56664D - Gasser

� CAMA / ' DREDGE & FILL
.3ENERAL PERMIT Previous permit#
Xw . Modification CComplete Reissue ❑Partial Reissue Date previous permit issued
sized brthe State of North Carolina, Department of Environment and Natural Resources
Zoastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
/ �,�l / Rules attached.
it NamelLirCd-7-�ss�/ Project Location: County%ems>l✓/,-
�' ,%f%O /�,/Ivt► �1yf Street Address/ State Road/ Lot #(s)
/1%y,+&�In State__ ZIP_
llS/y Fax # ( )
ed Agent % �- k. L� Ai✓ f 4
CW EW J PTA DES ❑ PTS
❑ OEA HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
is / no PNA (yes / no Crit.Hab. yes / no
S3? 4 67/W Pti(4,• f/_ Giw/ Az�
Subdivision /�"/G�f'Y� .6zz '
CiZIP 2,0
Phone # River Basin
Adj. Wtr. Body /�Ii�� %%✓/n✓i �_naL
Closest Maj. Wtr. Body
A Project/ Activity
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ling permit may be required by: �A1,V
❑ See note on back regarding River Basin

NCC ENR
opt^ ra,ci c�a ;;epa ! 'cni f Gr.vira,.mFn; a,)d Nat--j al `�-su�rces
Division, of Coasta Management
Michael F. Easley, Govemor Cnarles S. Jones, Director ,NiNiam G. Ross „r.
Authorized Agent Consent Agreement
is hereby authorizec to act on my t
- - (firirted game cl Agent)
order to obtain any CAMA permits} required for the property listed below. The authorization is !imitet
�ecific activities described in the attached sketch
DCATION OF PROJECT:
ROPERTY OWNER MAILING ADDRESS:
tvl L. �l ter ? a r1 l�l c- c�
PHONE NO. y�'o 7 F
,UTHORIZED AGENT MAILING ADDRESS:
Li!
C � Pl 0 3
MAR 10 2011
DCM WILMINOTON Nf
PHONE N0. .
Signature of Properly Owner

I

Feb 16 2011 12:04PM MORGAN&CARTER 9102512632 P•,
ROM Jimmy Forth - CMC FAX NO. Feb. 10 2011 10:19W P3
r�
C NY
N&Me Cf 1rd:1V1.1Liai Apply ng io! Perm.t ':.Sruc. ass r>r _
Address of paapeeny�� ��,(�„
(Lot or Street 0, Street or
(M"Y and lw""Oty)
I hereby certify that I own propery 4acent to the abave-raferenaed psapa.Ky. The individ, E
appi)-it S for this permit has doa;elbed to me as shown ontht &4heddrawlq;Lte developmentif
are proposing. A descriptior, or Cravving, with dimemions, should be provides: with t.'s lertc:.
i hate no objections to this propoact.
If you have objections to wkat is being proposed, pkaes write the Division of Coas a
M inalemr-nt, 127 Cardinal Drive Extension, Wilmington, NC 2840' or call 910-796-721
witbin 10 days of receipt of tk!s notice. Na response is considered the sarrw as no objeetim !
you bale been notified by Certined Mall.
WAIVER SECTION
I understand that a piers doer, mooring pilings, breakwater, bent house or boat lit man be s
bek a minlinum dietanes ofIS' from my area of eiparlaa autis - volts& waived by me. (If)
wish to wafve the setback, you mun Initial the appropriate busk below.)
I do wish; to %valve the t i' sethAek requirement,
I Q.M with to waive the 13 Setback requirement,
Sim Iram
Duo
Print Nunes
1---
RiLIOVED
MAR 1 0 ' 2011
DCM 'WILMINGTON,

— . v a:nwy 19LJf- 6r — -4 t--
tHA Nu. - 71l'jG--)bbJ,( J-.n. GIo 4o11 u=:dtir-'I'I r'3
AD
Name Angjy,'ng "W permit:
Address of proptrtY- �3 :9 -) n 1..r �-f
(Lot at S;re 14, Strsot or
iC;yand �outtry)
I hereby certii�y th%l I Own prcpk :y adjaont zo the ebflw-reran;ac e.
eppi� ink for'tltis p: remit his uas.e individt
"a a bed to me as shown on C-e mocked dMwing the de a opment i
are pro;,asiq. A desc7tw. or dr��vin�, tivit,� dimth$tot;s, M�ould be proi7deci with tls:s Herter.
bavt no objuuns to this propose;,
If you have objeetioA: tc wb2t is beits,g proposed, plusae writs A* Di isiou of moos
ilZ11429MMt, 121 Cardinal DrNe Extension,* Wtimta", NC within 30 days Rf receipt of this notice "Ya responss is aor±sideret<8h4e sa� ss ttcr call � bjec i � i
you baste Wen natitied by Certified Mail.
WAIVER SECTION,
I undrrstaad that a pier, dock, mooring pUtags, btealtwpter, bast hafts! or boat lift tmtsi be t
bok a miai;au.M distance of 1S, from tray area of riparisa WeettnCea waived by N*.
wish to waive the Utback, you raust inittei tits opproprCate blank below.)
�..,. = do wish to waive the l a' setback requimmerzt.
--- �- I kclsh to Witivs the i 5 ` sctb4ok rsquirernen.,
1
,Sim Nit Data
Print Name
Z Sy
T �ieOhOne hUInbe r w1rN A fts
MAR 10 20
DCM WlLMINGT(

C Division of Coastal Pflgt, Habitat Impact Computer Sheet
plicant: Atctla� Permit #: 5-��O
te:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
)itat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
tem/p 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)
' . /
VW
Dredge❑ Fill Both [I Other
Other
% 0
ya
Dredge ❑ Fill14 Both ❑ Other ❑
Wo
?,W
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 0

COASTAL MARINE PIERS & BULKHEADS LLC
NCDL 3831595
6314 WRIGHTSVILLE AVE 910-256-6357
WILMINGTON, NC 28403
PAY
TO THE
ORDER OF
L�
RN
DATE O /
WACHOVIIA
Waclw to Bank, a ANabn of Web Fargo Bank N.A.
FOR `'s" ��W'T l�casS�l ln14)
TG
1100 17 5 4 2110 CO 5 3000 2 L 91: 208 6 170 8 9,6 L11'
$ 4