57339D - Tank

fCAMA / --' DREDGE &FILL
3"ENERAL PERMIT
Previous permit#
?'New [-]Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
prized by the of itate of North Carolina, Department of Environment and
Natural Resources
Zoastal Resources Commission in an area of environmental concern pursuant
to 15A NCAC
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it Name E t kr rd? ��'A 1 �
Rules attar
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Street Address/ State Road/ Lot #(s)
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Fax # ( -) -
Subdivision
red Agent
City WI ZIP
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Phone # ( ) River Basin th
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yes no PNA yes / no Crit.Hab. yes /
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ng permit may be required by: .11141 y j6bnlJkee- ��% . ❑ See note on back regarding River Basin r

CIERTIE1 'D,NAIL — RETUltN RECYT]VT REO1)"ESTFD
DIVISION OF COASTAL -MANAGEMENT
ADJACE- I' RIFARIAN PROPERTY OWrVER STATtMENT
Pr,unc bf Prorcrty Owner: _, �' v�U�{C C�� _
Address ofPrope:tp; -� 's�:i�l �$C
(Lut or Sneer W, Sneer or Roa ity & ounty) —
Applicant's phone !s_ ��1�� C17 �3�i�-� bailing Add. ess- nk6 O-E,4 �(._ L , L+�G� tS ti
t hureby certify that. I own property adjacent to the above referenced property. Thu individual applying foT Ails permit
has descri'xd to me as sho%T on the attached drawing the devc.lopment they are proposing. �} description of drawing,
with dimcnsions,must be providedwktC_this letter.
I have ra objccticn.� to this proposal. I have objcctions to this proposal.
If yvu have objections to wbat is being proposed, you must notify the Division of Cnastal MananemeIlt (I)CM)
in writing witbia 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drkvt Ext.
Wilmington, NC 28405r3845. DCM represezrtatives can also be contacted at (911)) 796-7315. No response is
considered the same as no abieeiion if you have beeu notified by Certified Mail.
I under
WAI VER SECTION
dock, mooring pilings, breakwater, boathouse, or lilt must be set back a rninimun: dis-ance of
15' frcm my area of ripanm>-a�% unless waived by me. (lf you wish to waive t must 16621 the
appropriate blank below.)
I do wish to waiYz-the-IS' set hack requirement.
-� �1I do not wish w waive the 15' set back requirement
(Property Owuer I/nformaa/t-ion) (Ri rian Prope Owner T ormation)
Signature rr f Signature
Print or 'type dame Pont or Type _ ' c
Marlin Adems_s�J Mailing Address
►•'<`
City I State? 4d City f swe ; Zip
Te!MhoneNumber __ ��
Telephone Number
ol-11 i . ,

i/09/2011 21:43 9103136659 STAPLES PAGE 02/
wAg 1102:40P P.1
RECEIVE[
MAY 1 0 2011
DIVISION OF COASTAL IXAC A(41ME T DCM WILMINGTON,
AAJACE:�i' RTARLk-N PROPERTY OWNER STATEi
r I ,I
f; 1
F_
I hereby cerffy that Z own propezy adjacent to 1 C7� -a+�L
%t is
property located at I r� L ��5 .XRine of Froperty Owner)
Y
Block,, Road, etc.;
Goa. N.O.
(Watetbody) rlrnwn aadlar Coan r
Applicant's phone: �Gttc �; Mai]' Addr s: lrs[
HC/She has described tip me as Shown below the dcvetopment htV he is ing at that location,
and I have no objeetir�ng to the proposal.
nF'SCR'PnON AND/OR DRAWING 01 PROPOSED DEVELOpn r:
andivid aal proposing devekpment mwt fxg in descroon below or ayZeb a site drawing
Kyou have abjeetions to whatis betagproposed, you must notify the Dit+ision of CoMbi MaaageMant OD in writing
within 10 days of receipt o[this notice. Correspondence should be mailed to 137 Cardinal Drive F.st. WiImirtgtojy NC
DCM reprelentative5 can 2bo be wntuted it (910) 79trr7215t
-NO EM, onse is c9midered tbapnie as no oZkhM an if MOB havc Neu Hutt ed by Certified lldail
(PropaV Owner Information
signature
Print or Type Name
�T T4L
Rkki Addresg
City / Stage /
(Ripariam Prop" •
Si3 =
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C Division of Coastal Mgt. Habitat Impact Computer Sheet
plicant: �j .h� Permit #:
te:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and 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 j r Other ❑
9�
/
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 ❑

EDWARD M TANK
ANDREA C FOILES
326 HENRY H WATTERS DR
WILMINGTON, NC 28412
1124
67-7194/2532
nnTe
PAYTOT IE
ORDER OF M �/ L) � 1 `{ ' ` $ qcc' oiz:)
DOLLARS
First Feral GG��I-/a
WILMINGTON, NC�..2(,'412 l:. P,5 [33q
FOR W�► ►D� i
1:253 27194Si: 570SO 164?Po 01 L 24