, for the purpose of applying for CANIA obtaining all CAA Permits necessary to install or construct (activity) &mwd '.- 11� , at (my property located at) This certification is valid thru (date) / 2 " Z 0 — Z O 1 3 1$1Z_ Prnnerty [honer RiQnatnre date. irs, Robb L In: Shane Snow [shanesea84@yahoo.com] t: Tuesday, January 22, 2013 11 A 0 AM Mairs, Robb L ject: Fw: Cama permit Forwarded Message ----- n: Mike Malion <ikscb209(a)be11south.net> Shane Snow <shanesea84(a-)yahoo.com> It: Saturday, January 19, 2013 9:45 AM ject: Cama permit ne, iy and I grant permission for you to sign off on cama permits. We will not be back in town until Thursd .ere is anything else for us to sign when we return just let us know. rikyou. e Malion from my iPod ■ Complbte items 1, 2, and 3. Also complete i;sm 4 if Restricted Delivery is desired. ■ , Print your names' and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: �r %ar,,-J r d, ••�T RECEIVED r1nAA IA111 AA1fk1^Tl1h1 K1^ A. RECEIVED DCM WILMINGTON, NC JAN 2 2 2013 Agent B. Received by (Printed Name) I C�Date of Delivery D. Is delivery address different from Item 17 0 Yes If YES, enter delivery address below: ❑ No ke 1; N��Welr (14 vr.x H- 3. Service Type ❑ Certified Mail ❑ Express Mail rl 0— 11 - Division of Coastai Mgt. Habitat Impact Computer Sheet dicant: M('Irle 04A 1i6,,? Permit #: 0//S7/ / / /z2 / 2 0 l3 cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. dtat Name W 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 Dredge ElFill 0< Both ❑ Other ❑ 8� e;7 Dredge ❑ Fill ❑ Both ❑ Other [tW /,l ✓ L �� 1 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 ❑