61522D - Yongue

CAMA / -' DREDGE & FILL N
3ENERAL PERMIT v 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
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
7 Rules attached.
t Name.�� LYIi- U�
r
_. 1►'I ��%t Y State l\] L ZIPZ��5Z.
Fax # O —
zed Agent v2 u K
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision NJA
City LU Vt' ZIP
CW EW PTA ES -71 PTS Phone # I1. C
( ) JSZ " f�`j River Basin 1 V OI
OEA C; HHF IH UBA N/A
PWS FC. Adj. Wtr. Body Gl b1(�. r (nat
yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body �y
A Project/ Activity
(Scale: I ��
ock) length
pier(s)
length
umber
ad/ Riprap length ' LO
vg distance offshore
iax distance offshore 2 .IJ
-hannel
ubic yards
imp
ruse/ Boatlift
Bulldozing
)SM46 Cr) A-V A
j, ! ,� lam,
ne Length
not sure yes no
gs: not sure yes no
,rium: n/a yes no
yes no
Attached: yes no
ling permit maybe required by: ' 0)01 04 V (J U0, 1% ❑ See note on back regarding River Basin
r c.._..._1 --A_I 1 I ry A t �, A /) 11 t,-i'(. t .i 114 f. I ; -A I/ ,, , ­1 1 ✓! 1 1 I 41", .i

North Carolina Dew of E-nvirm go hlatiwal R ig
OMWm of Coeval Management
)RI AArf�MRt C ae-wn
��� John E. Slrvarfa, In Dkeft SOW"
AGENT AUTHORIZATION FORM
Date: 3-5
I
ime of Property Owner Applying for Permit Name of Authorised rfvbr da projot
mer's Mailing Address:
2 0 --A —9C�A Ij C-C, J
me Number(
Agent's Ma ft Address:
L�925 C ,, 6( ek
PhnnA Nitmhar ( �/'v ) 352-
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):
my property located at
i,Z �-W tau
oertfication is valid thru (date) 3 - 3
,. 13
(awn CinI I
DO@
R E C F

Page I of
its X414-; /
CERTIFIF.I) M.-%Ii. - RFTUR-N RECEIYU REQUESTED
DIVISION OF COASTAL jWA" sAGXND: iT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Ihmr
.bycWify Lila[ I awe pmPerLy Douglas L. Yongue 's
(Name of Prnperiy Owner)
property low at 82 Fairmont St.
0^B&IMA4 R64d-)
on Canal behind house to ICW , III Ocean Isle Beach, Brunswick County , N.C.
(WT) (Tom =dlW C0M97)
Appucares pb000 k 910-384-5811 Me ft Ad&m 604 Prince St
_l.aurinbmrg N� 8�. ------
i3d$hC Ins described to noes as shOwm beiaror the devabpmeot 110Is1w its PMPosiag at tlttt loceitim
and I have no objec6oes to the popaod.
DESMEMON ANDMIR DRAVMG OF PROPOSED DEVELOPMENT:
Qa db4dosl Prnooshar deyekw e w not Jiff in daModon below or atUa ck a sfte drawfas)
Replacing 100 LF of existing damaged bulkhead with new vinyl bulkhead.
Yf vas have eborthm In wbst is beloir propead. reo most scMfw the TfMslna of CJMtai MaMrnsstti (DCM) Ilt
witbia I0 days of roe W of" *vdm Cwmpoadeaea "aW ire mBg" to 127 Cardts d Drbs Eet • l$C
TWM repreamtstim toes also be esotseW of (914) 79&721 S.
Nor"MUMislMEM&TaiT s+trsws+tr
grop" OMW Mmvad* (Riparian Fre"rly Owner Wires
$I�Mhit'0
Douglas Y. Yongue Gillie L Edwards
Print or Type Name Print or Type Name
604 Prince St.
Mailing Address
Laurinburg, NC 28352
City / Swot / Zio
Tnin. +,mw mvA6w 910-384-5811
Date 3- --f— -/-3
12561 Lakwood Dr.
Mailing Address
Laurinburg, NC 28352
City / Staoe / Zic
Telenbone Number k, / l_a
Date X "2 -�S-- 13

Page I o
c_'14' HFIF.i) MAIL - RETURN REC&LYU I EOU£SlTFI)
DIVISION OF COASTAL NIANAG]r: KEN T
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hffeby GWifytit I own pT'opffti 4eCeW t0 Douglas L. Yongue
(Nazae of Property Owner)
pzaputylocatrdart 82 Fairmont St
gApk BNdc, 114@4 de.)
on Canal behind house to ICW , in Ocean We Beach , Brunswick County N.C.
(Waterbed!) (Town =&or Comay)
Applicant's phwe #; 910-384-5811 MeiCtag Addmm 604 Prince St
—Iaurinbslr8 NC28352 _--- --, _--_--
HalShe bas described to toe as dww ti bellow the danlopmeot l Wdw is proposing at &M bCd19%
and I have no objeetim to dw propowd.
DESCRIPTION AND/OR DRAVMG OF PROPOSED DEVELOPMENT:
/Ind "d Pr000sixa devdowwW wucst M U desatiWox below or attack a site drawltttl
Replacing 100 LF of existing damaged bulkhead with new vinyl bulkhead.
Tf vim hem obfftlkw to wbef is behM propose/. roe wrest wotillls tho Wvbine of Coosbll MaeApweot (fICMi tIs wrMiw f
wi`ttrla 10 dwrs of reratpt of lib mdm Cerreapftdom sbftW be maW to 127 Cwrfid Drf" Ezf, Wiitgbm PIC
T" r epresewtstly" too also be rowtseted st MG) 79f.7215.
t 10 resoewss is osdieerset tie sans Of >ss l
(Irr+epset� Owtler istosaatbs) )
silmyl , s•
Douglas Y. Yongue Frank P. BairdQ,
Print or Type Name Print or Type
604 Prince St.
Mailing Addreu
Laurinburg, NC 28352
City / State / zio
Teienhrure member 910-384-Wl I
DaW
PO Box 2611
Raleigh, NC 27602
city / sto / zip
Telenhow Number "I b 3 l 10 S
laetc x z Z S Zo f 3

a
ME039
0
19
243MF009
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64
243MF010 g
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No
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no
244PA047
244PA048
Ncr 15
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243MF01201
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n.pn♦DIWy for th. mtw *r...hMM.
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82- I:iirmx+ a.
W

pplicant: Permit #:ate: Vq1 W t
31 5 �3
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)
Dredge ❑ Fill Both ❑ Other ❑
l oo
O O
Dredge ❑ Fil Both ❑ Other ❑
` So
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 ❑

DR. DOUGLAS Y. YONGUE 66-7704/2531 6 215
MS. MILDRED H. YONGUE
�rcfc PH.910-276-1727
/ 604 PRINCE STREET DATE
ccue LAURINBURG, NC 28352 `
/i�Cl�/vw i $Sao.
R OF
U416."(�✓PGr �e/t1 �-- DOLLARS
Employees' Credit Union"
yo
aurinburg, North Carolina, 0.6 - �
9e.-.�,,� ©42 W 5ZZA