56673D - Bell

CAMA / DREDGE & FILL
3iENERAL PERMIT Previous permit#
New Modification Complete Reissue - Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources _
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑Rules attached.
t Name ; r , t`-..( T'r t Project Location: County i
Street Address/ State Road/ Lot #(s)
F' i c1 /j
:ed Agent
cW
OEA
PWS.
yes / no
T t t i•
State �j (, ZIP
1" j
_. 14131
Fax # ( )
EW
]"PTA ❑ES PTS
HHF
❑ IH ❑ UBA F 1 N/A
❑ FC:
PNA
yes / jj�) Crit.Hab.
yes / no
I i�,4yo, yIt( It i I)IC,
Subdivision
City ZIP
Phone # ( ) River Basin �'
Adj. Wtr. Body"�wW nat
Closest Maj. Wtr. Body-- `a . vt ; W _
Project/ Activity Elf kV it-, r i is .AA- JC I i') t•> r>t_ ; L. T, - fy, �0 (-r INCLW L I i
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.ock) length
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ling permit may be required by: OA v— ❑ See note on back regarding River Basin
c--- -1 r•,...,�:r:..ne Jl�h / / ?4 ir) t Tl tlw\C i., -714 17 tltl t -ram! L ...-...— -- w . _-

Division of Coastal Mgt. Habitat Impact Computer Sheet
pica I �t�l-�,, OA\V .E Permit #: j G f, � 3 (WQ1
5(p sWICoV2«
-ribe 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 fina
disturbance.
Excludes any
restoration andA
temp impact
amount)
L�
Dredge ❑ Fill ❑ Both ❑ Other E
2
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 ❑ Other ❑

e-R Cjom-3�
Amer"Can Fish ! �mp ny
Jul* _�r.. ` PO Box 11046
>nt,#hport. North Carolina 2846 t INVOICE NO it
y(910) 457
(Q1n} 4„ F
C Of P C jwv, EL
A.TI C.v/.
� �2ami-t mapiFica�t4� ;�
�- rl y square. Fc�-!
F �lSB��rot�.� sC2.fcet
r,
�pagpl�c0 �o pD.lnccnt
�� Prr.V�+-}y owncri
S
I
gS SeTbor-K
r
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a
i U

i laev�+ea Co0.{es
Fr,,: �r. I PcrrI
;tiV IY2 ry ti
Name of"Individual Applying For Permit: 1 K,-, 164l
Address of Proper 1-IQ.a vlesi Yard,+sJr. _
s'LCt or Street ai, s •eet or Road)
flax,,^ �r�llswr�j_
(City and CounN)
' hereby certify :het I own property adjacent to the above referenced orope^,. The indivi4l
applying for this cermit has described to me as Shown on the amched drawtr no :-e developmeati
are;rorosine. A desc-irt',on or drawing, with dimensions, shou!d be prok,Aeci with this lets"
"ave no obicnions is (his proposE
It you have objections to wlipt is being propo5od, ple:lse \4 rite, the D6 isiov of CoAa
Maaagcment, 127 Cardln:ll Drivo EXtenSion, Wilmind on, NC �-8445 nr -:!h 91'..-796-7:
wltbin 10 days of receipt of This notice, No response is considered the same ;IS r,W object
you hnve been noticed b� Certified Mail,
WAIVER SECTIO1,
I understand that a pier, dock, mooring pilings, brenlnvnter, boat douse or boat rift must W
bci a minimum distance of 15' from my area of riparian aecess . uniess N% 41\ e6 o, me {If
Aish co �+aivf t'.e, setback, you must initial the npproprinte Murk bcia��.;
' '40 •,isn !0 waive the 15, whack rE_twire, t�.
' Q_�0; '�+ �3r +,n 14•A1vC ti1C . � 5Ctk:�C4; "`U��:r-•~.�: .
?rint N11.me AN ►A

o E{e�the � Cor�-e.s
Name of Individual Applying For Petrnit: n l Kt 16fM
Address Of Prl trtr�, wf! r+ F.1r.
'ro( ^r Street 4. S, eet or Road)
C'ty and Co':nt;y)
nereoy ce 0f)� :7 [ : c•.vn property adjacent to the shove-refcrtr."ec cropc;- The ifAvi,
ippi}' ng for',his net:r:t has described to me 4s srown on [he attched �rRwtro .tie deveiopment
are �rorosine. A acscr•pron or drawing, with. dimensions, shoals+ re c-oOde-, withth►s kilt
- :have no objections �0 T,n!s prop^s��.
it' ),ou have nb,ectlons to wisat is being proposed, please %vrire ttie D;� ,,: v of Col
Matnement, X Cardin:sl Drive :.xtension, Wilmington, NC Z840: or c-411 c; .,196.'
within 10 days of receipt ofthiS notict, No response is considered the lame a� nu object;
ou h��e been - otiped b,* CerrJ9ed Mail
NA,A]VER SL'CT10\
l understand tint n pier, dock, mooring pilings, broakNvater. a0u1'IuL8c or boat rnugtt
bck a minlaitini disiance of 13' from my area of riparian access - unless N% 31� ob n" me 0
.k.1 to N+aive'''e satbsck. voa must initial the approprin:e hl!rk t`C.1
-,Waive :ne 15, Setback rent:
F:'H�,-,4t