54507D - Barbee

CAMA / D- DREDGE & FILL 5
GENERAL PERMIT Previous permit#
New L7f lodification -]Complete Reissue -'Partial Reissue Date previous permit issued
prized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC j V
71 Rules attached.
nt Name DO9- is 13 Oi6 Project Location: County I C6111
s+4C� L-U I "UTkf as .
STA-Nn e-110 State NC ZIP 2�1V"5
0 (7 ) `tS �_<r is 7 Fax # ( )
zed Agent 6i LL jliwh%A AtS
n--tw 4eW [ TA ( ❑ PTS
OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: LIFO
yes / KO) PNA &)/ no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
3 JcO L I)FU ( f`1Tj ► V?_
Subdivision
City 01111vt (SF,.-( %O
Phone # ( ) River Basin
Adj. Wtr. Body YY\Ot�(cbJt�Ici2`� S'Gf j( apt
Closest Maj. Wtr. Body V\/
)f Project/ Activity (VI t-
(Scale:
ock) length
m(s)
pier(s)
ength
umber
a J/ Riprap length U,�(d
vg distance offshore_0
iax distance offshore of
:hannel
ubic yards
imp
$use/ Boatlift
Bulldozing
ne Length
not si
cgs: not si
)rium:
Attached:
ling permit may be required by:
❑ See note on back regarding River Basin i

C Division of Coastal Mgt. Habitat Impact Computer Sheet
�plicant: OA-46E Dole-' S
ite: T �� 0
vev�w'�' t-r jt5"TSc7"
:scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
..A ; „r unhitat rnria sheet_
abitat Name
Ftemp
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
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 Tina
disturbance.
Excludes any
restoration and/
temp impact
amount
VDredge ❑
Fill Both ❑
Other ❑'-
Dredge ❑
Fill ❑ Both ❑
Other ❑
Dredge ❑
Fill ❑ Both ❑
Other ❑
Dredge ❑
Fill ❑ Both ❑
Other ❑
Dredge ❑
Fill ❑ Both ❑
Other ❑
Dredae ❑
Fill ❑ Both ❑
Other ❑
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
j-e-,k7A -FeJ tG^-e-
310 .S'I'a�er
n _ ❑ Agent
❑ Addre
". }ieceived ty (Printed Name) C. Date of livery
"�P h r, if;- r / I I y/
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: * ❑ No
3. Service Type
❑ Certified Mail
❑ Registered
❑ Insured Mail
❑ Express Mail
❑ Return Receipt for Merchandise
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(rmnsferfrom service lab 7009 1680 0000 2207 4314
PS Form 3811, February 2004 Domestic HetUrn KeCeIPT 102595-02-M-1540

[North Carolina Deportmen(o4virofflwt and Natural ResourcesDivision oCo I Management
Beverly Eaves Perdue James . Grepan
Governor
Date:
Narne of Property.Ovwnes Applying for Permit
ANAIAWg Address:
4 rzfi,-d- i-H
Phone Number, 75 ;;��--
1 c Ortify UVt 1 have authorized (agent) jQL7�AO
behalf, tot the purpose of applying for and obtaink
construct (activity) 41&.4,ea AO
at (my Property located at)
©alcZsla�cP
This ceftWIicabon is valid thru (date) /-; 13 / Z10
D Im
/15 1!i Of A &
I% G to act on my
CAMA PWAnks; necessary to install or
c�
a
/ CL - /"-,

DINZSION OF i
ADJACENT RIPARIAN
Name of Property Owner. r
Address of Property. 3S—O (p
Applicants phone #: iV t-lr 2 9 7
AL 1 IVI fAG£M IXf
:RTY OVIry-ER STATEMENT
;, � 4alc �s , *S-tV1
or 5tr t d, Street or Road, City dt Co=ty)
I hereby certify that I own propcM adjacent to the above i
has described to ma as shown on the amwhod drawing the
MA e Movided with this
I have no objections to this proposal.
If ro'a have objections to what is being proposed, you
in writing within 10 days of receipt or this natim Col
Wilmiagion, NC 28405-3845_ DCM represeaft ives c
WAIVEi
I understated that a pier, dock, mooring pilings, breakwata
15' from my area of riparian access Unless waived by me-
apl=pristc blank below.)
I do Irish to waive the 15' set back requirer
I do not wish to waive the 15- set back reap
(Pmp" Owner formanoft),
"Isignature
Print Or Type Name
lqg C--z Tip �), i rl,
Address: _1 t/g gf�z,,,,',, l,1 ly- 6.
propacty. The individual applying for thispd
xc they an prapflsiag_ a d
_. I have objt dions to this proposal-
W not4 the Division of Coastal Management (Do
spondenee shaald be mailed to 127 Cardinal Drive I
also by eontaeted at [phone]. No response Qs
i&cd by -Certified Malt.
��li rill
boathouse, or f; ft must be set back a rainimum disc wcc
If you wish to waive the setback, you mast initial the
Si
C 0 U,c"
Print or Type Ndmc

l
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Cart
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n
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PI°Peke,
Tc�L c ro
3so E: Pe(icaA Or,
©a -s la 4 Nc
�41 per to W.
iN L,
i
110
pprox. hp �}; L
Pier ah
d 6mll�he
6r 4,1
QO^S &arbee.
ehrn i �-,e rn e
3KAQ AV A-) ..

MARITIME BUILDERS, INC. 12-06
77 CONCORD ST.
OCEAN ISLE BEACH, NC 28469-7633
e
DATE �% ! �✓ ` v ss isis2l o oc
--T --�� e&N I $ - 2
DOLLARS
America
AP
115002090119 i:0 S 3000 L 9 61: 2 3 7000 S8 6 313