60752D - Morgan

.
CAMA /::]DREDGE & FILL V No607
'ENERAL PERMIT Previous permit #
New —]Modification ElComplete Reissue —Partial Reissue Date previous permit issued
—
zed by the State of North Carolina, Department of Environment and Natural Resources
Dastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 2
LkRules attached.
Name ,:xk:Fr- ainee-A-ti Project Location: County u Jsw i 'r le,
State ZIP 2 � 1.04
jVS Fax # (—)
W Agent :It !,ri XN i-%'\ Qt-4' Q1iM1061"911f'
F-1 CW vtw 34TA - ES El PTS
Street Address/ State Road/ Lot #(s)
/ 05 -S (Ai / 0 r"IN ST
Subdivision
City () ZIP—?
Phone# River Basin
'--' OFA El HHF Ll IH El UBA El N/A Adj. Wtr. Body 1W I S ( 04\1(41— (nat Lr
E PWS: El FC: Closest Maj. Wtr. Body
yes /,no PNA (' ­!Y / no Crit.Hab. yes / no
Project/ Activity Lkt,�"rLlrr 7V )2`xa,
(Scale: I/ I — ..
-k) length_
(s)—
ipr(O 'T 1 A
ngth
tuber
d/ Riprap length
, distance offshore
tx distance offshore
cannel
bic yards
np
,se/roatli Off
!uIldozing
ie Length
i-o ViVRr
-4J
not sure
yes
gs: not sure
yy::
7
-
riurn: n/a
yes
Attach q:
no
Q
See note on back regarding River Basin
ling perrit may
be required
by:
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT"
,ereby certify that 1 own property adjacent to
operty located of
105 SW 10th St.
Davis Creek
(Waterbody)
Jeff Morgan
(Name of Property Owner)
(Address, Lot, Block, Road, etc.)
. in Oak Island
(City/Town and/or County)
N-C-
ie applicant has described to me, as shown below, the development proposed at the above location.
X I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Install Tide Tamer 20,0001b Boat Lift adjacent to existing floating dock
tr PIZ-r.r
NEB
WAIVER,$ECTIQN
understand that a pit r, dock, mooring pilings: breakwater, boathouse, lift, or groin must be set back a
ninimum distance of 16 from my area of riparian access unless waived by me. (if you wish to waive
setback, you must initial the appropriate blank below.)
�}I X I do wish to waive the 15 setback requirement.
I do not wish to waive the 15` setback requirement
Dr nt 6r-Tpe Name
619 �aw%eke-&� Zk 1�
Wailing Address /
0 ns�urs! N1C
�;ty/Ststelzo i81 `i
865-368-4865
(Adjacent Property Owner information)
Signature
Jhi ' . a r,ne
Iki 3 r"
Marling Address
g.,tav � , SC, 2171 b
CV Sial p
raA-r71 g-g`d3"
T'tRru►en Number TefephQne Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
;by certify that I own property adjacent to
Jeff Morgan
.rty located at
105 SW 10th St,
(Name of Property Owner)
Davis Creek (Address, Lot, Block, Road, etc.)
in Oak Island , N.C.
(Waterbody) (City/Town and/or County)
applicant has described to me, as shown below, the development proposed at the above locatio
:N I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
ndividua/ proposing development must fill in description below or attach a site drawing)
Install Tide Tamer 20,OOOIb Boat Lift adjacent to existing floating dock
I � 1
4 80,4 t
p E
WAIVER SECTION
arstand that a pi r, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bac
ium distance of 15' from my area of riparian access unless waived by me. (If you wish to wa
;tback, you must initial the appropriate blank below.)
K I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
ie Owner Inform tion)
toe
ff oraan
(Adjacent Property Owner Information)
Sign t ire
�r Type Name
Print or T�e Name
r. A-' e- . i . 'f -�Aw <

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
10/27/12
of Property Owner Applying for Permit:
Jeff Morgan
ig Address:
M-M -�- 3- M � NIF
ry that I have authorized (agent)
,=,� 3 7 5/
Jesse Simmons
to act i
, for the purpose of applying for and obtaining all CAMA Permits necessary to
or construct (activity) Boat Lift and access pier
property located at) 105 SW 10th ST, Oak Island NC 28465
rtification Is valid thru (date) 12/31 /12

scribe 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
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 ❑ Both ❑ Other UEE
(�LW
41
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 ❑