61503D - Nye

—' CAMA / ❑ DREDGE & FILL �v 61
GENERAL 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 11I� j
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC T 1� • ��1�
Rules attached.
nt Name �134 i�� �,' Project Location: County Jfvr �,WI C f
Street Address/ State Road/ Lot #(s)
UYYi�?r✓i+i�'Yl State
ZlP ��g Lei"i'lVY t�tvyl�iE r i-
() Fax # () Subdivision N VA
zed Agent MmA ', (AKh ' City ZIP
❑ CW Z EW �J-PTA ❑ ES ❑ PTS 'Phd6e # ( L) `58 River Basin
j
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A n
Adj. Wtr. Body � ��f h lx� (at t
❑ PWS: ElFC: r,y
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Bodyt
ock) length
m(s)
ength
umber
ad/ Riprap length
vg distance offshore
iax distance offshore
:hannel
ubic yards
imp
Ouse/ Boatlift
Bulldozing
ne Length
not sure yes no
gs: not sure yes no ,-
>rium: ' n/a yes no
yes no
Attached: yes /ro
ling permit may be required by:
. - .. - ... `) l I
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(Scale: ' 11
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(Scale: ' 11

12. 2013 12 : 06 FAX a 001
To: HollySni _der
From.: Lane Helms
Backwater Marine
1907 Kirby Road SW
Supply, N.C. 28462
910-443-4898
Subject: Permit for Nye
115 Lumberton Street
Holden Beach, N.C.
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2 21013
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12/2013 12:06 FAX
?P 12 12:16p Tres Nue
L/29/2012 11;01 FAX
Z 002
8037503007 p2,
lia Doi
N0a camat Dowipwt?of C:Iv*gttr so Nehing Rwoums
Dw*410f�
BeMbrly BY Pdrr 3min H- N011 DN FMSM
C7�Y@tr10C DUBOW
No, Z i 2 - a
N off owner ' q for : m
ovrrrer`S AciLroas
n -
'
j ow* limit l
for dull
N8ri18' of AuthAgmt for "a Pf*Ot
audtiarbaW the acorn uw awve to act on My behaif, for #0 Pur"pW Of 8PPWQ
(MY PFUPKW kat*M at
TW is valid {date)
o+
PFOPWtY Ownw SipngWra rpar�
RLCEIVED
DCM WILMINGTON, NC
JAN 02 '�-113
-Do-. w \ _

Q 2013 12:06 FAN ii(i3
i1-2012 12:54 Fror):CHARLCTTE RADIOLOGY 7F343347010 To:619100425700
Y=/18/20Y2 10:28 P,kx
Q002
AAJAcENT MPARIAN PROPERTY OWNER STAT. PNIE" -P'71
(FORA P]' R/: t7DAINGP.XNts'iJ�30N?'LIF7IB�Az'Rt7tJC5'�
) hareby cutify Umd ow4 property adjacent to
(Name of Property Owner)
property loam at �` wA�,,4' L ,c z4W'e& _1. n) C.
Bllock, Ra ad, etc.)
on i
( ►aiwrlw[ly) (Town 8nd/or cbuaty)
APpBa.ut's phone OJT— 52ni R1,..9_ Mnilbvg AddrU*:
He hW described to one, as sbovm bclow, "A devciopnwat he is prvpodug at that ]oration, and, I
betva nu objectlom to his proposal. I undrratArnd that a pIwAnvodrog pilin*p / WaWA / baathou"
must be sot bark a m4nimum dtstarscc of fiftun fcot (151 from my arcs of riparian wmem urrlow
waived by me. W you "h to waive the sgtbock, you must Initial the apprwpriata blattk
hew.)
n w;ah to waive
XI d2wish to waive afar setback rogaacment.
• Dl SCRUMON AND/OR DRAWWIN 6F OJROPO bJtV ,OVMXN T► --R- ---
(To ba ftllsd is by lndMdual prnpa Inn daverop.aerrg)
IWO
�0'7 -o-
gnfirppf►ow for rrop" Owner Appbiag (wpazlan Pro"rty c*ncw flea)
for 1Parmi f)
WUS A,ddrem Signatwe
City/StAwVP Prim ar Typo Nwm
Tdophone 14wnbar Tekghone 3Vwttbcs

12/2013 12:06 FAX Z 004
d
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIE,R/11 00A1NG.P1LXNGS/BOATUTT/ROATH' OUSE)
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at I d Cr
t, Block, Road, etc.)
on in fy f - N.C.
(Waterbody) (Town and/or aunty)
A,pplicant'a phoned: 1V.Mailiag Address: U2 �� 1�1r'b�5 of
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 1 boathouse
must be set back a minimum distance of fifteen feet (1 S') (torn my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blame
below.)
10.9 not wish to waive
142 wish to waive that setback requirement.
+yy�r- DESG'WMON AND/ORDRA.WIKG OF'PROPOS)ED DEVI:,OPMEST:
(To be filled in by individual proposing development)
4.) -.,L-
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature
,208 C-/7 s F.
City/State/Zip
Print or Type Name
z- v,, L,,r ->t,,-j Al C ,

115�ayeHchlkShrrc+ 1�old.u'Rct..
III'II����I�

Permit #: �1503 D
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
fund in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
ibitat Name Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
ternimpacts)
impact amount)
temp impacts)
amount)
l ,
a►/�'
Dredge ❑ Fill ❑ Both ❑ Other
'
I
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 ❑
Dredg
COMPLETE THIS SECTIONON DELIVERY
COMPLETE•N
Dredge ■ Complete Items 1, 2, and 3. Also complete
A. Signature
Item 4 if Restricted Delivery Is desired.
❑ Agent
X
■ Print your name and address on the reverse
❑ Addressee
DredgE so that we can return the card to you.
B. Received by (Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front If space permits.
—" —'—
D. Is delivery address different from Item 1? ❑ Ye
1. Article Addressed to:
If YES, enter delivery address below: 0 No