61661D - Rave

° 61
CAMA / DREDGE & FILL
E N E RAL PERMIT
Previous permit #
New _..Modification Complete Reissue CPartial Reissue
Date previous permit issued
rued by the State of North Carolina, Department of Environment and
Coastal Resources Commission
Natural Resources ��``�y
I SA NCAC
in an area of environmental concern pursuant
to U /
r l
t Name j `� ►`"�'J�
Rules attac� .
Project Location: County rfJ�
-
Street Address/ State Road/ Lot #(s)
I' © V.Q, State /fir ZIPOZ5CIb
I . C JXa.� Ui 1 ck_ L_4,_�
Subdivision
zed Agent 111'V��4!!�.
e
City �A l�r ZIPL
d Cw EW _ PTA ES _ PTS
Phone # ( ) "— River Basin _
❑ OEA HHF ' ❑ IH ❑ USA ❑ N/A
Adj. Wtr. Body 1A / nat
❑ PWS: ❑FC:
yes> Pill yes no ' Crit.Hab. yes / no
Closest Maj. Wtr. Body V� t0 t✓ >r�
►f Project/ Activity
ock) length k f X I UT
1 J
m(s) 14 _
pier(s)
length
umber
ad/ Riprap length
vg distance offshore
iax distance offshore
channel
ubic yards
imp 7 _
iu Boatli ' 13 / 1
Bulldozing
ne Length -r�71
not sure yes no
gs: not sure yes no
)rium: n/a yes no
yes no
Attached: yes no
t, i�t �!� I � ,,r:� � ��Y' , v �l�'f'{l)Y,✓►�► . �`n �C�t s i3,<.�n � j2�2a'
► D►�y 4�d �c�tt (Scale: �I
ling permit may be required by: Il 1 VV JV U See note on back regarding River Basin

plicant: 6 U 1 S
te:
Permit #: � I � � I r--D
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd 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
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 ❑ Fill ❑ Both ❑ Other 171

,t DREDGING, LLC
12
yNC 29460
NI
BB&T
BRANCH BANKING AND TRUST COMPANY
1-B00-SABNBK BB53BBT.c-om
m
J02904n■ 1:053LO,L2L
�:000 5 L0 r L 28 3811■
2904
to 1311Y
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$ /Do ,
DOLLARS 8
LL
SIGNATURE

y
41
L.0
-77

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date / 2Z 13
Nam of Property Owner Applying for Permit:
Mailing Address:
-C—b ?)q)c J( 2- �K
l O CuST �coq'-f— vot- 225 d 2
I certify that I have authorized (agent) So N o—Av h a ' a Q t' to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date) O
BMW
Property Owner Signature
Date

CERTIFIED MAIL.. RETURN RECEIPT REQUESTED
DMSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY /OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner
Address of Property:
([-or or Street #, Street or Road, City & County)
Applicant phone #: S4o —1/)-7 2 -_ 2—Y G 3 Mailing Address- % 66x) I try
%C -,A 5`t alr y ✓ c, 22.Syrf
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_tlle developMWd
they are proposing. AA descrktion or drawing, with dimensions must be provi With this-f9tCf .
I have no objections to this proposal. . -11 11 1 1 have objections to this proposal.
Ifyou 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. Contact Information for DCM offices is
available at www.nccoastafmangemenf_neticontact_dcm.htm or by calling 1-8U4RCOAST. No
response Is considered the some as no objection if you have been notified by Certified Matt
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 15' tram my area of ripanan 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 do not wish to waive the 15' setback requirement.
(Pro arty Owner rt rmation)
9 gnalure
LSJkc,ye�
Print or Typo Name
4a Cox I i z
Mailing Address
City/statelzip
sqb cj -] 2 Z-g a3
Telephone Number
�3 i 20 I3_ _-...._._
feats
(Rip rian Prgperty Owr er Information)
rgnalur-e �/+/
Print or Type Name
:Woo 0 oc> c s 61091,
Mailing Addross
o bC2v /V,�• 2-
Citylstwe2ip
336,- 22-3j
Teiephone Number
Dare

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: LD
A IfC
Address of Property: %�'s C rl A W t c l� �Aroe-
(Lot or Street #, Street or Road, City & County)
Applicant phone #: �{� �� Z -Z� C Mailing Address: f p BC)Gi I &
Liu ST acy-c- V
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.
I 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. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact_dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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 do not wish to waive the 15' setback requirement.
(Property Owner rmation)
gnature
Print or Type Name
-Pa &)( i 17- S
AAmilinn AriHmoo
(Riparian Property Owner Information)
Signature
�0,ok � U 60('(1_
Print or Tye Name
i0 �� AQ4-,
Mnilinn Arlrlracc