60767D - Smith

CAMA / DREDGE & FILL f NO. 6C
ENERAL PERMIT �/ Previous permit #
New ❑Modification I ]Complete Reissue Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
��//'� . p, Rules attached.
nt Name IV a R t S�'6m �-f 1 -bwt �1Y('4,L+,Project Location: County
;s 90 Street Address/ State Road/ Lot #(s)
U AA ISIX State NZ ZIP2
�() 2,32- - 9 q Fax # ( ) Subdivision fJ
ized Agent City JA ►v►.e ZIP_.
d ❑ CW ;EW PTA
❑OEA ��/❑HHF ❑IH
C PWS: ❑FC:
yq/no PNA yes , no
❑ ES L ! PTS Phone # ( ) River Basin
ElUBA N/A Adj. Wtr. Body is l,/l 0"1 (nat,
Crit.Hab. y / no Closest Maj. Wtr. Body i WW
of Project/ Activity 11 (,i(,(
(Scale: I #
lock) length _ J
length
camber
!ad/ Riprap length_
vg distance offshore
nax distance offshore
ubic yards
amp
)use/ Boatlift
Bulldozing
ne Length
not sure yes gs: not sure yes�.no�
)rium: n/a yes no
yes
Attached: yes no
i
ling permit may be required
❑ See note on back regarding River Basin

HAND DELIVER
ADJACENT ]RIPARIAN I'ROPERTY OWNER STATEIVILNT
R<", R Q-t, "S . 'S m 17 1-1,
t hereby certify rhat I uivn property adjacent to _ L14 �•ry_ j►Z �'�oT_ _'s
(Name of Property Owner)
property located at y ° _ ti ��� ti-� r (� f.yc t^r�� 15tt- t,� L61. -I I"/-
(Lot, Block, Road, ate.)
on �,-hNRL_ ik I , In JUC.Lx,,,J 4tiI_L A ("ri.I.1 N.C.
(Waterbod;r) (Town and/or County)
Applicant's phone 0: 13 ? z37i `��`i Mailing Address: �1Q f TiI LL% t- tip' -
Flo has described to nie, as shown b0ow, the development he is proposing at that location, end, I
have no objections ro hIsproposal.
DESCRIPTION .!ANDJOR DRAWING OF PROPOSED DEVU, LOPMENT:
(To hrfifled In by property owner proposing development)
vi -, , "") �-ti.& i I.- lzr- O F .. 1. k % y T 1 N G- 4, Li
i
...-------------- -------.......---- - ......
(Infornnation for Pt-opor(h Owner Applying (Riparian Property Owner Infortnation)
for Pormit)
Mailing Address Signature
C C.L ti, ,J 41 LCQX. 1': h it-� N C Z� � 0°1 .- ,�%u ..— �c' 7�—,0
sus_
City/State/7.ip Print or Type Name
21�-- °3IS-i
Tcicphonc Number !� Telephone Number

HAND DELIVER
ADJACENT RIPARIAN PROPS, RTX OWNER STATEMENT
Qic Y. -SM ITk
I hereby certify thin I ownproperty adjacent to_ -nliIJ­511
(Name of Property Owner)
property located at (me.
(Lot, Block, Road, etc.)
on
(Wa(erbody) (Town and/or County)
Applicant's phone N: 7 31_ M-"'PM Mailing Address:__2).4�___(" 'ilk? f"vV' }°- 6:1-..
<�tr»hl z Ili L- 1�ot:h 1 Li i iI
Flo has described to mc, as shown below, the development lie is proposing at that location, and, I
have no objections to his proposal.
-----------------------------------------------------------------
DESCRIP'I'ION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To beflIted In by properly owner proposing devalopnientj
tvc—L ►`; Q.Lkht1-(1' . � -"<,QP`'�
t tilL, I� �"'`" °i� i`' Ai�?_ottic�wf � �' �� 4`l4►k Yt1�34�7' . i . c.�C l�,iht-� f� ���
(Information for Property Owner Applying
for Permit)
Mailing Address
City/Statelzip
ni -� ') 1 ti m2 .re
(Riparian Properly Owner Information)
Signature
Print or I'ype Name
Ire

HAND DELIVER
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
r, -Sr,'Tvi
I hereby certify that I own property adjacent to �,�Kt.�.. , - P> 6ppt F-fvoT 's
(}\ (name of Property Owner)
property located at 0)1 Vf� 1SLC i�Zrtt.h, ij,
(Lot, Block, Road, etc.)
on Cin N.C.
(Waterbody) (Town and/or County)
Applicant's phone ti: 7 3 2- Mailing Address:_t—
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/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
`MA\Nl�kr✓)ktvi-L 1'�(LL1a..tot►��? ©.(�' .. \<,Tyiv(7 •''.i t '?
L.Q L NT e b i S7 a vv,o"., r
-------------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Address �Signa�tu�e-
Mailing
City/State/Zip Print or Type Name

f�
L;t
77
IL- OR
-v
Wu

- � - pplicant: .�� i `-�' Per it #: C-1
a �
ate: V9/1
=_scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
ibitat 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)
(56
Dredge ❑ Fill ❑ Both [I Other ElZ:Z-?o
ZZZ0
Dredge ❑ Fill ❑ Both ❑ Other ❑
1 W
'
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 ❑
D"c _ iZ.xZ4 = Z3)