61501D - Sasser

�CAMA / ❑ DREDGE & FILL
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
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
j ules attached.
it Name 11 C Project Location: County �;�I/�� Aswi, C4-
Claw —TY" f Street Address/ State Road/ Lot #(s)
!mot 41� State9c ZlPZ7'2? �1 ��G auisi it Iye.
v ( ) 40 Fax # ( (� Subdivision 1(X N1 (ty�/Du7�,
zed Agent C 1diUVA 61.j &i LI`\ City J610PUA ZIP !S (Q
❑ CW i�EW 21 PTA ❑ Es Li PTS \(fir 'Phone # (� ) 3�L� " ✓J33� River Basin l U44
j ❑ OEA ❑ HHF ❑ IH UBA ❑ N/A
Adj. Wtr. Body_ N W w (not
❑ PWS: ❑ FC:
G Closest Maj. Wtr. Body N \ V� V3
yes l no PNA yes / no Crit.Hab. yes / no
if Project/ Activity L QkYwf l- i i
(Scale: I //:
ock) length
pier(s) -- ----
length
umber
ad/ Riprap length V Jf
vg distance offshore _� t
iax distance offshore_
channel
ubic yards
amp
)use/ Boatlift
Bulldozing
��-r�i2F3ED A-iz
ding permit maybe required by:See note on back regarding River Basin
IIt, n .,A All r, U.I :.Iq 1. auA L14A,ni i, 1-Piri.ln 1"1)1'�i

Ax
KNEW
North Carolina Departrrent of Environment and Natural Resources
IXvWon of Coastai Management
Beverly Eaves Perdue -James H. Gregson
Governor Director
Dee Freeman
. Secretary
AGENT AUTHORIZATION FORM
Date:
Name of Property Owner Applying for Permit: Name of Auth6rized Agent for this project
Owners Mailing Address:
_P_0 &&lIk — — — — — —
WC C'11sin
Agent's Mailing Address:
aLmi se".fit
�QOR'94
Phone Number (Smi6 676-19/Q -Phone kumber21 0 b
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all GAMA, Permits necessary to install or construct the following (activity):
RWLO,—, .-a &Ar)q LL_
(my property located) at
This certification is 'a'lidthru (date)
12,
,Aoperty Owner Signature Date

AIWW
Project Description:
Replace existing bulkhead wall
Adjacent Property Owner:
Kevin Sasser
Will& Phyllis Richardson
Adjac
Hugh & Carol Angle
1738 Green Gable Trail
3235 Seacrest Ave SW
Tangl
255 East New York Ave
Elon NC 27244
Supply NC 28462
Mike
Southern Pines NC 28387
336-516-5140
910-367-0335
Easei
910-695-1069
704- i

�v .`. # We
CERTIFIED (MAIL - RETURN RECEIPT REQUESTED
DIVISIOti OF COASTAL MANAGENIEtiT
ADJACE- T RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacer_t to �_11
Game of Properv; Owner)
property located at 3 3 J Sec-,C-re's /arse �•-
_ (Lot, Block, Road, etc.)
on i in t�('C�Y,.��4L t' k% ?v.0
(Waterbody) (Town and/or County) _
Applicant's phone 4: -?� - j7 4, ~ j j� Cl Mailing Address: 171 6-4-,te,.,Gl I
He/She has described to me as shown below the development he/she is proposing at that location
and I have no objections to the proposal.
-----------------
DESCRIPTION AND/OR DRANVING OF PROPOSED DEVELOPINIEi`iT:
(Individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notify the Division of Coastal Management (I)CM) in wi
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, t
DCM representatives can also be contacted at (910) 796 '215.
No response is considered the same as no obiection if you have been notified by Certified Mail
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
i arian Property Ow er Information)
C�-
HU -Z- k 4 (.0 nv71 Arlo i
Prinfor Type Name
2.S:SP lit e-,� cI a-k A
Mailing Address
C .- 4- A - ` - -- ai n cam• �� ,

ADJACENT RIPARLXN PROPERTY OtiV'-'4-ER STATEMEtiT
I hereby certify that I own property adjacent to �L ,��SS c• r 's
-ame of Property Owner)
roperty located at e,4 j
(Lot, Block, Road, etc.)
n in LLnSU�',C K , N.C.
(Waterbody) (Town and/or County)
applicant's phone 42- AC Mailing Address ;5 C'?'��F-c,
le has described to me, as shown below, the development he is proposing at that location; and, I
lave no objections to his proposal.
DESCRIPTION AND/OR G OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
- -------------------------------------------------
(Information for Property Owner Applying
for Permit)
(Riparian Property Owner Information)
Mailing Address
Signature

ADJACENT RIPARIAN PROPERTY OWNER STA.TEjYIENT
I hereby certify that I own property adjacent to is
(Name of Property Owner)
property located at JQe SrAc n e�c�' ��_g`�.�t
(Lot, Bloch, Road, ate.)
on ATC,,,�- , in 4--ereLnseo N.C.
(Waterbody) ('Town and/or County) j,
Applicau s phone 1: _ I�W4 Marling Address: `� rec t Ai
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/011 DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
1,5 e- e Q±6paL Q. %r�n-tzt nS
(Information for Property Owner Applying (Riparian Property Owner Information)
for Perinit) � n
Mailing Address Signature
Cityf ate/Z
Telephone Number
Print or Type Name
Telephone Number

- &C-1. VC-y -)-�-'L ll k�l eci
ADJACEtiT RIPARIAN PROPERTY" Ow�ER STATETNIENT
I hereby certify that I own property adjacent toUJ I-ILi �,{ P.L& 's
(Name of roperty Owner)
)erty located at -A6 :s t
-- (Lot, Block, Road, etc.) j
in
(Waterbody) (Town and/or County)
?licant's phone #: S Mailing Address: -3c3a-4 S;
has described to me, as shown below, the development he is proposing at that location, and
e no objections to his proposal.
DESCRIPTION AND/OR DRANVITNG OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
-------------------------------------------------------------------------------------------------------------
riformation for Property Owner Applying (Riparian Property Owner Information)
r Permit)
[ailing Address Sign.
ity/ate/ ip Print or Tvpe Is

b Div, isjon of Coastal Mgt. Habitat Impact Computer Sheet
plicant: kPon agar kft..� Permit #: (p ISM
te:
Vol /13
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
bitat 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 ❑
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Dredge ❑ Fill ❑ Both ❑ OtherA&
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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 ❑

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