59183D - Teague

:1 CAMA / ❑ DREDGE & FILL
��ENERAL PERMIT Previous permit#
flew E�Modification ❑Complete Reissue -]Partial Reissue Date previous permit issued
:)rizfd by the State of North Carolina, Department of Environment and Natural Resources 11+
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Rules attached.
,it Name Nosal �a Alit, Project Location: County-b,(MSW ► Gk.
Street Address/ State Road/ Lot #(s)
1 1&Vi (31 A ik StateW— ZIP 'Nq (t Z. �Sooly
Fax # ( ) Subdivision t' 1A
zed Agent t'► V11 Ca 1-2 awr.. City Sa w-e ZIPS bL�
j ❑ CW EW ry PTA ES L. Phone # ( ) Rive
ElLir Basin Y'11
OEA HHF IH UBA [I N/A Adj. Wtr. Body l L-tkA:c (nati
❑ PWS: ❑ FC: ' . 4
yes no PNA yes �/ Crit.Hab. ye / no Closest Maj. Wtr. Body �� ►�"
if Project/ Activity I is &,U ' ` ;1} -4bl r \t, itr aL t G ccyO
:)ck)length
r(s)X
pier(s)
ength
ember
ad/ Riprap length
rg distance offshore_
iax distance offshore
:hannel
ibic yards
mp
us
3ulldozing
ne Length O
not sure yes
gs: not sure yes
rium: n/a es
Attached: yes
ling permit may be r
(Scale:
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CERTIFIED MAIL — RETUkN RECEIPT REQUESTED
DIVISION OF COASTAL NIANAGE'KENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hcrebv certify that I own property adjacent to F jlL;(�y �-�,r� is
(dame of Property Owner)
property located at / 2 1t/rl��f fP�.'% 2 i�� `'`��
(Lot, Block, Road, etc.)
on _���� tia i��� l�� ��{ , N.C.
(Waterbody)�— (Town and/or County) _
Applicant's phone #: Mailing Address: /2
He/She has described to me as shown below the development he; she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
f
r 3-
17 ! 171
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writi
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC
DCM representatives can also be contacted at [phone].
No response is considered the same as no objection if you havc been notified by Certified Mail
(Property Owner Information) ipari n P operty ner Info oration)
Signature Si n ire
Print or Type Name
Mailing Address
-e� v V-c.►� v V u (� cc t
Print or Type Name
6 Vl& S UZ X NW ST fives
Mailing Address
r)rR NC 2. V6 5

At&,; /
• CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ��/[—� / — G( o= , 's
(Name of Property Owner)
property located at 102 1 TV&& <'7
(Lot, Block, Road, etc.)
one r .� ffU�De2k' IN.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 7� � c� lfyl� Mailing Address: '�1 S
tom ,// G?�L
_,
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
/,, /
r g-
f au S, 14 I 12 ) T/f.YA f T
f
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writi
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC
DCM representatives can also be contacted at [phone].
No response is considered the same as no oblection if You have been notified by Certified Mail
(Property Owner Information)
Signature
Print or Type Name
(Ripkrian koperty Owner Information)
Pig'",re A
Print or Type Name --7—
Z 3 U; Vaal# 1 fcvtrgCe Ctx.,4
Mailing Address
1�4h�SiY /3� A�/fi
Mailing Address
`ti.,,.- .---1-. l' A

,pplicant: C IT
,
ate:
Permit
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
ibitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
eet
(Anticipated finalfor.
disturbance.ce
FINAL Sq. Ft.Frestoration
Excludes anydes
restorationated
and/or temp or
impact amount) temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
::::Dredge
[IFill ❑ Both ❑ Other El
Dredge [IFill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ 4E]
Dredge ❑ Fill ❑ Both ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other El