61683D - Sisson

CAMA / iJ DREDGE & FILL
iENERAL PERMIT Previous permit #
New LIModification L,Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources , /5�
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑Rules attached.
Name d » Sl ✓ SC�i Project Location: County /V lit,-
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Permit #:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind 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/orternp
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)
f?
Dredge [Fill ❑ Both ❑ Other ❑
!0
ZS�
Dredge ❑ FiIIX_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 ❑

-2013 08:34A FROM:
!«P�-%U;i" PEPS
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:3186867555 May. 20 2013 10:11AM P1
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RECEIVEC
DCM WILMINGTON
MAY 2 0 2013

1LIN N UIR1,1101• u:►: ul ►�
Name Of Individual Applying For Permit: (A-11
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Address Of Property: ( f, '�' k 0,0,C 75
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above -referenced property. The individual
applying for this permit has described to- a as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter. -
I have no objections to this proposal.
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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.)
RECEIVED
DCM WILMINGTON,
I do wish to waive the 15' setback requirement. MAY 2 0 2013
I do-= wish to waive the 15' setback requirement.

IN WAM LEA
Name Of Individual Applying For Permit: a), I
Address Of Property: 162 g -r-) fZ ,
(A) t CaCA 1 S V 3�rAc i+
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above -referenced property. The individual
applying for this permit has described to'E6e as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
�I have no objections to this proposal.
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived bye �f
wish to waive the setback, you must initial the appropriate blank below.) Rt�'Ery I
DCM WILMING 0
I do wish to waive the 15' setback requirement. MAY202013
I da-= wish to waive the 15' setback requirement.

7 CA / 0"DREDGE h FILL N? 4
NERAL 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 / l rJ•.�fi
.oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules a shed.
t Name 49// �l �S,SOh Project Location: County 1iJ�Cz,/ =W/"
I�-<,AoeY hr • Street Address/ State Road/ Lot #(s)
!mod
A/rr/gLlsPiIle State ZIP 2gYSD SG��
(I) ,,-� Fax # () ! Subdivision
ed Agent l O S+16++ y ff�lrf Cizip ty .5�+"* r $
ElCW FEW �TA C3�Es ❑ PTS Phone # ( )� River Basin�l
ElOEA ❑ HHF ❑ IH ElUBA ❑ N/A �l97 � 4 t / %nat k
ElPWS: ❑FC: Adj. Wtr. Body
yes /® PNA yes / e Crit.Hab. yes / no Closest Maj. Wtr Body (9rl!/�dr%/� �JLe��
r Project/ .
ck) length
ngth
mber
V RiPraP length
distance offshore
x distance offshore_
cannel �D X 1SX z
sic yards 5Z2
1P -
W Boadift
uildozing
e Length -t
i
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L
notwre yes
s: not sure Y.
cum: n/a Yes
yes
\ttached: Y"..
ig permit may be required by: A111 ❑ See note on back regarding River Basin n
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COASTAL EARTH WORKS INC.
PH. [phone]
1955 MIDDLE SOUND LOOP ROAD
WILMINGTON, NC 28411
DATE
5^ 2 0_ f 2 66-456-531
PAY _
TO THE B e
ORDER OF D . E - N , � � � ��
� V`'N j rj fd l DOLLARS
FIRST BANK
WILMINGTON, NORTH CAROLNA 2MM
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