59277D - Herring

CAMA / -1 DREDGE & FILL
1ENERAL 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
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rulgs attached.
it Name lb,r tkVj � ,� Project Location: County /�j15wiL'�.
State
ZIP L9 2.21
Fax # ()
ad Agent AU M (t a k-1(U l ,y1.
to aTx-s
CW 'J EW -PTA ❑ ES
I PTS
OEA _ HHF ❑ IH ❑ UBA
f- N/A
PWS: ❑FC:
yes l no PNA yes / Cno Crit.Hab. yes
Project/ Activity f `�j �(U fin%
Street Address/ State Road/ Lot #(s)
j� A U
Subdivision "
City �e LI-11. ZIPN
Cam) nRiver Basin
Adj. Wtr. Body, (nat
Closest Maj. Wtr. Body �� W
(Scale: 1
dock) length _ ��_
- pier(s)
length
-iumber
ead/ Riprap length
ivg distance offshore
nax distance offshore
channel
:ubic yards
amp
.use
Boatlift x
Bulldozing
line Length'i
not sure yes no
ags: not sure yes o
orium: n/a) yes nn
s: ves no
ding permit may be required by: I UW f I UT r 10 jCi
-- _ 4- u 1-2 r,n n, A n 1
W C1110
❑ See note on back regarding River Basin

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: J a m
Address of Property: f oZ st liS,�UYy Sf►ee I 1dg4t ,�PciflI , A)6�1���
(Lot or Street #, Street or Road, dity & County)
Applicant phone Ot &41 A►?.2a.S— Mailing Address: ,2 /A �� (J O421( Cm
G 8031A6 ( / 6 36 y C' RR i t, IF SC a 9 -Pa 9
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.
AA-- 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.nccoastaimangementnet/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.)
A-111—
-- I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
/-Jc"„es C. )Lervl'K
Print or Type Name IL
AJARose C re elL c; f
(Riparian Property Owner Infp1nAfion)
L-Signaturr
A�� Arr'vv 1 J
Print or Type Name
`T u S

W ow
a -
CERTIFIED MAIL . RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: tJ Qr17eS C . Reerr,
Address of Property: y:/01 A 5Ii 5 ru (Lot or Street #, ttreet or Road, City & County)
Applicant phone #: N" kLqjq/4ggS- Mailing Address: a 1 a ToSe Gkvek nus
Cel(: 803 /A / /cll 9 rat u ssib f(a , Sc
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.
V/f. 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.nccoastaimangementnet/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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Riparian Property Owner Information)
Signature
A'/dY e-d P ;;�i"Ay /4 kA-"
Print or Type Name
A A %"reek act
Mailina Aririrpcc

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date L5:k6
Name of Property 07ner Applying for Permit:
V V, "
Mailing Address:
Rask� LveerAw
I certify that I have authorized (agent) A / I jej /9�r,r7c, 65:4g CL to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) A41; 4
at (my property located at)
This certification is valid thru (date)
Date
7AJ
a8V

J u�
v 10
V ` ►
a
e �
I

'pl;cant: C Permit #:
ite:
scribe below the H BITAT 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
ziitat 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 ❑ Fill ❑ Both El 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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑