59241D - O'Neal

��CAMA / DREDGE & FILL M
GENERAL PERMIT Previous permit #
C,+New Modification Complete Reissue ❑Partial Reissue Date previous permit issued
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
♦3Rules attached.
ant Names / A) , Project Location: County r" K` L l ('J 5 V1/ I C-fC
k1c; t3Y Si
sc (. "L State �1 ZIP (_❑ 4�
# (ii O ax # ()
ized Agent
d ❑ CW L�EW J PTA &ts ❑ PTS
Street Address/ State Road/ Lot #(s)
Subdivision
City
Phone # (
ZIP
River Basin 1;"1
❑ OEA ❑ HHF IH ❑ UBA ❑ N/A
Adj. Wtr. Body L�'r✓
❑ PWS: ❑FC: Ap�
yes / no PNA yes /� Crit.Hab. yes / no Closest Maj. Wtr. Body {
0 Project/ Activity 00 iVS 7% VC I �� �. ); C="F%lJ T7J�1�i j���%ie/Yi
(Scale: I ' ( '
lock) length
.m(s),�
pier(s)
length
camber
.ad/ Riprap length
vg distance offshore
nax distance offshore
channel
ubic yards
amp
case/ Boatlift
Bulldozing
ine Length 71
not sure yes
igs: not sure yes
)rium: n/a yes On
yes
Attached: yes
ling permit may be required by: Jo
n nn, -n it -7N .
❑ See note on back regarding River Basin
i ^ /' J I t r-t4,q , '

Division of Coastal Mgt. Habitat Impact Computer Sheet
Aicant: d`N"& Permit
i
:e: .7/,/i Z
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
nd in your Habitat code sheet.
Atat 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 fin.
disturbance.
Excludes any
restoration and,
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other p--�
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 0 Fill ❑ Both ❑ Other ❑

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CERTIFIED NIAIL —RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENTRIPARIAN PROPERTY OWNER STATEiNIENT
/ f
Name of Property Owner:
Address of Property: a p'�lv`
(Lot or Street #, Street or Road, City & County)
Applicant's phone #: *0 7���cc�
, 0 Mailing Address: 31f7 • �&J X7"•
I hereby certify that I own property adjacent to the above reFereneed property The individual applying for this permi
has described to me as shown on the attached drawing the development they are proposing. A description of drawing
with dimensions, must be provided with this letter.
`V**""_ I have no objections to this proposal.
f have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (I)CM)
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 1.27 Cardinal Drive Ext
"Wilmington, NC 28405-3845, DCNI representatives can also be contacted at [phone], No response is
considered the same as no obiection if you have been notified by Certitied Mail,
WAIVER SECTION
I understarid that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of
1S' 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' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owner Information)
Sig nature
ovlv�ef�
Print or Type Name
Flailing Address /C
_J002wo =Z— 7 IP/
(Riparian Property Owner Information)
Signat re
Print or Type Name
Mailing Address
So �

; u . 6. '1012 2:115PM VO.
CERTIFIED MAIL — UTURIN RECEIPT RE QUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATE NMENT
Name of Property Owner: �1..4MRJ' 6, 0
Address of Property: " L • W
IRA
(Lot or Street #, Street or Road, City &
Applicant's phone #: 710 ?vr 9 %D _ Mailing Address: avla, i�
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 of drawing,
with dimensions must be provided with this letter.
V 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 (DC141)
in writing within 10 days of receipt of this notice, Correspondence should be mailed to 127 Cardinal Drive Est.
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified'N1ail. ___
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be setback a minimum distance of
15' from my area of riparian access unless waived by nte. (Ifyou wish to waive the setback, you must initial the
appropriate blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back, requirement.
(Property O ner Information)
Signs e
Print or Type Name
,Y/o ce, ,SAY Sr:
Mailing Address
SourliPOAr, IC AP141
(Riparian Property Owner Information)
S ure _
Print or Type Name
Mailing Address

MORGAN PRODUCTIONS, INC.
"MARY AND MARTHA"
1890 DAWSON STREET
WILMINGTON, NC 28403
VENDOR CHECK DATE
US 000000157 07/07/12
NCDENR
INVOICE
DATE
INVOICE
NUMBER
DESCRIPTION
GROSS
DISCOUNT
07/06/12
070612CKR
BUILDING PERMIT - DOCK
200.00
.0
Tot
R � , E
E
JUL 0 9 2
12
°' W"LMiNG
0N, NC

a
MORGAN PRODUCTIONS, INC.
"MARY AND MARTHA"
1890 DAWSON STREET
WILMINGTON, NC 28403
PAYezaCtly**200** DOLLARS AND 00 CENTS
PAY to the order of
BANK OF AMERICA
US 000000157
EXPOSURE TO 800r HtA i v— --—
n gAPSYMBOL
AND THEN REGAIN COLOR CHANGE COLOR.
PPAR
NCDENR
127 CARDINAL DRIVE
WILMINGTON, NC 28405
07/07/12