55827D - Livingston

1 CAMA / Y DREDGE & FILL y
GENERAL PERMIT Previous permit #
14New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources 1-7u
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1/00
ules attached.
nt Names&I CY � i IV ^ q Sf o ? v Project Location: CountyOl u N S wick
5311 //19011. /n o f e N Street Address/ State Road/ Lot #(s) y29f 9/0 �
A4L�rb4i2,� State/yC ZIP 2 i'f 2.
# ��%// Fax # ( ) Subdivision
/'
!zed Agent Apt OM City SEBcli ZIP 20'fE
d -7 Cw N- W C�PTA L�Es ElPTS Phone # ( ) x River Basin Ly a6
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body 1?1,/4i,r l C/1 .-r.e neat_
PWS: ❑FC:
yes k o _ PNA yes � Crit.Hab. yes / no Closest Maj. Wtr. Body �� ��
)f Project/ Activity T' ,'r p Ic'A wA��2••�Qa d o� Cx f��� �uL(/hr.9ol
(Scale:/
ock)length
m(s) LX. 1 S � r� y —_
length
umber
a / Riprap ngth 5-0vg ce offshore
iax distance offshore
-hannel
jbic yards A r ell -.,,!
imp ( jO `J�C�
.use/ Boatlift
Bulldozing
i
ne Length 5 yu�k�P�•! T
not sure yes
gs: not sure yes � v
L
mum: n/a yes 5�
no
Attached: yes
ling permit may be required by: See note on back regarding River basin i
f

y,3
/ZiP P-ce P 9-�-v o
ea-t -t-n 5- ree t

North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Janes H. Gregson Dee Freeman
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: 2 13 i I f
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
i t 1
Owner's Mailing Address:
Agent's Mailing Address:
5.r
Phone Number {9 Phone Number (SIC
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all LAMA Permits necessary to install or construct the following (activity):
-i Co j:-j
(my Property located) at r t -) r � `A �,'W
This certification is valid thru (date)
Property Owner Signat re Date

-4 -,
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL NIANAGEMFNT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to j L rl `N' Q 's
{Name of Proper Owner)
property located at � ►-� � C,A'�+ � �_ ----- '
(Lot, Block, Road, etc.)
on fl'`iC,i,C --j') S,C 1 CW _ , in .5 B<ffrt-c , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 'Ai L) lam �--JC Mailing Address: Sit t i`Yl c)at 3-Z - "
He/She has described to me as shown below the development he/she is propot that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
Cs CkCkC(1 qv--cWe t -t-r--) Pr60 � o� W M t)eccmc�
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writin
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC
DCM representatives can also be contacted at [phone]_
No response is considered the same as no abjection if you have been notified by Certified Maii
(Property Owner Information)
Signature
i 1-,F
Print or Type Name
(Riparian Property Owner Information)
ignature
Print or Type Name
-2-)\ \ CN-IrvC c,51n1
Mailing Address
Mailing Address

CERTIFIED MAIL — REJIMN RECEIPT REQUESTED
DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �---k 1 L vAl-- �T:N'-'l _ 's
(dame of Property Owner)
property located at y ;� 4 LA S #--. ,
(Lot, Block, Road, etc.)
on L"t )at �l_ %�C , Q 1 c i , in t � c. � _ , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: tA'1i a3to iaq-1 Mailing Address: ;ZIJ ii`ir, �1
He/She has described to me as shown below the development he/she is proposing° t that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) In wr to
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC
DCM representatives can also be contacted at [phone].
No response is considered the same as no objection if you have been notified by Certified Mail
(Property Owner Information)
Sig�ature
Print or Type Name
(Riparian Property ner information)
:9
Print or Typo Name
\ D�
Mailine Address
Mailing Address

plicant: l/ ��.�.� 4/ i �3 f7o,J Permit #: Sj- Q 2 29
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
ind in your Habitat code sheet.
bitat 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 fir
disturbance.
Excludes any
restoration anc
temp impact
amount)
513
Dredge ❑ Fill Both ❑ Other ❑
2so
2S6
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 0 Fill ❑ Both ❑ Other ❑

-• L I V.d
APEX HOME IMPROVEMENTS LLC 66-112/531
PH. 910-512-2387
623 BOUNDARY LINE DRIVE I Date
CALABASH, NC 28467
Pay to the
Order of A F•Flur••
� ( Dollars u �;�,�•°^
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com L
NP
55 For
1:053LOLL2111:0005291.1340S11602'run