60662D - Padgett

' CAMA / DREDGE & FILL
V `t NO • 60,
GENERAL PERMIT
P revious permit # -1641
caslew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
>rized by the State of North Carolina, Department of Environment and Natural Resources "% f 1 7
t'l '
Coastal Resources Commission in an area of environmental concern pursuant
to 15A NCAC
U
❑ ules a hed.
it Name 1 h 'P''t
Project Location: County1"S
C} 11L,+
Street Address/ State�R/oad/ Lot #(s)
e A S State I — ZIP Z iS b
2 a ni
'# QQ/ 3 7-7-3'Y'9Fax #
Subdivision
^O y
-elo G�S T ✓ ZIP
zed Agent 14w�)- e'/ p J
City
❑ CW EW PTA ❑ ES ❑ PTS
Phone # �/0 ) 3Z River Basin C�9
'3y7
i
OEA ❑ HHF ❑ IH _- USA ❑ N/A
Adj. Wtr. Body Y - �4nllir
PWS: ❑ FC:
yes no PNA yes no Crit.Hab. yes nod
Closest Maj. Wtr. Body
if Project/ Activity - f
(Scale:
ock) length
m(s) -
ength
umber
ad/ Riprap length
vg distance offshore_
iax distance offshore
channel
ubic yards _
PmP
Bulldozing ---1
i
i
e Length
not sure yes no
s: not sure yes n
ium: n/a yes —
yes no
Attached: � no
Iing permit may be required by: : _
e %G

NCDENR
Worm '�archra Jecadrrent of Er nronmert arc natural Resources
Division of Coastal Management
.Uiae: FEasley. Governor Charles S. Jones, Director Vi4a , G Ress
Authorized Agent Consent Agreement
n�ryl wt tr7f t)U1 U►i is hereby authorized to act or my behalf
'Prk,'md Noma of Agen:.
in order to obtain any CAMA perrmt(s) required for the property listed below The authonzatior is limited to the
specific activities described in the attached sketch
LOCATION O'F)PROJECT: ill mill LAd—'t�14
PROPERTY OWNER MAILING ADDRESS:
/ AJL
PHONE NO. ��' /d' /7�'y23V f
°f A)- 44o - 7li­i 7 w
AUTHORIZED AGENT MAILING ADDRESS:
1^ m 3s E►4 pu 2E4 i) t
r
PHONE NO
Signature of Property Owner
Signature of Authorized Agent.
Date:
yl-
127 Cardrat Dian Esl.:Y+krxV6n twth ',robin 2!405.3845
Rare: 910.7967215tFA?C 914?5rr39U'lnWnd smw�t.net

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner.
Address of Property:
cONSILK
L (Lot or Street #, Street or Road, City. County)
Agent's Name*.. "ri• t gptt a, tj 4h IL-P,7 ;,? MailingAddress: ) P 51 i Y- ; rf-t1t
Agent's phone #: ef f Q"3:01 - 34-7!:;- �; is o _V-t' `' �z��
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.
I have no objections to this bj proposal. I have objections to this proposal.
If you have objections to whet is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405,1845. DCM can also be contacted at [phone]. No response is
considered the same as no objection if you have been nobfred by Cerh"%ed frail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift., or groin 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_
(Property Owner Info ntation)
Stye _ _
1
Print or Type Name i
Uaft Addhw
�.
roperty Owner Information)
E
Print or Type Name
+a` s• L04n3,i---
JNGA0�' r-�L'Lw 0'(
C#y/Sbft p

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIMATIONMAIVER FORM
Name of Property owner
Address of Property:
Y'111 /WIUK
�
(Lot Or Shed 4-
#. Street or Road, MIA County)
Agenrs Name * Mailing A&ltew V! Y-.PA U'l
J
YL '
Agent's phone * %-01 IS WY-417 6 0
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 descftfion or drawing with dmwtsions, must be provided mM #his tamer.
—L—Ilbawno objecfions to this proposal —I have objections to this proposal,
ff you have ObjecdOm f0 what is being PrOPOSed, You mustno&y the Division of Coastal manage In
writing *701r; 10 days of receipt of ffm naftm Cwmspandmce shwid be meMed to 127 Cardinal Drfve Ext,
Wdn*Ww, Na 28405-3M DCX reprrrs can also be contacted at [phone]. No response Ls
conskk"d the Sam as no ction N you ham been notWed by Cerb-fied Maff.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or groin must be set
back a minimum distance of IS from my area of riparian access unless waived by me, (if you
Wish to waive the setbadr, you must Initial the appropriate blank below.)
ul/ — I do wish to waive the 16 setback requirement
I do not wish to waive the 15' setback requirement
(Property Owner Iriftni"on)
Signature
P,
AF#-QrT
A)
capsaftozo
(AdJacmit Property Owner Information)
Signature
'R6 b j, i-, L
Print or Tmolwift
Uaft Address
C—
CNYIStatelZip

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
(Lot or ShM #. Street or Road, City-d County)
Agent's Name # ' +► rf'lb'U �l� 21S'liYa�f ? r� Mailing Address:.
Agent's phone#. O10-1— 2 T -347i�;-
J
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.
_ 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. Correspondence should be mailed to 127 Cardinal Drive Ext,
Wilmington, NC, 28405-3"5. DCM representatives can also be contacted at [phone]. 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, lift, or groin 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.)
_ 1/ I do wish to waive the 15' setback requirement
1 do not wish to waive the 15' setback requirement.
(Proporty Owner Irdm
si
Print or Type Name _ l — t
U At
fe
City)SWTV r r
(Adjacent Property Owner Information)
Signature
a'A&h w--O
Print or Type Name
i Ac0 0 154— V-�1 t$ �1—V--�
Mailing Address
5 K A--� jai C-
04,/State0p ��—

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property: 112
(Lot or Street #, Street or Road. City.& County)
Agent's Name* AnhapI;t i/] t S-t,gj7,,
Agent's phone*: C (V " 32-724 -7
d � krpu / U- NU 1,
i hereby certify that I owr 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.
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_ Correspondence should be mailed to 127 Cardinal Drive Ert,
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 Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.
do not wish to waive the 15' setback requirement.
(Property Owner Information)
Sig►rali"
Pnnt or Type Name
(A - ac9pt roperty Owner Information)
Al/� Print or Type Name
111 f1 irj /7'1e /ray )(Drl e �AI/� i t� T
Mailing Address Af��JY to �. z 1) ti�111 1 �-%1iE A!J�3rJ (r t A�+E
Mailing Address

A'A,
NCDENR
North Carolina Department of cnnronment ano Natural Resources
Division of Coastal Management
Ec�ael F _ash. Gam nor Chines S. Jones. Director VA*am G Ross :r , Sexdzry
Authorized Agent Consent Agreement
pn I
2t >1 U U 1 Di is hereby authorized to act on my behalf
IPt*lvdi%f r o!Aper"'
in order to obtain ary CAMA penrit(s) required fcr :he property listed below. The authorization is hm-ted to the
specific activities described in the attached sketch
LOCATION OF PROJECT:
PROPERTY OWNER MAILING ADDRESS:
PHONE NO. 1 /D 7ql - 6230 Cl
AUTHORIZED AGENT MAILING ADDRESS:
11l-�-1-J � L �� 1, �r': � % �'.1i �,t_ "1 i,✓j
1 4ri �1 tY1flY41 A
S y a dS rL+ j FX/ �4 (P i
PHONE NO
Signature of Property Owner
Signature of Authorized Agent IV
ml l.I/d!
Date V�(J3
127 Cardnel On" EA, Iftraigion. Hr. th .:aroma 2W5-5845
Phore: 91479&7215tFAX 910-395-3564'Inwnet raw noc=!akranagene,tnet
11C--.'Lw..Mn.._ ls—,i _._—c­_-_ tea.._.. .,a-- —o.....

plicant: D�V�D a�t�� t`T Permit#:6�Z
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.
DISTURB TYPE
itat Name Choose One
TOTAL Sq. Ft.
FINAL Sq. Ft.
(Applied for.
(Anticipated final
Disturbance total
disturbance.
includes any
Excludes any
anticipated
restoration
restoration or
and/or temp
temp impacts)
impact amount)
W � �
W Dredge ❑ Fill ❑ Both ❑ Other ❑ (b
omplete items 1, 2, and 3. Also complete
Dm 4 if Restricted Delivery is desired.
rint your name and address on the reverse
that we can return the card to you.
ttach this card to the back of the mailpiece,
on the front if space permits.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
Disturbance
disturbance.
total includes
Excludes any
any anticipated
restoration and/or
restoration or
temp impact
temp impacts)
amount)
❑ Agent
❑ Addressee
13- Received by ( Printed Name C. Date of elivery
D. Is delivery address different from item 1? ❑Yes
ticle Addressed to: If YES, enter delivery address below: ❑ No
obiVI ?u-V-V-h(,yC[-b
p [a m i ► l shi" r)
m
n� n' ^ AA nn ,1 (\ V 3. Service Type
Kru b-/A e ❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
ticle Number
ansfer from service label)
A. Signature
X,Q,D..
4. Restricted Delivery? (Extra Fee) ❑ Yes
orm 3811, February 2004 Domestic Return Receipt
I
Dredge ❑ Fill
102595-02-M-1540
Dredge ❑ Fill [ ■ Complete items 1, 2, and 3. Also complete A.
item 4 if Restricted Delivery is desired. X
■ Print your name and address on the reverse
Dredge ❑ Fill [ so that we can return the card to you. B.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Dredge ❑ Fill
1. Article Addressed to:
N� CU FU Cif �' �,a�. -u ►� cal %tom,
W "d 1 yn
L - ❑ Age
❑ 46
Rece' ed ame) C. Date of C
J _ —,
Is delivery ad ress different from item 1 ? ❑ Yes
If YES, enter delivery address below: ❑ No