60734D - Teague

" CAM/4 /' ! DREDGE & FILL / NO. 60
GENERAL PERMIT �( Previous permit#
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
ules attached.
ant Name L}l ✓ O�6c,( Project Location: County
s / pp�� Street Address/ State Road/ Lot #(s)
✓"lr1h4AO' / mil State Ae ZIP Z [ . Slid -ram
# Fax # O Subdivision
ized Agent 7T7M— �,(J�j/,�n City_ ZIP
d `' �+
Cw€w "'PTA / —; ES � PTS Phone # ( ) River Basin
OEA ❑ HHF IH UBA ❑ N/A Adj. Wtr. Body ,C */& L Ir7 / (nat,
PWS: ❑ FC:
yes / ) PNA yes / � Crit.Hab. yes
Closest Maj. Wtr. Body &ee�
A Project/ Activity J
lock) length
.p
pier(s)
length
umber —
gad/ Riprap length
vg distance offshore
iax distance offshore
channel_
ubic yards
imp
)use/ atlift� 1
9
tee Ae
;/,,//
(Scale: / ,!�
a
ne Length-.
not sure yes no
gs: not sure yes
Irium: n/a yes
yes FO—
Attached: yes
--
•rs./.
—
_
i i
n
ling permit may be required by: ��.t/h �i l/j/j"Y�f� fiSYZZ/f- . / jOp See note on back regarding River Basin

PIPPIN MARINE CONSTRUCTION, LLC
NCDENR
Date Type Reference
10/2/2012 Bill
10/2/2012
Original Amt. Balance Due Discount
200.00 200.00
Check Amount
Pippin Marine Constru 12 Corbett St, Wrightsville Beach

- A- ,"a-Cc-IlV
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
�Ac- 4u�
(Name of Property Owner)
property located at COS- STx3nL- i
(Lot, Block, Road, etc.) r
on 4LS �H�t.��G�- , in LJf-1r'k-�S� c��C��!� c +1� !� N.
(Waterbody) (Town and/or County)
Applicant's phone ##- 44 i `i Mailing Address•
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
SEE _ fIT��NE��
RECEiVE.D
DCM WILMINGTON, N1
0 C T 0 3 2012
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signa
�I r_ I/ ✓V11oA/-

I-' /tea r C C-/, ✓CYY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to t1006 Cf- -D.t ���wE 's
(Name of Property Owner)
property located. at STg-cer
(Lot, Block, Road, etc.)
on .PAIRS Cwr- .aC - , in jur Tsy t L%E acE{ d °xN.C.
(Waterbody) (Town and/or Cou ty)
Applicant's phone 9: q to . =614.4411i Mailing Address: IL• �Q yr �
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
-------------------------------------- —------ 7------------------ ----------- ------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
SEC AT"CuE�
(Information for Property Owner Applying
for Permit)
�ra�cfi-
Mailing Addressy 8
RECEIVED
DCM WILMINGTON,
OCT 0 3 2012
(Riparian Property Owner Information)
Signature
�/1 A / (n Ll 1-A J �"

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
69 2, ,�-
Date
Name of Property Owner Applying for Permit:
Eat
Mailing Address:
I �- ogsE—k-s 's t
l� �L(c H -c sal ► �- C C�� , rj \
1 certify that I have authorized (agent) I'-p- l P T - P I j to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) '-P► C�- ,
at (my property located at)
This certification is valid thru (date) ("In A-r-k+ 3 � I �, U 1 3
Property O-, tneiSi2nature \ Date

'6f�
C

9
O
rr
RIPARIAN �
_ CORRIDOR
20.0'
— — N41 °55'34"F
50-30
I� —
I w
z
i �o
I I I I w
uJ
r I n
RAMP
w I I �W
z
DATING J FLOATING I O O
JOCK I DOCK I m I
w ►Z i I ILn
0) I I I n
01N
0 L0 I E I
FLOATING
DOCK
• 0
•
1 I \ I I TRACED FROM N;
Z I N I I COUNTY G.I.
MEAN HIGH
WATER LINE I or
(5EE NOTE)
4--L12 L3 ,
PIER
RECEIVED
DCM WILMINGTON, N
0 C T 0 3 2612

PIG Division of Coastal Mgt. Habitat impact Computer Sheet
G
4pplicant: 2 Y Permit #: �1i73
J
Date: "9 /3 / / 2-
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
*ound in your Habitat code sheet.
iabitat 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 final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
V V
Dredge ❑ Fill ❑ Both ❑ Other
12
1 Z
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 171 Other ❑