62556D - Youngquist

❑ DREDGE & FILL
Previous permit
iENERAL PERMIT
New []Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources '""j j
�astal Resources Commission in an area of environmental concern pursuant to 15A NCAC �" Rules attaches.
Name Ko ne7 Project Location: County_
p ��C aa r i/ } ❑� ��{� Street Address/ State Road/ Lot #(s)
r ( ) Subdivision %iA 1 v
Fax,# r'
Bd AgeCity, c��%11 WkJ ZIP
❑ CW ❑ EW C PTA El ES PTS Phone �L) �� River Basin aia
❑ OEA ❑ HHF ❑ IH ❑' USA ❑ N/A Adj. Wtr. Body 1 fA'liC. �C.h� (nat `/r
❑ PWS: ❑ FC: AA
\
yes / no PNA yes (no 1 Crit.Hab. yes / no
Closest Maj. Wtr. Body
' Project/ Activity k Y UTIAA I,L V 'W_I I' r " '
.� l� 1 f1 o� (Scale:
ck) length
1(s)
ier(s)
ngth
tuber
!�
d/ Riprap lengthg distance offshore V
ax distance offshore
hannel
ibic yards
mp
use/ Boatlift
3ulldozing
ne Length
ZI j
not sure yes no
gs: not sure yes no
wium:r' n/a yes / �
• Attached:
Jing permit may be required by:
I
❑ See note back regarding River Basin
A n ./ t-'f /1 I -,1, to A IA it �d I r /I I � l' (A) Ifl ;,'

Applicant: Permit #:
Date:
�ZSS1�D
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
'ound in your Habitat code sheet.
DISTURB TYPE
iabitat Name 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/o
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
-�
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other
V
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 0 Both ❑ Other ❑

W-7„W2M, 5886
DATE 9 - a o
�z
06 20

1/2013 12:48 91e7549345
t
AMA / DREDGE i FILL
"NERAL PERMIT i,Paniai f
p�,v Modification _]Complete Reissue
d by the State of North Carolina, Department of Environment a
stal Resources Commission in an area of environmental concern
a
AS �TS
❑ GW l EW J PTA
C] OFA r-i HHF I . v UBA C.] NIA
O pW& f7fC:
es no PNA yes / no Crit.Hab. yes !
K) tengcn— -- -- ---
i� rap length I —
distance offshore � _. -
x distance offshore
iannel
sic yards---•-' ' � i
'P —
W BoatUft
Aldcaing
-r
....---....-------- I' - ' {
' i >itaitt>til�r ,yeie iia • i �T �-.�..._�._.*-�__ -•� _.
ntllL if" YinI _..
yet. ;
ig permit may be required by:
SPecfal Conditions
MILLIGANS DOCKS PAGE .0.
Previous permit
i Date previous permit issued—
ural Resources Q
tnt to { 5A NCAC` ules attached.
Project Location: County
BdfhL�
Street Address/ State Road/ Lot #(s)
Subdivision
P n Ito ) SJ!fi -��✓ River Basin 1 �
Adj. Wtr- Body,
Closest Maj- Wtr Body—— —
(sole: !/ I
ti ? -- ,...�
i.. �...
AM .EC E I
'DC WON TON, �
7 See note oq back regarding River Basin ra

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
everly Eaves Perdue James H. Gregson Dee Freen
iovernor Director Secret
AGENT AUTHORIZATION FORM
Dater - 13
ime of Property Owner Applying for P rmit: Name of Authorized Agent for this project:
�emv-Pn %unqow,, L"A- M(
vner's Mailing Address:
�< vr`t ale,,SW
lone Number (q (a)
Agent's Mailing Address:
00 �S()Y (� 1
iiqs N-G
Phone Number (Ci 1 cS) 7
;ertify 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):
,y property located) at
its certification is valid thru (date) �C'��`-'' I•v `� RECEIVE[
DCM WILMINGTO�
411( 4�sx JUL 1 1 2013
Pronertv Ow er Siana Date

-,��Scfflt
�LtngqL
r
I
I
I
1
REC�.IVE
DCM WILMINGT(
t
JUL 1 1 20'

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �c r ne+I A LM t-k"I 's
property C I I R j 1 'u Dr� (Name of Property ner)
located at
(Lot, Block, Road, etc.)
in_ eQJ%-b& , N.C.
(Waterbody) G (Town and/or Coun
Applicant's phone #: oZ Mailing Addres : Y2X r S
S G Z$
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no obiectionato the nronosal.
-----------------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
We, o-(c add. rn a p ra-? 0- b e eii Y'�ba n4.-me r'
t ow( yoffA-� :A-u V\6Y y6w-'� exos E o .
r;
DCM WILMINGTO�
JUL 1 12013
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writi.
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC
DCM representatives can also be contacted at [phone].
(Property Owner Information)
Print or Type Name
Print or Type Name
Mailing Address

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL KkNAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to K e nV)e-1 ►' 1 % 1,.1 Lk 's
property located at
(Name of Property ner)
` � ('� R j Y`�.y ��
C(Lot, �)C{S�j Block, Road, etc.)
on ( 44 { kf i� tr , in CAJ6 jGl-C� , N.C.
(Waterbody) (Town and/or Coun )
Applicant's phone #: ql6 - � 0�4 Mailing Address: j (j j Y2X tjr S
CAJa has fYG z$y Co i
He/She has described to me as shown below the development he/she is proposinaat that location,
and I have no objections to the proposal.
-----------------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
(Irk
mil; h Q &s iE F Ii VE1
- � DCM WILMINGTO�
jUL 1 12013
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writii
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC
DCM representatives can also be contacted at [phone].
No resuonse is considered the same as no obiection if you have been notified by Certified Mail
(Property Owner Inforllmation) (Riparian Property Owner Information)
A /A 7�-
Signature p Signature
Print or Type Name
t
I)/ A �r fir . SW
S4
Print or Type Name
/0-06