60664D - Bunnells

C�CAMA r'!`�IOREll & FILL NO. 60
GENERAL PERMIT Previous permit # 4:6-
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued Z�
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC r'(7
g,�E] Rules�`ttached.
ntQName i/G� 4 G �j✓H Al {S Project Location: County % /f9 l.f
s- Street Address/ State Road/ Lot #�s) /
�.✓ State ZIP ;�s3 /q
F # () Subdivi ' n
ized Agent % Wei City Ci, 3 _ ZIP
❑ CW )ii EW ,i�TA ❑ ES S Phone #
d (--__) River Basin
/
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. BodyA r �r atC
El PWS: El FC:
Closest Maj. Wtr. Body .�,L�"�'�"` ✓ S� �'�
yes > PNA yqe no C/rit.Hab. yes /� —�
A Project/ Activity (/i^- At' l� G^� %� '� I %LK �� I�tJ//� pq
(Scale:
ock) length �
m(s)
pier(s)
length -
umber
ad/ ' rap length 11 _
vg distance offshore '
iax distance offshore
hannel
..�t
ubic yards i
imp S 11 hi r
wse/ Boatlift
Bulldozing
--- - —� —
11 lit
25
ne Lengthy �� 7
not sure yes
gs: not sure yes
wium: n/a yes
yes
Attached: yes _
ling permit may be required by: a ,
❑ See note on back regarding, �ver Basin

NCDENR
North Carolina Department of Environment and Naturai Resources
Division of Coastal Management
Mlcnaei F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date /04
Applicant Name �/�/S'
Mailing Address
I certify that I have authorized (agent) P'z&— *�° to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) So fl G-,4//
at (location)
This certification is va id t /date)
Signature

DIVISION OF COAS- MANAGEMEN
•AQ JACENT RIPARIAN PROPERTY OWNER NOTIFICA'-iON FORM
CERTIFIED MAIL -RETURN RECEIPT REQUESTED
nereoy certify that I own property adiac.. r
a; . -operty Owner)
property ,ocatea at 12... _ _
/� (Addr ss, Lot, Bloc 11 -:Gag, etcl.)`
or, 1`rob�r� �GC SY�U �-+nG �T r"✓' �/
(Waterbody) :.ty!"-own ana:3unty;
Agent's Name #:
Agent's phone #:
i ,iri; address.
he/She has described to me as shown below trE _ .;:;ment he/she os:n at that location.
and i have no objections to the proposal.
-------- _------------
DESCRIPTION AND/OR DRAWING DF ?ROPOSED DE vELOPMENT
(Individual proposing development must fill below .r attach a site drawing)
..r 1 611 Ks bxAw W ^11
If you have objections to what is being proposed, you r,%, ;st notify the Di,,an of Coastal Management
(DCM) in writing within 10 days of receipt of this r o—, ce. Contact intormation for DCM offices is
available at www.nccoastalmangementnet/contact- C.,n.ntm or by :alljng 1-888-4RCOAST. No
response is considered the same as no objection ;t vo havebeen no&ieat dy Certified Mail.
(Property OAvner Info/mation)
Signature
Print or 7ype Name
45/ 0GT�
:�panan Prop. ::, :owner =.nformation
:• arure
; ype Ivan
Mailing A7//,
L)
;, ,, Address

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
i hereby certify that I own property adjacent:c 'A LL' S 's
< , A (Name of Property Owner)
property located at U 7
(Address, Lot, Block, Road, etc.)
if
on 0LQP�� Tt ' Cd , in sne P P N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: Mailing Address. -
Agent's phone #:
He/She has described to me as shown below the development he/she is proposing at 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)
:z
5t
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.nccoastalmangementnet/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
(Property Owner Informati
Sigliature
&4V,4e �
Print or Type Name
BSA ,
Mailing Address/
(Riparian Property Owne nformation)
Signature f
Print or ype Name
;Mailing Address

pplicant: ate: Permit #:
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
bitat Name
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount)
Dredge
❑ Fi Both ❑ Other ❑
Dredge ❑ Fill Both ❑ Other ❑
3S
/
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
COMPLETE•N COMPLETE THIS SECTIONON DELIVERY
D ■ Complete items 1, 2, and 3. Also complete A. Si ature
item 4 if Restricted Delivery is desired. X ❑ Agent
■ Print your name and address on the reverse 19-Addressee
D so that we can return the card to you. Recefv y ( 'n e) C. Date of Delivery
jl�
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: D. Is ery address differer� 7? es
If YES, enter delivery a , w: n'
NIA r. 1ilAn.41AA I `1 F