61536D - Salmon

1-"CAMA / ❑ DREDGE & FILL
GENERAL PERMIT 6
NNew []Modification ❑ComP lete Reissue Partial Reissue
Previous permit #
Date previous permit issued -
prized by the State of North Carolina, Department of Environment and Natural Resources U�
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
-f 0 Rules attached.
nt Name Lam' a eJR SSA+ *I-5—le1AUP-h' Project Location: County sa 1
—T
: 2Z 0G/ - .14-v O State V,4 ZiP2- 3
#") -7 - S6�Fax#( cam.
ized Agent-�
d CW NEW � PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
u PWS: ❑FC:
Street Address/State Road/ Lot #(s)
Subdivision C-'"Q ✓ Oil1
City �d/ 74 tF, ZIP
Phone # ( ) 15;�— River Basin
p q' 5v vNoq
Adj. Wtr. Body ' (nat�
yes / no, PNA yes J:n Crit.Hab. yes f nr Closest Mal. Mr. Body LL. SodNd�
A Project/ Activity_ (��rq �� /D � X- /4? 6Lr4
ock) length
pier(s)
ength
umber
ad/ Riprap length
vg distance offshore
iax distance offshore
-hannel
ubic yards
imp
.us oatlift �1�
Bulldozing
ne Length 1IS
not sure yes
gs: not sure yes
irium: n/a yes
ep
l
yes
Q
Attached: yes
` J
L-
ling permit may be required by:
❑ See note on back regarding River Basin
a-i I I . _, .

1,14p, V�
f�
�EtEIVE"i,
FE8 14 2013
DCM WILMINGTO

Vi
ZACHARY C. SALMON
2700 MOSSMOUR DRIVE
GOOCHLAND, VA 23063
[phone]
February 12, 2013
Mr. Jason Dail, Field Representative NC CAMA
Town of Surf City LPP
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Re: CAMA Permit -Boat Lift
108 Abigail Ct., Surf City, NC
Dear Mr. Dail,
As per instructions, enclosed is USPS Return Receipt from Four Oaks B&T (adjoiner to
the north and west of site), Adjacent Riparian Property Owner Statement, unsigned, with
attached drawing, an additional plan drawing and check for an additional One hundred Dollars
($100.00), to supplement my earlier check of the same amount. I understand you have received
and approved the consent from Clark and Carol Harvey, my neighbor to the east and my
application is now complete. I understand, since I live a great distance from the site, it isn't
necessary for me to meet with you for the onsite inspection and you will mail the permit to me.
My contractor will start work when the permit is issued and he and I will meet with you for the
compliance inspection.
I can be reached by mail at the above address, via email at [e-mail] or by
telephone at 804.784.3566. I thank you for your kind assistance and patience. With kind regards,
I remain,
Sin ly,
Salmon
14,.- �_ 4L,
Susan C. Salmon

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner: z Ir —<,s~ L17-
Address of Property: /Ue e--2-e "C -as�
(Lot or Street #, Street or Road, City & County)
Applicant's phone #: (6W% 7eV 35-46 Mailing Address: � 706 Ze
01- -2304-3
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this I
has described to me as shown on the attached drawing the development they are proposing. A description of do
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 (D
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Driv
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response
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 distal
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial tl
appropriate blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(Prope Owner Information)
7;;j"
Print or Type Name
(Riparian Property Owner Information)
Signature
":5a'a camas e,,Vt
Print or Type Name
7� Zye
Mailing Address
Mailing Address

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Date
4�. , f, &Awc 1 vim/
Adjacent Property Owner
MaiJl'ng Address
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I,
Property Owner
Permit on my property at /0s >ei6-Ae& Cr-
Property Address
(Domestic Mail Only; No Insuransa f7.t etage Pro
—Ir' -
For delivery information visit o,.r website a! ,ww.usps.
r--1
M
Certified Fee
Return Receipt Fee
3.10
Uuft
O
(Endorsement Required)
IrJ
en
0
C3
Restricted Delivery Fee
(Endorsement Required)
:IJL!
N
-I'
0
Total Postage & Fees
$
$3. 5�
I I2/02/201
ru
a
Sent To
_MR. ` Mt e�, arc Away
p
Street, Apt. No.;
or PO Box No.
Q?D Y
Talv��,� I)Rx v6
------------------ - - --- -----------
city, S te. Z/P+4
5,q%0NhvRG
---------------------------------
AID 14056
PS Form :,, ,,.
See Reverse ft
have applied for a CAMA Minor
A10'4ff, in Pender/Onslow
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at(&�� 79el - .,- or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program, you may submit
them to:
Jason Dail, Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program
17 Cardinal Drive Extension
ilmington, NC 28405
—276d Ma �s��urz L
Wilinn At Hrass

licant: ofr/40 � f �df�Lk �
p Zr �� e� 'Permit#:
ite:
,;7/7- j
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
�itat Name DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
I
restoration
any anticipated
I
restoration and/or
restoration or
and/or temp
restoration or
temp impact
W Dredge ❑ Fill ❑ Both ❑ Other (Z(?
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 ❑
■ Complete items 1, 2, and 3. Also complete
D Item 4 If Restricted Delivery Is desired.
— ■ Print your name and address on the reverse
so that we can return the card to you.
D ■ Attach this card to the back of the mailpiece,
or on the front if space permits.
DI 1. Article Addressed to:
Aydew LEE, T . R- 1.5fWad �t
Aug LIM 8gA'k dwY C'am AAIAJ
/1 N U S 36 if 6xo fh
Fo uR 6"5 /VC 0?5-?4 -0699
A- Signature
X ❑ Agent
❑ Addressee
B. ecelved by (Printe Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ yes
If YES, enter delivery address below: ❑ No
13. Service Tvne

Zachary C. Salmon 2460
2700 MOSSMOUR DR 68 - 69 0 / 5 1 a
GOOCHLAND, VA 23063
Date
Pay to the /U C. DF-NR Is %d� •00
Order of
O Nc Hv� df��d i o o Dollars na back. tails
W,EssexBank
'
GOOCHLA�ND, VA 23063 (;p 61�
%
For C R 1 10n 6 GiTlO n
WCB
Zachary C. Salmon 2462
2700 MOSSMOUR DR
GOOCHLAND,VA 23063 58-690/514
Date �'��
Pay to the / /) /� J? I f !� f� ��
Order ofy W ` U 6
TO Essex Bank ?Zf
GOOCHLAND, VA 23063 G?
For (;04 boat IIP1- IUAftit
Dollars 8 security details
on back.
NPP