59229D - Arjean

CAMA / DREDGE &FILL
N.E RAL PERMIT
Previous permit #
New _ Modification Complete Reissue F]Partial Reissue
Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources//O�
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
hed.
ule7,4
,�j
nt Name J`li'"J1/?.e
Project Location: County 411e
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moo#,
s _�dy /7 r/'l�?f l}Y/!/!
dress/ State Road/ Lot #(s) �j y
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!e State
` zips/
# ) .S2 ?4P$K # ( )
Subdivision `s %3 y %Zip 'r
ized Agent l ^,/jr �/5 //�✓ljj�'
City L(// ;h zip
.d CW SEW _ PTA _}e5 - PTS
Phone # ( ) —�� River Basin
I: ❑ OEA ❑ HHF C IH - UBA J N/A
Adj. Wtr. Body G r,AS.I f ( �o0e O�
❑ PWS: L', FC:
_(nat
A/Y�/f
yes / PNA yes / Crit.Hab. yes /0V
Closest Maj. Wtr. Body
of Project/ Activity CG'y►S iti^G�lf�%n e� GJ
/�sys. L,/i /if%,.�1.,a✓ /�1���.�/tit�si
/ //h". fj " //' Al
iock)length
rm(s)
length
mber
; kv Riprap length
tvg distance offshore
nax distance offshore
channel
:ubic yards
amp
>use/ Boatlift
Bulldozing
ine Length ENNUMii
not sure yes 6pMENEWOMEN
39s: not sure yes 49 iiiEWi
ye� no
Attached: yes n
(Scale: /
ling permit may be required by: (/�y !LY/Jr" ?/� ❑ See note on back regarding River Basin

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: f/,f' T� A,v ��tF�l��i2�✓
Address of Property: ��� ��T9.v- ��.�'zvE /.�T«tN�. ��ls�i✓��� c av�,.,�
(Lot or Street #, Street or Road, City & County) li��iBlie�
Applicant phone #: �/o-_3S�-%,4J i Mailing Address:
�ENNiS SMiT!'i
1,e19 .sod /.c/�rr,,✓��� mil'�i/
/✓���/YJ�N.,hslE � ATD,Q
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
— 1 have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastaimangement.neticontact-dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to
waive h setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
RECEIV
I do not wish to waive the 15' setback requirement.
(Prop y Ow er Information)
ffigqat
Print or Type Name /
(Rippeian
APR 2 4 2012
FWIL GTO-N, N,
71n�patlon)
�—
Print or Type Name /
Mailing Address
Mailing Address
d/ ^ -- / ., VA 7 2/-215

Waler
16' 4.1 series
1' 2" 3„
BOTTOM OF BASIN
8�
205'11"
Parade
5' 10"
191 41,
Existing tie back rod W/anchor
New tie back rod W/anchor
10" Timber pile anchor
6' 1 "
PROPOSED BULKHEAD�E���i�,�,�T
A RJ EA N H O A
OVERSECK MARINE CONSTRU(
1/24/12

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: /-y '/-
Address of Property:% ��TEi9�✓ �,earF/Li�i'✓��'� �f/C�" ✓ ��'"'��`
(Lot or Street #, Street or Road, City & County)CCIO-
Applicant phone #: 62/O- 352- %2Li- Mailing Address: ?06-
f/ele NoA�oD /L M/rV(xi�N. A/C
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions must be provided with this letter.
✓ I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact_dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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
I do wish to waive the 15' setback requirement. AM 2
I do not wish to waive the 15' setback requirement. .01
(Prop rty Owrfer Information)
�% 1 11
Print or Type Name
,ereo
Signature
Information)
'TPAn f pvl rr
Print or Type Name
/ 16 -1 � r_1 11X Si%L�L L �mh 4
Mailing Address
Mailing Address

Ell

Naler
16" 4.1 series
2' 0„
5' 11"
Tirade
5' 10"
19' 4"
Existing tie back rod W/anchor
15' 0" M
New tie back rod W/anchor
1' 2" 3pg„ 1 4' 4„ 1 11 4 11 4 1
"OM OF BASIN
8� 10" Timber pile anchor
6' 1" 1' 1"1' 1"
3' 2„
PROPOSED BULKHEAD
'97—
ARJ EAN H O A ��7NnW, ACS,�/r/�
OVERBECK MARINE CONSTRUCTION, LLC
1 I M/1'i

Permit #: 5- (2- Z
�fZ�(fIZ
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id 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
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 [W Both ❑ Other ❑
S 3
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 0 Fill ❑ Both ❑ Other ❑

■ Complete items 1, 2, and 3. Also complete
item 4 If Restricted Delivery Is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A. Signature
❑ g t
X
B. Received by ( Printed Name) C. Date of De _yi
r' Ul J U ct
D. Is delivery address different from item 1? ❑ Ydrs
If YES, enter delivery address below: ❑ No
114OS�LE// �/ 3FRegistered
Type „
i �9 Zj12D- 11�aified Mail ❑Express Mail
/ ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7 011 0110 0001 1456 2044
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
X
l
3S Ear
A. Signatu
❑ Agent
X ❑ Addressee
B. R ceiv b Printed Name) C. Date of Delivery
- Ie--
D. Is delivery, address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
V;,
APR 2 4 2012
3 e
S ce Type
Certified Mail [I Express Mail
�i
Z ,, 5L ❑Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540