62576D - Overton

_ CAMA / DREDGE & FILL / Na 62
GENERAL PERMIT Previous permit#
F�New - 'Moth � 3n ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the S e o orth Carolina, Department of Environment and Natural Resources D /� f /OO �sA ,
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
�+ ❑ Rules attached.
y►+ int Name +CS Q ✓ C Project Location: County •���iL7/ /5%lsy�e
,s !k 'O z j �✓ Street Address/ State Road/ Lot #(s) 1Z S S
1 h State�C ZIP 2 % .^D'
# (____ )(" %7 �j Fax # ( ) Subdivision
J ��tt,,, S/
izedAgent _; /✓►.'rh /1/�/r7City— lV/' / 4" ZIP
d - cw Ew ETA Es ❑PTS Phone # ( 9i0) 23/ gyx-ver Basin
OEA HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body lrn�///�r nat
PWS OY—V
❑FC: yes /, no PNA no Crit.Hab. yes / no Closest Maj. Wtr. Body
A Project/ Activity /z!/71(r
./I
lock) length
length %.1 h C&41*07
rtmAber
gad/rap length
vg distance offshore
nax distance offshore
channel
ubic yards
amp
)use/ Boatlift
MEN 1■■rM
I ■1�■■t�■1■■I■■■■ ■■R�'l�i
�1W �■ cisOEN IN ■■ YAOL �■ , rNE
.■■■i��i ;■
- � a�i■■ �il■►■■■ai■■■ice■
Jing permit may be required by: kfw !71'1 AW,1- 4/1t i, ❑ See r-Ae on bck regarding River Basin

1pplicant: \ J 6ZIVII S OVe✓7Z% C ' Permit #:
)ate:,
413
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
fund in your Habitat code sheet.
ibitat Name DISTURB TYPE
Choose One
TOTAL Sq. Ft. FINAL Sq. Ft.
(Applied for. (Anticipated final
Disturbance total disturbance.
includes any Excludes any
anticipated restoration
restoration or andlortemp
temp impacts) impact amount)
TOTAL Feet FINAL Feet
(Applied for. (Anticipated final
Disturbance disturbance.
total includes Excludes any
any anticipated restoration and/or
restoration or temp impact
temp impacts) amount)
Dredge ❑ Fill ; Both ❑ Other
S Dredge ❑ Fill Both ❑ Other ❑
2
1Z`%
f I (J 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 ❑

kSTAL MARINE PIERS & BULKHEADS LLC 19004
6314 WRIGHTSVILLE AVE 910-256-6357
WILMINGTON, NC 28403 66-21/530 10141
2086170208961
DATE > j
DOLLARS
V argo Bank, N.N
F(Srth Carolina
,ellsfargo.com -
leyy
04 1:0 5 3000 2 191: 2086 170 201396 1n'

�Aw
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
it McCrory Braxton C. Davis
3ovemor Director
John E. Skvarla, III
Secretary
AGENT AUTHORIZATION FORM
Date: "3
me of Property Own r Applying for Permit: Name of Authorized Agent for this project:
CClio
rneras Mailing Address:
k .5CI c,
,c-r o C Ci
Agent's Mailing Address:
one Number ( Phone Number ( 9/0) ,-)- 3 / " �, 5-1y
:rtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
and obtaining all C%A�MA Permits necessary to install
or construct the following (activity):
1 � ll- /1 I n_ r Q !o (0 , , •-� 11 , , Il//-�- 4< f i �,-" ;,/ F' r _/I c , % r
r my property located at
is certification is valid thru (date)
P/ropeftyy Owner Signature Date
RECEIVED
DCM WILMINGTON, I
AUG 052013

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: b0 l �a Ccca !c
Address of Property: l Lc C4
(Lot or Street #, Street or Road, City & County)
Agent's Name #: j ,' ,� h 5 ICE, J� Mailing Address: G 3 I �i l0 ;�
Agent's phone #: / 0 �� - S / �/ (:.L,�, t.. /�� . C ` o 3
I hereby certify that I own property adjacent to the above referenced property. The individual
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 must be provided with this letter.
(G�have no objections to this proposal. I have objections to this proposal.
If you have objections to what 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, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Nail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.) DCM WIC + LMINGTC
I V E
�i
L �V I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Pro �`w ner Infortnairon)
'ignature
'lint or Type Name
AUG 0 5 201
(Adjacen ;77
Ow er In rmation)
l.J
Signature
��
Print or Type Name
failing Address
Mailing Address

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: J 4M &- 5 t t,r Q/ DZ Al
Address of Property: SK y : �y !A- i r 14,1a ji(��E/ AlG 2ko
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual
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 must be provided with this letter.
(1— I have no objections to this proposal. I have objections to this proposal.
ff you have objections to what 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 Ezt,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
)ack a minimum distance of 15' from my area of riparian access unless waived by me. (if you _ -
vish to waive the setback, you must initial the appropriate blank below.) Ia .. f V c h
94 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Prope rtyOwner Info ation) `
rgnmrzuy
Tint or Type Name
DCM WILMINGTON, NC
AUG 0 5 2613
(Adjacent Property Owner Information)
Signature U
Print or ype Name
/ i �Cl i�t7h J//J(/
ailing Address
Mailing Address
f-) q.p /.,-Z-y

-minim
MIRM
INIM
I I I I F I I I J I I li

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to o e. ��o, , (��'s
(Name of Pr perty Owner)
property located at D 1, „ .;14,
(Address
on , in
(Waterbody)
, Lot, Block, Road, etc.)
(City/Town and/or County)
N.C.
The ap cant has described to me, as shown below, the development proposed at the above location.
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)
1'-t e, S-�e o", &)
RECEIVED
GCM WILMINGTON, NC
SEP249013
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive
:he setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
o not wish to waive the 15' setback requirement.
Property Owner Information)
'ri t or Type N me
Propeirty Owner Infoat
Si a re ' /
Print or Type Name

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to „/ o -1 e s 's
r
e of Property Owner)
c)perty located at ;L C/ j . �/ . - � ; ,
(Lot, Block, Road, etc.)
SIICnrCfy�t LJ�Ic'. 1J�5,'.,i in (J; /r1�..�c`/ ,.� �V C N.C.
(Waterbody) (Town and/or County)
has described to me, as shown below, the development he is proposing at that location, and, I have
objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set
ck a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
----------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
y1/
r Cr^C�5� �' /: i ©lam, X /�
formation for Property Owner/Applicant
Applying for permit) , l
iling Address
y State/Zip
RECEIVED
DCM WILMINGTON, NC
SEP24?013
(Riparian Property Owner Information)
Signa e
Print or Type Name