54097D - Branch

CAMA / DREDGE & FILL
f
3"E N E RAL PERMIT Previous permit #
New Modification Complete Reissue El Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
-oastal Resources Comrhission in an area of environmental concern pursuant to 15A NCAC
j Rules attached.
t Name :hhe 411 � (r__1�( ,j`1 1.. Project Location: County �Q 1'} C�%e✓
I + U (� c Street Address/ State_ Road/ Lot #(s)
IM1 1141L N State NC ZIP A4 d9 t 1� u'a
( ) Fax # ( ) Subdivision IQ Vt i
j,j ((�!
ed Agent u U �t� �(�itY M�9 ZIP �sG�Y4l
�'1LP
Cw EW A PTA
❑ ElPh
ES PTS one # 10 River Basin
OEA ElHHF ❑ IH ElUSA ❑ N/A Adj. Wtr. Body r > C� rn nat
PWS: _❑ FQ
yes / no PNA yes 1 no Crit.Hab. yes / no Closest Maj. Wtr. Body Z—
Project/ Activity
Idock) length
rm(s)
pier(s)
length
number
lead/ Riprap
avg distance
max distanc
channel
cubic yards
-amp
louse/ Boatli
i Bulldozing
line Length _
not sr,
ags: not sr:
orium: r
s:
r Attached:
(Scale: 1
ding permit may be required by: ►y PAS+ AV1M V- (I ElSee note on back re arding River Basin
L/ Sm&Lci2 Jrn. ii*inne 1dY� il1 G J LV _ �VV N A In I All t4-41. 1,,A.1 ��.�/ t. ,A l�/� n I -

.y 3
L'I'v1St0Ni- Of CUAST_. G E_.
L;1N �Rt�PERT RFI(:
--�---
rn iviLual ? pc*wing For P---ritit:
Address
Of Street 4. S:reel or Ro aei
(C:it.: P.1-d nt.•')
t,nvn pi p.-r-v adjactn-u .:) .il' 2�;)�C i� <:..._�G r:' - i!':� !1! 1`•'i
i...,I : ir.�- t;,• t',. > +;er !r,i� a; c'�s•:. ed !:, ,„ , ,t� i •_ au ic: :-.,' ci ra�� ii,
t t1 t.:
�:di:: ensior .:i-:oi:'.�. De FO-,' •�i �': L.
art :i. .
2 41 I l z: e no objecuons i.) this p,-g0sai.
It' vuu have ol)iections to ghat is being pr+,posed, phase write the f. i;i:iun of Coils
`.iana2ement, 12' Cardinal Drive ExtensiOn. %Vilniington, NC =g�Ci�
N%•itliiti It) days of receipt of this notice. :No response is considered the s in e a, no objectim
voti have been notified by Cernfied Nlaii.
%N a,IVFR S E CTI(--)-N
I understand tha ier. dock. i:�oorinQ piling Creak ter; hn::t house � :Qat lift must be
hck a minimum c±ist:in of ►__' from my a a of riparian a ess un s ��:::e i by me. lei
wish to waive the setback. a must i ial the appropriate b ,: t;elu
Lo `:��ish -a,'c the 15 :Dac
not to �� aive, setback eqt!:rcnn::,t.
� S
Print Name

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16-
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401
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CM ON,=
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(o 31 XA

Division of Coastal Mgt. Habitat Impact Computer ShY�d
;ant: �1•11�'a,h ~/a Permit #
4/q/
ribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
J in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
tat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount)
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 ❑
C
- ■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
t • 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 mailibiece,
f or on the front if space permits. -
1. Article Addressed to:
E �QaW MV.l Ilea

FORSECUM" P"POSV.S,VS,30SDER OF THIS DOCUMENT CONTAINSWCROPRINTiNG 66-717V253' 4721
NSTRuCT3OS
, INC
C;AROUNA MARINE Co 143 -or
pl,. g()d PMB 2 Li-7—��
3600-E South Colleg✓
e R03 L�UQ
140 28412
V4ilmington,
Doi
Ay
TO THE
ORDER OF
LL CpOPEFIIATIVE BANK
WILMINGTON, NC
jr,
MEMO: clf> 5317 17 28t: 9 000 2117119