61564D - Rusher

+CAMd / ❑i DREDGE & FILL M
GENERAL PERMIT / Previous permit #
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
>rized by the State of North Carolina, Department of Environment and Natural Resources
GI r
Coastal Resources Commission in an area of ekir� gtal c � S� r5n pursuant to 15A NCAC
/ / G'Li ❑ Rules attached.
it Name Lr Project Location: County
Street Address/ State Road/ Lot #(s) Z S
�[,/ylifli AY�State�_ ZIP A
O� <0j6 Fax # ( )) y �� Subdivision J /
tedAgent _j—may+�''h .. city /i'J�%yr, ZIP_
❑ Cw pZ1v FA E5 ❑ PTS Phone # ( ) River Basin L
❑ OEA ❑ HHF ❑ IH ❑ UBA _I N/A Adj. Wtr. Body l tv)'A' (- Tnat
❑ PWS: ❑ FC:
yes /�PNA es nO Crit.Hab. es / no Closest Maj. Wtr. Body Gr ef.rsees no Crit.Hab. es / no Closest Maj. Wtr. Body Gr ef.�sr
Y Y l;' .. y
of Project/ Activity Q h-w 11ti-1 /` r;
/.�y % e, i� r�lys/y'�(Scale•c
lock) length A
Up"O. POW
4MVP M
Farm
w! Blip;
❑ See note on back regarding River Basin

North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Braxton C. Davis John E. Slcvarla, III
gory Director Secretary
ilor
AGENT AUTHORIZATION FORM
Date: ,3 21- �G/
)f Property Owner Applying for Permit: Name of Authorized Agent for this project:
%s.af�li//ii�_{�A�scs- f3��-��"e •~ �•v9 env
ie Numberr�'�O1
Phone Number j 10) a2 3 / - ?S /V
tify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
nd obtaining all CAMAy�Permits necessary to install or construct the following (activity):
my property located at 13 tS l 120-54,r-- LA
certification is valid thru (date) %t
_-:
o
Property Owner Signature Date
RECEIVED
DCM WILMINGTON, NC
MAR 12 2013

North Carolina Department of Environment and Natural Resources
Division of Coastal Management
McCrory Braxton C. Davis John E. Skvarla, III
overnor Director Secretary
AGENT AUTHORIZATION FORM
Date: -Z fe� zli1-3
i%e of PropertyOwner Applying for Permit: Name of Authorized Agent for this project:
,! f'F'']�%
/t - / ';aW.1 0*7 , ll Y- ) M M i�, , J04 C-
ier's Mailing Address:
►�vhrNn1C 2,6-16
ne Number ,P/ � 61Z — 7SD %
Agent's Mailing Address:
3C/Sy //e v e .
7
Phone Number ( 10) 02 3 / _ F51-1
tify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
ind obtaining all CAMA Permits necessary to install or construct the following (activity):
my property located at ) ;Z. � L 4, fV
certification is valid thru date)
7
A/ f , ce-�
Property Own Signature Date
Zc/3
RECEIVED
DCM WILMINGTON, NC
MAR 12 2013

U `G dJ
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
McCrory Braxton C. Davis John E. Skvarla, III
)vernor Director Secretary
AGENT AUTHORIZATION FORM
Date:
ie of Property Owner Applying for Permit: Name of Authorized Agent for this project:
—
L�r"
-ier's Mailing Address:
> Go
P-_U41P $­
L8 �_0 4
me Number V e)
Agent's Mailing Address:
Phone Number 010) a 3 I - ?51 V
;rtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
and obtaining all CAMA Permits necessary to install or construct the following (activity):
r my property located at 12S GQoSlaCtc LAI
is certification is valid thru (date)
C
Pr erty Owner Signature
Date
RECEIVED
DCM WILMINGTON, NC
MAR 12 2013

A%ACENT AlleaR1AN PROPg TY OWNER STI/�T.EMENT
I hereby certify that I own property adjacent to __ 171alo
(Name of Property Owner)
property located at / 3-1 C✓0
1 �(Address, Lot,
Orl S hgH/, �i 96* y� {3j *J J M , in _14,'
(Waterbody)
etc.)
andlor County)
N.C.
The applicant 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 ANWOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
RECEIVED
DCM WILMINGTON, NC
MAR 12 2013
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 wane
7z;�=
the appropriate blank below.)
e the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
(Property Owner Infonnardon)
Pn' or Type Name
Maliimq Address
C�s�%&' l _
taterzip
916 - -Q - d 9 S-6
Telephaie Number
Irtfonnation)
Signarur -V—
A,, -Fleur
Print or Type Nam
Melling Ad
2 P3 '7d
CitylSteleJlip
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to PAS+ ':�' 'iQ I
(Name of Property Owner)
property located at � ,;Z S ���� �,
f�
(Address, Lot, Block, Road, etc.)
�4
n OAtzW ,.T �,s+A , in UitLo,,,ti�Toil uC,
(Waterbody) (City/Town and/or County)
he applicant 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)
RECEIVED
DCM WILMINGTON, NC
MAR 12 2013
WAIVER SECTION
inderstand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
inimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive
setback, you must initial the appropriate blank below.)
=3�X51 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
roperty Owner
Name
Print or Type

d-ec- C S *
p
ry o/
�N5' a Nr
i
ru
,
I
S
i
C�►a�-1 {
a

(
�yx IlD SS (y� float lc
6x 6 wry fe s
rd d5
isregarded entity not owned by an
valid trust, estate, or pension trust
�( / y
(OqL,
r.
pax gx lu
egulation section 1.671-4(b)(2)(i)(B))
1
i3u I_49�/

Division of Coastal Mgt. Habitat impact {Computer Sheet
)licant: k lQ h
e:
�P4A' /
Y/�ZI/Z
F///'5ek--�
Permit* C V
,tribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in vour Habitat code sheet.
)itat Name
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FIN7Sq.TOTAL
(Anti
disDisturbance
Exctotal
restoration
and/or temp
impact amount
Feet
(Applied for.
includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
DISTURB TYPE
Choose One
3
Dredge ❑ Fill Or Both ❑ Other ❑
( p,'
1664
( 5/ 2
1 5 12
,J
Dredge ❑ Fill [Y 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 ❑
(�'Ib!/
Dredge ❑ Fill ❑ Both ❑ Other ❑

'AL MARINE PIERS & BULKHEADS LLC
6314 WRIG HTSVILLE AVE 910-256-6357
WILMINGTON, NC 28403
(3 C)
fA
ergo Bank, N.A.
go.coa r
go.com
18751
66-21/530 10141
2086170208961
DATE
$ 6�o
nnl I ARS a.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PLEINGSBOATUFT/BOATHOUSE)
I hereby certify that I own property adjacent to is
(Name of Property Owner)
perry located at ! 5 r o i6� c t � L cz ,
//// (Lot, Block, Road, etc.)C /
Ca f' Y r n ' . Srca n � , in ( � [ " • c i ' rJ , 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
>bjections to his proposal. I understand that a pier/mooring pilings / boadift / boathouse must be set
k 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)
op /(� i
nJ'QrSC �o !O X/(,
��P laces GN 8 X S loe�% S coode-d-
4 � o °"5
7 Di©c.
ormation for Property Owner/Applicant (Riparian Property Owner Information)
Applying for permit)
ling Adaress V Signature
/State/Zip
1?4-eel/. . / �'to M►.%!/�i, U �
Print or Type Name

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILING.SIBOATLIFTBOATHOUVE,)
I hereby certify that I own property adjacent to ) cIr o.i 's
(Name of Property wner)
)perry located at
:J
(Lot, Block, Road, etc.)
l J e r.�) Ile, Sao c�,, c� , m (I . , J� ; , 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
I 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)
iO�c d'ec a o. `�ror-� g1x `6t -i L /o(),
S y�
r� �!D-Flo�ry.:�S o� l'
�r 1 O G�rr �S �o GCS
formation for Property Owner/Applicant
Applying for permit)
iling Address
�/State/Zip
(Riparian Property Owner Information)
Signature
l glIA( ku.S 14,r 2
Print or Type Name

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATU BOATHOUSE)
I hereby certify that I own property adjacent to G o N �t'l: s o 's
(Iqame of Property Owner)
perty located at C C r _ < Ic I I , _
(_ (Lot, Block Road, etc.)
Gil � �.� i�e � c> in i � 1 t "( , > ,c_ 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
)bjections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set
k 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)
GA,) IC rS e
r
Il dd y p � loa`t •`NS
a �yG " /�
/00- i ems do CA
brmation for Property Owner/Applicant
Applying for permit)
ling Address
Q,x 416 W-0 /a x G/b
doc-L qa replace eoarrs (A-5
Owner
/State/Zip
Print or Type Name

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 1 — ql - '-� I C GS 4,&-
(Name of Property Owner)
)perty located at � ' - ` a C_� �, ,,,
(Lot,
ot, Block, Road, etc.)
t file. o, in i �.�_� ' ; , ._ , 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
,k 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)
I GC'l` qrra. I o�
1.�
I -� �oa� 1.� S d fl C-lc . cr q%z LIT
formation for Property Owner/Applicant
Applying for permit)
R(1. d&�� - q 4
ling Address
n
le: - . -rt►C: �a ,
,/ te/zip
(Ripar' erty Owner ]Information)
Signature
Print or Type Name

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to1/1 r r ��(Name of Property Owner)
s
property located at �� 3 CQdu,c� � Ll`1
(Address, Lot, Block, Road, etc.)
on N �c��' St1�1 incis)a0i c, N.C.
Waterbody) Cityown and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
1 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)
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
ninimum 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.)
�Yl do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
zozz!L—
�nalure
3dMEE77- /AN usublz..
rint or Type Name
:)L O, (? � Qc.l,`7
(Adjacent Pr y wner Information)
ceSi natur
Print or Type Nag7e
16 f /V1✓7mfo14 L�n�
ailinrr Arlrirocc AAnilinrn Arlrlrocc.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent tovjE�Lgr/ �, fcN�/� 's
(Name property located at I A3 �0�tc L(Lj of Property Owner)
(� (Address, Lot, Block, Road, etc.)
on NT 1JhSl�1 in 0W 1-1 Nogg- .C.
(Waterbody) ityR wn and/or County)
The applicant 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)
W-11"T :I:1M:0H1#]1
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 aF,
u must initial the appropriate blank below.)
o wish to waivethe 15' setback requirement.
I do not wish to waive the 15' setback requirement.
;Property Owner Information) (Adjacent P ev formation)
signature SignatureCA-25CE77- f/,& P" ce��rzidi2tn�+
'riot'rint o�Name Print or Type Name
947 (oy Olt
lailinp Address Mailinn Arlriress