59206D - Duke

`CAMA V. DREDGE & FILL
3hENERAL PERMIT
Tf�lew nModification _Complete Reissue ❑Partial Reissue
r
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
Previous permit #
Date previous permit issued
❑ Rules attached.
t Name hi S 1 u><e Project Location: County Z44,2�-�
B 5e �/ 91 f.�4- Z-17 . Street Address/ State Road/ Lot #(s)
State ZIP
r111 Fax #//( ) Subdivision
:ed Agent J'h++? f 1,�✓ ��► . City ' ✓ l h ,-kill ZIP 29yl
C CW 3EW L-PTA ES L PTS Phone # River Basin
❑ OEA C HHF ❑ IH UBA ❑ N/A
❑ PWS: ❑ FC:
)/ no PNA yes 0 Crit.Hab. yes / no
f Project/ Activity
S) length
:ngth
tuber
d/ Riprap length
g distance offshore
uc distance offshore
cannel
bic yards
np
ise/ Boatlift
ulldozing
-- __ -----
1 ,
e Length
not sure yes �no.
;s: not sure yes 6.
-cum: n/a yes �o
yes, no
Attached: Yes 'no
Adl. Wtr. Body f
Closest Maj. Wtr. Body x7fel��/ 5S�
(Scale: / _4
ng permit may be required by: /(/ �/ �d. G <1S�%P�"�'�S ❑ See note on back regarding River Basin r
r, -17 , . l

Feb.23. 2012 8:19AN no.6rr
FROM ; Timmy North - CMC FAY NO. : 9102566357 Feb. 03 2012 01--,:26PM P2
APR 0 3 2012
)CM WILMINGTON, NC
1, W,h Cam, i;ra Department of Environment and Nat rt ReaoJUS
Civioon of Coaslat fVlansgsmert
e weriy Elm Perdu a James H, Groton Do Peornar
C averror N clor Secretary
AMIT- AUTH93 A M 9&
Dette:
! . rns of Properq► 4wmer Applying for Permfit: vre of AuthaHzed Ap for this
0 ynge$ Addms,, .
i" ice Number(710
Agent's *1111M Add(eas:
�v�rs��
21 Wes.....,.
Phone Number t9ly) UL?
that t t' tvn authoriied the agent listed ebovq to art on my behalf, for the pLrPM of ppt:E' n
f u and ot:talning Ail DAMA Permha neo many to inottall o,- constr
fuct tht fotbw;na (activity)-
//
-my propoy looted) at
RECEIVED
his zertirica ' M u; valid thru (deft)
rty er 81gt►a►tutft Dab
4�' — 4rol . f:;�

•
. . .........
----------
-
APR 03 -
4f
13

4Ild ;z3/—'Y�`r
FROM Jtrtmb North - CMC FRX NO. : 9102566357 Mar. 27 2212 06:%04PM++�P1
C.,ERTIFIED MAIL - K�"1"CH`1R.ti� ST
J)MSiU'.`i OF COASTAL MANAGEM)ir T
ADJACl~NT lUPAR1A.N PROPER fV OWNfR STA'l'fNUNT
1 J�
N, me of property Owner: _. �,,.�
A dress ofPzapertY:— SC�_J�,t:0.
(Lot or Street #, Street or Road, Ciry & County)
A ,plies es phone lF ��'1 - y / - 3 �S 3 Msilirlg Address:
I Hereby certify that I own propcM Aaceat to the above referenced property- The individual applying for this permit
h s described to me as shaven on the atmehad drawing ,he development they art proposing. A descti 'on-cf draynDL
1,th-dim&n%imnL must be provided with this-1
k-4— I have no *ectioas to this Proposal. ____^_ I h*ve objections to iris propoW►l.
I 'you have ebjcctione to what i$ baiag prcposad, you mast notify the Division of CO" Management (DCM)
i .write within 10 d&y+s of receipt of tbls notice. Correspondence should be stalled to 127 Cardinal Dave hxt,
11llmingtort, NC 2940s-3W, ACM representatives CU Also be contacted at [phone]. No response is
t modmodated the game as If -YOU hve been n b a ail.
WAIVER SECTION
l understand that a pier, dock mooring pd►ngs, breakwater, boathouse, or tilt mist be set back a minimar: distance of
5' from my arra of riparian access unless waived by sne. (If you wish to waive the setback, you mast initial the
+ ppropriate blank below.);
Q1 dq wish to walve the 15' setback requirement. , APR 0 3 2012
I do not wish to waive the 1$' Set back requirement.
property owurinlorlmation) WParin1 e*AV*�liax'd!
signature
�.
'relit or Type Name II
�j 1 LM1
Melling AddrasS
r
bill
Ciry / State / Zip
Telephone Number q- / � - Z-// f ' �S
Print or Type Name
��(/- ("33�
Mailing A44tvsc
U �
City ( State / Zip �} 7Telephone Num �6.,.._ r 44o

Ilicant:'1' S �`
e:
Permit #: 1z e G
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
itat Name
DISTURB TYPE
Choose One
Disturbance total
includes any
disturbance.
Excludes any
Disturbance
total includes
disturbance.
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)
DDredge
❑ Fill ❑ Both ❑ Other
32 y
3 1
Dredge ❑ Fill ❑ Both ❑ Other ❑
■ Complete Items 1, 2, and 3. Also complete A. Signature
itern'u if Restricted Delivery is desired. X Agent
■ Print your name and address on the reverse to the back of the
e mailpiece, El Addressee
■ Attach this ca
sthat we creturn the card tyou. B. Receiv by (Printed Name) C. Date of Delivery
�,ld
or on the fro f space permits.
1. Article Add to: D. Is delivery address different from item 11 ❑ Yes
YES, enter delivery address below: ❑ No
era RECtN
(i'TA 0 3 2102
3. Se ice Type
DdM,'W/ILMIN+'-�,i ' 9416edMail ❑Express Mail
y Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7011 3500 0002 2560 5548
(transfer from service /at
S Form �itil 1, February 2004 Domestic Return Receipt
102595-02-M-1540.
ureoge Li Fill U botn U Uther Li
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑