62549D - Mitchell

CAMA / CI 3REDGE & FILL ✓
IgNERAL PERMIT Previous permit #
New Li Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources /�O I
�astal Resources Commission in an area/of environmental concern pursuant to 15A NCAC i
Name / �t r /- %�'i%� �Gh� 1 ty ! ides ���`'�:
/ Project Location: Coun
f
f 4 ArV i1{ geWAtate Ne ZIP_
J & Fax # (
Agent 7-ap P41Y i/✓l�ff�r' S
❑ CW rrTEW 3PfA ❑ ES ❑ PTS
OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
PWS: ❑ FC:
yes / no PNA yes /eo Crit.Hab. yes /:"'})
Project/ Activity
Street Address/ State Road/ Lot #(se)./
Subdivision
City 1,�1�✓'i!,� �S!//%/r /�l�'(iIP//'►►��
Phone # ( ) River Basin
Adj. Wtr. Body --/ --S (f4:;Y v / nat
Closest Maj. Wtr. Body
(Scale I
lock)length
pier(S)-
length _
camber
!ad/ Riprap length
vg distance offshore
nax distance offshore
channel
ne Length
not sure yes
tgs: not sure yes
)rium: n/a hQ no
ling permit may be required by:
L!
❑ See note on back regarding River Basin
- J.

te:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
)itat 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
andlor 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)
Dredg Fill ❑ Both ❑ Other ❑
5.3 Zd
5'320
146
Dredge El 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 ❑

IRKS INC.
4054
P ROAD
t11
DATE 7
2 2 t `'� 66-456-531
�$�
- DOLLARS
BANK
"H CAROLINA 28403
NIP-
4u' 1:0 5 3 10 4 5 81: 16 900 10 302n■

2013 07:14A FROM: 19102562660 TO:6867555 P.1
:KIM—U6TTERS F: 40. 9106867w5 Jul. 10 2013 03:51PM PS
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RAWAAi " 11 - MA%
Name Of Individual Applying For
Address Of Property: j13+- l ' S, Clx�N z ( �.
2,81-80
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above -referenced property. The individui
applying for this permit has described to Me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.-KdiivvN
Imo" I have no objections to this proposal.
►I .on.: 11 . 1 ► •1N ! • 1 . ! ■ �i U I J • ! ► • 0 Iremns 1 . .F'.i •1 _W • MW
T. :. . 1 1 1 t . • 1";•!' 1/ • It !.•)/ tr' \ • '. YI • 1 .• 1 • ' '.• 1 ' it "
1111�
I understand that a pier, dark, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 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 wish to waive the 15' setback requirement.
I dD no wish to waive the 15' setback requirement
RL_L.CIV
DCM WILMING`i
JUL 2 2 [i

AiWA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
ichael F. Easley, Governor James H. Gregson, Director
Authorized Agent Consent Agreement
William G. Ross Jr., Secret,
'T'� is hereby authorized to act on my behalf
(Printed Name of Agent)
)rder to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to the
=cific activities described in the attached sketch.
CATION OF PROJECT:
'OPERTY OWNER MAILING ADDRESS:
� f� �D �3�3 ✓� �l � �"G1� mac. - --
THORIZED AGENT MAILING ADDRESS:
1 1-5 L111� d I e ��w'J A A1,
PHONE NO. 710 - ` 18- Orr
iature of Property Owner: X

rml—L. /�vvv r � r rvp' IVY'
117 a rJ&Pew rt
r.ar w,c `I
� T
o gle earth feet, 200
meters, 70
r
r33�20 4
l 33X 10
1S2xloKZ
Dra5e Are
4a� -
—ro+,kl 600 w!> (YarAS

■ Complete items 1, 2, and 3. Also complete
A. Signature
item 4 if Restricted Delivery is desired.
❑ Agent
■ Print your name and address on the reverse
ddressee
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
yL ted N e)
C. Da a of
elivery
or on the front if space permits.
1. Article Addressed to:
D. Is delivery address different from item V.?Yes
If YES, enter Ir ob *0
t1'1r. Se rr�
_dtft 2�q
,11!
�/ C LJ
Ill SD�� tho.�vn�e 1 Ate.
-C-N vVILMINGTON, NC
�e gemr-� , AJ
'
J U L 22 2013
3. Service Type
LQ� grJ
ertified Mail ❑ Express Mail
UC3
Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number oD mqO
, t
O0 UO 4JU�
(Transfer from service label)
PS Form 3811. February 2004 Domestic Return Receipt 102595-02-M-1540
Tom Watters
• MARINE DREDGING
• PERMITTING
• SITEWORK
Coastal Earthworks, Inc.
Phone: [phone] Middle Sound Loop Road
Fax: [phone] Wilmington, NC 28411