59170D - Pruitt

ICAMA / -- DREDGE & FILL
3ENERAL PERMIT Previous permit #
3�Iew —]Modification ❑Complete Reissue [-]Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources 7
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC jlL%l
77,,�� ;; L;l,Kules attached.
t Name D A v "t� % ( 7 Project Location: County �)K_,tk vV I C {/
7 t 1 6 f,/,-A 50Q j)a (ttl':l Street Address/ State Road/ Lot #(s)
Stater\JC _ ZIP LI J 2-61
Subdivision
ed Agent A.,NA 0,' IC ttN j 3 c� H CO. c T�iM&,IV - City Nh< 1SL—&P 40 ZIP
❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) ,r River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
71 PWS: El FC: Adj. Wtr. Body 1 1/�/ W (
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body 1 VNJ w
ngth
"nber
i/ Riprap length_
distance offshore
x distance offshore
cannel
)ic yards
1P -
Aldozing
■■■■■■,■■1!■■■■■ ■■■■■■■■■

0 Sox i tab
".-All AF(-n35000aoI co^-
F'JYOIC E
'1101 457 5486
0e t be,ereG e o F 5 wore foo4w�e
Aepro�. 38G s.F

LAvisinvrlCnrl.0It, A ,,,..,
ZN I
� �"' P PRO T TCA � i tviWp,Iy �� � -•
Name of Individual A-nplving For Perry I
idQ.rC55 Of P•-,cer�3��o�Vcre
0� -_--
'Cif
:,c:COV Certiiti' ti;at i own property adjacent to the arove•refcrcr..cc
PPlv!Ilg for t� is pertn:t i�as described tC m aropc:--� The inc
e to 3nown on the axcnc �rew;ro ,ne �evefopm
are Cronos�ne. A desc-iption or drowin with dimensions, sho��i v
/ g' d _ . t d� _ with this ft
lrLt �c K htr� ✓ �, g
no objections io ±S
objections to wJlot is being proposod, please N,rjte tnc U .,,,. n of
MaDogement, IV Cardinal Drivo Extension,
wtt6ia : Wilmino ott, N'C "S405 nr c:i;i u; :,-79 a days of recoint of this notice, No response is considere.4 ,:1C SomL a< •,_ objtl
beer noti('ed bti Cerrined Mail.
WAIVER Sr• CTION
1 understand snot a pier, dock, mooringp
bch a mJninlLni distance of 13, from my area of ripor, an access ce oa` ��se car 004, , ;r
a � mess �� „1 e, me i
eve ,+ e cetbaci<, you must initlol the'Ippro,,rialc i~t,,
!rC
ik }o i do w(s", rC w2iv� i,
recu
+� } do M wls^ 'n v. ,r 3: - -
D=.�:
sign Name
C,Q'r
Pnrr Nnme L"A

lb
m ri
W14
Now
I.�� , \ �
!,:w .
Hi (3 009 e
4w

::. PO boa 11046
f r- ioucnuon. NorTh 1dr0hnd LW
- F—all Aft 036"Oof ton+
'��Oi Ski •i�
i� (0 0 AulK1� rrr►w,1 L ut

Consent for Use of General Permit 7H.1200
Lot Number/Address:
County: FAQIUAV i C4--
Criteria:
(check all that apply)
a"' Primary Nursery Area.
ei Less than 2.Oft deep.
❑ Greater than 2.Oft but less than 3.Oft.
❑ Submerged Aquatic Vegetation.
❑ Bottom habitat.
Subdivision: NA- C6 6155 (2—"
Comments:
M r-AEp lbw E Lx-w -0 0-c-
1kF P w c, ATJ i- �� � � �t � P� ;em Z �Cgl- I- / FT:S- .
Decision:
)d, Issue General Permit
❑ Elevate to Major Permit
NC
L ls,�
of Marine Fisheries Representative
lZa l Z-
Date

0 12 08:51a David Pruitt Electrical
919-661-8667 P.1
owe 1 too /►/i/
Rio-th Carolina Department of Environment and Natural Resources
Division of Coastal Management
M:c,rmel F Easley. GQvemot James H. Gregson, Director
Authorized Agent Consent Agreement
t1
m t Afl hi inp v S
�n o L olapenr1
in ;�n to obiain any CAMA p rrn,t(s) required for the procem listed below. The authoriz,_tion is
specific activities described in the at"ached sketch.
LOCATION OF PROJECT:
3S014 east -q0&fi ax•
__ems - R ►g , atS&IbS
PROPERTY OWNER MAILING ADDRESS:
AUTHORIZED AGENT MAILING ADDRESS:
PHONE No:lki
PHONE NO.
Signalure or Prcperty Owner
Signature of Authorized Agen

N, C: '", 0- 0% - 7 .4 1 1
L Ap�m':'-ying -or perrmi
Ertl 1
C'VION,
PrOPIMY adJacent, to the above-refcr-!!:c- croPC77 The
'Ipp!�'!nq for
C'M-bed to me as shown on the aftcnel.:
ire A &VO -lop,
or drrw;mg, w;ts d;m
w;th this
!''ova -n)ac"
41"3 CO %vilat i
3 being proposod, please write !ilc- of
-�120294`mOnc. L27 Cardin-M ]Drive EXteMiUrl, Wllrnjn-r-.t,
46
days or receipt Of this notice. No loespo .fie o r
nse is ronside-ei r!,,,
WAIVER SECTIO-,
UCO pier, dock,
etSlaan ri�:)t I M-001"Ing Pilings, brenkNvater, t)of%,- )use or t)()
d"."3nZe I�f 14'
area of ripurfun a I cc esi -1 LISS rn u
0 u must jritini the --,r)proprinrc hi,
ri -A 44 VjC" Ile
C
do wish to .,,:v. tj.,b 15,
-tftA 44 6o(,e, do
R2-Dz wish to I So
.00
--7

:)licant: '0L (� TT ��Ui Permit #:
:e: 21 G1I 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.
)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 fins
disturbance.
Excludes any
restoration and)
temp impact
amount)
V
Dredge ❑ Fill ❑ Both ❑ Other 0
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 ❑