60655D - Thomason

CAMA / DREDGE & FILL
GENERAL PERMIT f
New Modification ❑Complete Reissue —'Partial Reissue
�orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC_
No. 6
Pre-!ious permit #
Date previous permit issued
L-i Rules attached. l
.nt Name 12AP �/ 71 0fACES6 Project Location: County ��'
s C}� V G/� /� Pf _ Street Address/ State Road Lot #(s)
t- 6' State N� ZIP 2- , -71 Z =� �
# (f — S-Fax # ( ) Subdivision ,
ized Agent t V 'V , City / �✓ S Sa' C ZIP
d CW pTA ❑ ES ElPTS Phone # ( _ River Basin
OEA /EVHF /❑ IH ❑ UBA ❑ N/A
PWS: ❑FC: Adj. Wtr. Body
yes / no PN ye / no Crit.Hab. ves / no Closest Maj. Wtr. Body S7✓� Py�
A Project/ Activity
Lja cv,
lock)length bf X (7
•m(s) ( b > 7 7
length
umber_
:ad/ Riprap length
vg distance offshore
iax distance offshore
channel
ubic yards
imp
)u oatli K 1 2
Bulldozing
�I v .c�
ne Length
not sure yes
gs: not sure yes
mum: n/a yes (IR&I
k
-Attached:
' no
ling permit may be required by:
❑ See note on back regarding River Basin

RVIOUS CALCULATIONS
ISE AREA ------------ 813.1 SO. FF.
NG AREA ------------ 93.9 SQ. FF.
AREA---313.2 SO. FT.
IED DECK AREA--------190.9 SQ. Fr.
N TRACT------------19504.0 SO. Fr.
'IOUS AFTER COMPLETION-
--1411.1 SQ. Fr.
IOUS COVERAGE 7% (0.072)
CP
O
QrFR <9
O
7517 9th AVENUE
PHYSICAL SURVEY
�/I rA VLi
f /-
STUMP SOUND
0 •0
0
FOUND IRON
STAKE UNDERWATER
SITE
z
9L
F
m
s
\ 1
Y� y�
4 \ems
VICINITY MAP No SI
LOT 3 `'
0.56 ACRE
BY COORDIN T S FIS �6 CP
NO MB 50 PG 3 ��. i CP
FRIS
WgTE N/yy �: •FRIS-.w z v-.w-�":_
'�
43 PG 237 � - COASTAL cd�e:_��e�`g FF�R
BUILDING
LINE - "
�t_�`_ -fig-FIS ,. ��s
ca
m� N WETLANDS -
WETLA
RING DISTANCE N + �. f !" �.75'
3.17'56" E 19.97' 00
2'01'25" E 20.13' U1 O - .
)'51'05W 35.70 U1 I: z CD .
558'31 W 6.70' �I �I. Liz ,
� 25'03" W 20.95' C1T Il , . ; y.s \ + \ : �J �) L J> : :
)•26'42" W 7.57'
r07'27" W 44.25' LANDING ' steps- I w=m \• '_'%.y �-
5*07'05" W 36.72' m I/ O I Q:
r17'46' W 23.11' J (nw O
1.55'55" E 10.00' 34' Cl� O N LOT 4
1'42' 14" W 15.00' om om o U� Q
I'25'39' E 38.30' �I x ONNPILOISGSNG� xo f 11 QOm r) MB 50 PG 235
O I 6 34' G 8'
TPGA237 SS EASEMENT ..3�... — — 3�M L1 FGM — —
FIS 9.48 FIS—�------------
N 58`04'05" E I �I
AAETAI CTANI FI ...

0 0 �v/► �l�g
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i

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOIISE)
I hereby certify that I own property adjacent to Da. Ix l kc ►r.. All -v is
(� /� (Name of Property Owner)
property located at -IS-7 I dve
(Lot, Block, Road, etc.)
on , in N rpj , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Mailing Address: JSy L k .4 Je
Ra. t e a k, SIC- z -7(.t z
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
belo
71do not wish to waive
I do wish to waive that setback requirement.
-------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
See a %c k. e S
P� �vx�loLlz��f
(Information for Property Owner Applying
for Permit)
M ' ing Address
City/RtatP/
(Riparian Property Owner Information)
Signature
4 w
r�y�d,� ���.��

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 6a^ i hip OWL 's
(Name of Property Owner)
property located at 'l S 1-1 A ye -
(Lot, Block, Road, etc.)
on , in t l0rrtv-, To aP&--k , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Mailing Address: �yS V GK Ave—
(-1 ;27t,
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-------------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature
A EGA
;n./Ctafa/7;n n� _a T--.. XT..—_

scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
Ind in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
)itat Name DISTURB TYPE Disturbance total
disturbance.
Disturbance
disturbance.
Choose One includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount)
� 1
Dredge El Fill El Both El Other � s 6 �s
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
O PS V e-A - vr" L L
Po 8Ok 633
A. Signature
!p or ❑ Agent
;'P� - ❑ Addressee
Received by (Printed Name) C. Date%f Delivery
/ 1 �2
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
/2
3. Service Type
l 'v L MCertifled Mail ❑ Express Mail
Q ❑ Registered ❑ Return Receipt for Merchandise
2-U If 60 ❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7 012 1640 0000 1120 3 011
PS Form 3811, February 2004 Domestic Return Receipt
SENDER: COMPLETE THIS SECTION
•
■ Complete items 1, 2, and 3. Also complete A. Sigriature
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse X ✓�
so that we can return the card to you. B. Received by (F
■ Attach this card to the back of the mailpiece,�
or on the front if space permits.
D. Vldeliver)(abdre
1. Article Addressed to: /If Yr, r de
102595-02-M-1540
❑ Agent
�J 0 ❑ Addressee
Name) C. D to of Pelivery
nt from item l? ❑ lies
ress below: ❑ No
I �^
iti�