60672D - McRae

CAMA / J DREDGE & FILL NO. 606
iENERAL PERMIT Previous permit#
Vew ::]Modification ❑Complete Reissue CPartial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources �' t •'�
Dastal Resources Commission in an area of environmental concern pursuant to 15A NCAC rj Rules attached.
Name �' 6(y 4 Mc I Wi � Project Location: County �1/11Y1S141%AC.
122 pi raStreetAddress/ State Road/ Lot #(s)
State NC ZIP h P ! 64 I ✓rnDm ZeA
Fx # N P) »�
;d Agent Ht mf rh('f
CP Gl �l` ZIP 2❑CWEWPTA ❑ES ❑PTS pe # (11U )"7'�- G2�� River Basin WY�A3
❑ OEA ❑ HHF IH ❑ UBA ❑ N/A Adj. Wtr. Body A /1 nat r
❑ PWS: ❑FQ U� W
Closest Maj. Wtr. Body
(es no.- PNA yes no Crill yes (no
Project/ Activity
:k) length r-) A
ie Length
not sure yes no
;s: not sure yes no
rium: /ady
0
Attached: ys1n�qling permit may, ber �uby:
j i f
wu k/ ❑ See note on back regarding River Basin

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CERTIFIED MAIL — RETURY RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACEW RIPARIAN PROPERTY OWNER STATEMEIN7
Name of Property Owner: _ :Z'Z \ � �A C,,- , r �)
Address of Property: _ L 'EN -T cL., r m tM-T 6 1— o C' Via, rl
(Lot or Street #, Street or Road, City & County)
Applicant's phone #:
Mailing Address:
1 hereby certify that I own property adjacent to the above referenced property. The individual applying for this perm,
.
has described to me as shown on the attached drawing the development they are proposing. A description of drawiW
with dimension& must be provided with this lettter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you mast notify the Division of Coastal Management (DCM)
is writing within 10 days of receipt of this notice. Correspondmee storm be nailed to 127 Cardinal Drive Er
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 79&7215. No response is
considered the same as xo obiecdox if you have been notified by Certified Mail
WAIVER. SECTION
I understand, that a pier, dock, mooring p4ings, breakwater, boathouse, or lift must. be set back a minimum distance o
rea Is from my aof riparian access unless waived by me. (ff you wish to waive the setback, you must initial the
appropriate blank below.)
I do wish to waive the}W set back requiC PLO V>60- t.
I do not wish to waive the I V set back requirement.
(Prope Owner Info ation) (Riparian Property Owner Information)
Signature Signature
Print or Name
Mailing Address
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Mailing Address
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10 MAIL
CERTIFIED MAIL - RETUILN RECEIPT REOUESTEI)
DIVISION OF COASTAL MANAGEMENT
ADJACEN-f RIPARIAN PROPERTY OWNER STATEMENT
ame of Property Owner.
ddress of Property: � c4 f -A-i rr-Vy% iN JE
. (Lot or Street #, Street or Road, City & County)
pplicant's phone #:
`Mailing Address: 3Z 5 IL `;`� e4k -no
28340
hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit
as described to me as shown on the attached drawing the development they are proposing. A description of dra_wR,
tith dimensions milt be provided with this blew
I have no objections to this proposal. I have objections to this proposal.
f you have objections to what is being proposed, you most notify the Division of Coastal IVMan"ement (DCM)
n writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.
Wilmington, NC 28405-3845. DCM representatives can also be oantseted at (910) 7%-7215. No response is
onsidered the same as no Oiection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of
5' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
Lppropriate blank below.)
)lit I do wish to waive the 15' set back requirement. e-o --
I do not wish to waive the 15' set back requirement.
Print or Type Name
Zc
Mailing Address
(Riparian Property Owner [nformatkon)
Signature
Print or Type Name
/ 2 2
Mailing Address

plicant: I ��� J '� L ��j ., G n ,1
Permit
te:
;cribe 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. FINAL Sq. Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
Disturbance total disturbance. Disturbance disturbance.
includes any Excludes any total inExcludes 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 ❑ 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 ❑