57437D - Bowman

CAMA / DREDGE & FILL
3ENERAL PERMIT Previous permit#'
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
Prized by the State of North Carolina, Department of Environment and Natural Resources —7 H
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ` r! 2 ��
❑ Rules attached.
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: t--W6v& Gk'VA '(�;4 1u4 A T�olj mdA-j
Address of Property: e6L Nka-"r r LVP
(Lot or Street #, Street or Road, City & County)
Applicant phone #: Mailing Address: ao 3 64:S f\^Jc °d
916 - ag5 5a�
qIr)--)z4 -3)3i
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing_the development
they e proposing. A description or drawing 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
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact_dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to
waive the?etback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
(Rip,prian Property Owner Information)
Signature
v - "^
Print or 1ype Name
-338 Seh- M Aybr
Unilinn ArOrP.qv-
. /.
WHIMIR, sa s 1

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: r�d,W4V� Q+ s`f luiA 'OW►►1-A.A v
Ce U/W
Address of Property: 318 sea Ma n ©Y- Oc i vv. &r-c- (
(Lot or Street #, Street or Road, City & Co
Applicant phone#: 910'a$�-0�$`i Mailing Address: u`A &4N00brtvtj
1( -ass 55ay Wad I>S re
91 D-40-313{
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing_the development
they are proposing. A description or drawing 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
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact_dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 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' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature B
Print or Type Nam
(Riparian Property Owner Information)
'\ n
v
Signature
Print or Type Name
?�M CQ_ AMC(
AAnilinn Ar)rira.¢.¢

NCDENR
North Carolina Departrnent of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Govemw James H. Gregson, Director Dee Freerrim. Secretary
Date t 1
Name of Property Owner Applying for Permit:
Mailing Address:
ao3 �XPLOct v�
W([ a ce l
r
I certify that I have authorized (agent) �La "1 )a 11_ �� to act on my
behalf:, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) L I 32 /--
This certification is valid thru (date)
ONE
Date

licant: 5Yc-VIpr1�01AW tJ
Permit #: 57c 3 7
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id 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 final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
���%
S 16
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 0 Both ❑ Other ❑

WATERMARK
� P PRINTED
ONi. BORDER AND UV FIBERS ABSENCE OF THESE FEATURES WILL INDICA
I AN ARTIFICIA'WATERMARKPRWTED ON THE BACK. THE FRONT OF THE DOCUMENT HAS A MICRO -PRINT DER
(100/pkg Rev 02) �i 1 1 �� i �(`J�YrY_iJ� s110
__ 29087195 „"-D
Date
e Ord er Of
AM
M A 08/1'7/2011
ce Value Valid `One Year From Issue, Three Years in CA - Money Order Subject to Return and Service Charge Thereafter)
IGHT HUNDRED DOLLARS AND 00 CENTS
13-R Purchaser, Signer For Drawer
C'P�fl43`7 pk,) Address 9 r d /1 do �'", I^7 �S
!� _t -( P) Gov'' wPf n �� �� �{ �C'/� C�l �1,
Ali �� 43L WnFor
,HOIA PURCHASER, BY SIGNI YO
VU AGREE TO THE SERVICE CHARGE AND OTHER TERMS ON THE REVERSE SIDE
ARGO COMPANY AGENT FOR MONEYGRAM
AONEYGRAM PAYMENT SYSTEMS, INC. DRAWEE: THE BANK OF NEW YORK MELLON Not Good For More Than $1,000.00
I.C. BOX 9476, MINNEAPOLIS, MN 5WO EVERETT, MA
III P9087 L95110 1:0 L L00709 21:0 L707 L L99431B31"