61649D - McGowan

:1CAVA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit # --4--
New ❑Modification ❑Complete Reissue [-]Partial Reissue Date previous permit issued
>rized 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
❑ Rules attached.
it Name t v'O FF ; ti '� (. , (, W P. r'J
t � �. • State r`4 C.. ZIP
( t = (" �- 0 4 `) -rax # ( )
zed Agent
CW ❑ EW ❑ PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑, IH UBA ❑ N/A
❑ PWS: ❑ FC:
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City 4 , ,)%A ZIP L `i5 L.
Phone # ( j----, River Basin C
Adj. Wtr. Body f� ! �! (nat
Closest Maj. Wtr. Body �r'� l t �5[�(ji�C�
yes / no PNA yes; / no Crit.Hab. yes / no
f Project/ Activity ^l1 `>t Oi
(Scale:
)ck) length --
:)ier(s)
angth
ember
id/ Rlprap length �� 2
�g distance offshore—e
ax distance offshore 1
:hannel
regarding River Basin

_ Permit #:
13
-ibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
i in your Habitat code sheet.
TOTAL Sq. Ft.
(Applied for.
DISTURB TYPE Disturbance total
3t Name Choose One 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 ❑ 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 ❑
Dredge 0 Fill ❑ Both ❑ Other ❑

,- MCGOWAN
CGOWAN ss 704/2531 7670
PH. 791-0107
NC 28403 DAT
'
$
oa
�t, 0 yap
[itDOLLARS 8 ,
`l lL Union® DOLLAR
North Carolina
75 29 L 249►in
6 70

T � Q
1 i,�,'.�s►x 3 q � � ,OI
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f

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of.Property Owner)
property located at 11 1� y
(Lot, Block, Road, etc.)
00
A4,0.p j)e
(Waterbody) (Town and/or County)
Applicant's phone €l: 91-0 —29Z -0 /lZ Mailing Address: ZIT I/ /j —2r
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
'DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPM -NT:
(To be filled in by property owner proposing development)
------ ---------------- ---------------------------_—�_-:------
(Iuformation for Property Owner Applying (Ripari roperty Owner Information)
for Permit)
Mailing Address Signature
-7010
City/State/Zip Print or Type Name

CERTEMD MAIL -- RETi1RN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to.
(Na o Property Owner)
located at i g '� G�,r� /3F..t
(Lot, Bl , Road, c.)
on !i`�G lri- 1 17 in N.C.
(Waterbody) (Town and/or County)
A.pph=t's phone #: _Qk .. Ztj/ •- t-^ /D7 Mailing Address: 1&2,3 LsT
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
If you have objection to whet is being proposed, you must notify the Division of Coastal Management (DCM) in writing
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC
ACM representatives can also be contacted at [phone],
No response is considered the same as no obieedton if voNIays been notified by Cer4ed Mail
(Pr Owner Inform2tion)
Signature
Dr,dn4A,X A �w.,da ✓/1
Print or Type Name
&�zg41sr
Mailing Address
ariaS�ftoperty Qyvuer jnformation)
�s�tsture
G.ks P
Print or Type Name
+)Co 1-3 oX q
Mailing Address
.cap
City / State / Zip
City / State / Zip

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to i C4409V i9 /%PC •44
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
oa , in N.C.
(Waterbody) (Townadd/or County)
Applicant's phone # .2LZ: 7-9L-4&7 Mailing Address:-AC22 3'r
wzuQz mm, IVY z9va
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying
for Permit)
ZK,Z9 44/ ,5;7" r
Mailing Address
City/State/Zip
(Riparian Property Owner Information)
01
Signature
i
✓��C�/Y% /C�j
Print o ype Name