59258D - Avalon

__ IAMA / _ DREDGE & FILL
J
G4-NFRAL 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 �1
Coastal Resources Commission in an area of enental concern pursuant
to 15A NCAC
a
nt Name AM "Oki 9,414 ILL,!r3 5
Rules attached.
Project Location: County Alew
/&"/ A/!-i /?r/ lJ/
Street Address/ State Road/ Lot #(s) 11tA*100
fl/}'��>rt4r1 �h' n
State_ ZIP
W,NGt br.
Fax # ( ) '`Y
�y
Subdivision (/� /�7 ' �1�1�- 5
zed Agent i'+�I,%+e' G`Nra ;-, r'
City t V �+�/h!, ZIP
i ❑ CW ❑tW []PTA ES ❑ PTS
Phone # River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body 41whI n
El PWS: ❑FC:
7
yes,/ no PNA ye / no Crit.Hab. yes / no
Closest Maj. Wtr. Body
)f Project/ Activity
VelySS i
r-
ock) length SSX_
ength
umber
ad/ Riprap length
vg distance offshore_
iax distance offshore
-hannel
ubic yards
imp e G
)use/ Boatlift I
ne Length
not sure yes o
igs: not sure
)rium: n/a
(Scale:
ling permit may be required by: /VeW
r /_ ,
❑ See note on back regarding River Basin

Permit #:
te:
>cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd 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/or temp
im act 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)
w
Dredge ❑ Fill ❑ Both ❑ Other iX^
6.33
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

STATE OF NORTH CAROLINA
Department of Environmental and Natural Resources
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
FILE ACCESS RECORD
DIVISION OF COASTAL MANAGEMENT
DATE / TIME
6/5/15_ 2:15pm
NAME
Rebecca Terretti
REPRESENTING
Avalon Oaks HOA
PHONE
910-262-2929
Guidelines for Access: The staff of Wilmington Regional Office is dedicated to making public records in
our custody readily available to the public for review and copying. We also have the responsibility to the
public to safeguard these records and to carry out our day-to-day program obligations. Please read
carefully the following guidelines signing the form:
1. CAMA Major Permits are issued out of the Morehead City District Office. The COMPLETE
file is in the Morehead Office and may contain additional information and/or comments which
may not be in the WIRO file.
2. Due to the large public demand for file access, we request that you call at least a day in
advance to schedule an appointment to review the files. Appointments will be scheduled
between 9:00am and 3:00om. Viewing time ends at 4:45pm. Anyone arriving without an
appointment may view the files to the extent that time and staff supervision is available.
3. You must specify files you want to review by facility name. The number of files that you
may review at one time will be limited to five.
4. You may make copies of a file when the copier is not in use by the staff and if time permits.
Cost per copy is $.05 cents. Payment may be made by check, money order, or cash at the
reception desk. Copies totaling $5.00 or more can be invoiced for your convenience.
5. FILES MUST BE KEPT IN ORDER YOU FOUND THEM. Files may not be taken
from the office. To remove, alter, deface, mutilate, or destroy material in one of these files is
a misdemeanor for which you can be fined up to $500.00. No o briefcases, large totes, etc. are
permitted in the file review area.
6. In accordance with General Statue 25-3-512, a $25.00 processing fee will be charged and
collected for checks on which payment has been refused.
FACILITY NAME COUNTY
Avalon Oaks HOA MP 159-03 NHCo
Avalon Oaks GP 59258D NHCo

Letter of agent
I ��� (J�`� 4V V have retained Mark Clements DBA, Clements
Marine Construction Inc, to make application for any and all permits needed to start
construction on the work requested for our property or properties.
By allowing Mr. Clements to make such applications I do understand that this will in no
way relieve me of any obligations to perform all work according to the building codes of
North Carolina, CAMA, DWQ or any other state and or county ordinances.
T�A v4d ljt�P4
Pri name
Signature UG /
q/U'"502—()ZJ9 date 67-)
Contact information
RECEIVED
DCM WILMINGTON, NC
APR 2 5 to 12

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RECEIVED
DCM WILMINGTON, NC
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