59167D - Webster

�ZCAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
KNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
iorized 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
� _J ❑ Rules attached.
tnt Name 1 A (�Y ��ar Project Location: County p o!1 'syj, (-14—
s GJ(�i I�_ " ��fl Street Address/ State Road/ Lot #(s)
` tate ZIP ; 2 L W 1_ 1J}7�
# O Fax # O Subdivision N
ized Agent City U pAn l s i c beack ZIP L!
,d CW ❑ EW PTA ❑ ES ❑ PTS Phone # ( ) -(A -MA t River Basin L_y r
❑ OEA ElHHF ❑ IH ❑ UBA ElN/A
E PWS: ❑ FC:
Adj. Wtr. Body (v Y1at (nat
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Df Project/ Activity
lock)length
pier(s)
length
camber
md/ Riprap length_
wg distance offshore
nax distance offshore
Bull &zing i
ine Length } C; Z
not sure yes no
ling permit may be required by: 16 A j'j- 01K❑ See note on back regarding River Basin
i I V7r A n .nd A I I iU. I t`L I . it —A i oA i

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IRECEIVED
MAR 0 5 2012
,cm WILMINGTON, Nc

"' US MAIL
CERTIFIED MAIL, - RETURN T2EC an REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner: 7Nd 4 ` \J6 k c Sr, Tzd � by�,�--
Address of Property: 3 AAv 15k
(Lot or Street 9, Street or Road, City & County)
Applicant's phone 4:��j?l `�_ � Mailing Address: O o)
I hereby certify that I own property adjacent to the above reterenced property. ine ututy cuuaz APPLY 1116 IV -
has described to me as shown on the attached drawing the development they are proposing. A description of d
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.
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Dr
Wilmington, NC 28405-3845. DC'I representatives can also be contacted at [phone]. No respon
considered the same as no objection if you. have been notified b Certified flail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum dis
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial
appropriate blank below.) R E C E! V E L
I do wish to waive the 15' set back requirement. MAR O 5 2012
X I do not wish to waive the 15' set back requirement.
(Property Owner Information) (Riparian Prope r n orrdatioi
Signature Sig ue
led
Print or Type Name
ZnU in
Mnllino Addrr.ce
Print or Type Name
Mailing Address

US MAIL
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner'—
JZk_��Si�'���Pt_Tr 1h_L5" "^
Address of Property: Z
C)c as
(Lot or 9treet #, Street or Road, City & County)
Applicant's phone #: Mailing Address: 2-50 L l d h- E
1 hereby certify that I own property adjacent to the above referenced property. The individual applying for this permi
has described to me as shown on the attached drawing the development they are proposing. A description of &awin
with dimensions must be provided wth t ihis letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you inust 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 Ex'
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no ob •ection if you have been notified b Certified 'Mail.
WAIVER SECTIOiV
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance c
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' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owner Information)
�i L
Signature `� t(�---
Print or Type Name+
Mailing Address
(R' ran op rty wrier In ormation)
Signature
A. EnJ,y t nlC� S �u T
'C arne
W . �Fry rJ i n) G S ti")N
eAO
Malting Address
n -

icant:Tea �Qi�ps �-e✓ Permit #:�
ribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
d in your Habitat code sheet.
at 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)
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other
1
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 ❑