54505D - King

rCAMA / DREDGE & FILL
3"ENERAL PERMIT
New _.Modification ❑Complete Reissue ❑Partial Reissue
Previous permit #
Date previous permit issued
54
-ized by the State of North Carolina, Department of Environment and Natural Resources H A` �500 _ , /2
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �y/
e
t, OR ules ttached.
t Name r� I 11,10A Project Location: County A16- r` err
LI l ;
Grp�i230Aex State ZIP 29417k
(9 P y'V ,'a/ � Fax # ( ) 'r-
ed Agent%WN/
❑ CW JMW
EWIA PIS
❑ PTS
OEA ❑ HHF
,❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
yes /6�1 PNA
yes / n
Crit.Hab. yes / no
Project/ Activity
1 S �<4 // A
new
111'4 &- .
:k)length
er(s)
igth
nber
i/ Riprap length
distance offshore _.._�......_.__.__
x distance offshore
annel <A 1 SbX — /
iic yards
ip
;e/ Boatlift
dldozing
Length , �p
not sure yes
not sure yes
um: n/a yes pho
yes
ttached: Yres.) no
Street Address/ State Road/ Lot #(s)
Ci'ft -0-
Subdivision e'
CityZIP S�tit
Phone # ( re
) River Basin
Adj. Wtr. Body Lip-!/✓ j�✓(nat
Closest Maj. Wtr. Body �tiN A C^� `
�.17'S fl'n '41k , *' "csccaIe: /
ig permit may be required by: aw//r►cf 414ef` . ❑ See note on back regarding River Basin

4
Snow Marine Construction and Dredging Inc.
Owner: Shane Snow
Address: 108 Summer Salt Ln.
Carolina Beach, NC 28428
E-mail: [e-mail]
Phone #: [phone]
NC General Contractors license #: 64721
u/Htit, , own property at address
I am giving Shane Snow of Snow Marine permission to put dredge spoil on
to my lot.
Billy King:
Shane Snow: arm 'xrlcW
Date: d y-)-/- 90/ o

M IjAk lei yN S .
A Ail
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date CH _ D9- ao) 0
Na 7eof Property Owner Applyi g for Permit:
Mailing Address:
x F0 7
l C/- LI det A t� Zo °
I certify that I have authorized (agent) nn YIbW S M C to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) �b $o^W1d- Ip
at (my property located at) �k o 1 C Y-SCAN Ari V-s' .1 C�roli ro is C4 n 1 C qzy a .
This certification is valid thru (date) 41 - 09- 0-0 %0
nq- Dq-rUIn

N- _1 � 4Wv-^ C v\ SOQ-� Si (,Q
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to h0lxt '9r . is
(Name of Pro erty Owner)
property located at t� Q a I Dr i wk-
(Lot, Block, Road, etc.)
on "lc:,Lh 7� ensl Yl in �/7
AiII f'1 n G► 6�C � , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #� 5 Mailing Add ressi-A C-"
,v/h
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive v✓�' S
/ I do wish to waive that setback requirement. y 23 �V
--------------------------------------------------------------------------------------------- I --- -------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
Mailing Address
(Riparian Property Owner Information)
Signature

p,� -\'A 0VOY"� NO�-A-tl s►�
r-- 0 Pr`` � V)i m, s
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to IN Yk 1(lim Isy, 's
(Name of Propirty Owner)
property located at Ci--�Cy-Vk-k
(Lot, Block, Road, etc.)
on " 1 tnC�"T I10�S> , in �Y� t IY\�C , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #C b �) -33�9
Mailing Address?c
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boadift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
AukI do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit) vm _ r,,&,
Mailing Address
1 l
(Riparian Property Owner Information)
�/�/ M M V„ Signature

k
f
s r •�
FOR- j
4p
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so�'x 3

T �..� .
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C Division of Coastal Mgt. Habitat Impact Computer Sheet
plicant: &4� 4 k;V�Permit #: LSD
te: qN'qla
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
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 fina
disturbance.
Excludes any
restoration andh
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other [b
9 (
li6l
Dredge [Fill ❑ Both ❑ Other ❑
'2 Sao
25aa
6
Dredge ❑ Fill [�oth ❑ 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 ❑

SNOW MARINE CONSTRUCTION
& DREDGING, INC.
108 SUMMER SALT LANE
CAROLINA BEACH, NC 28428
PAYTO THE
_
ORDER OF N� bL NR
ORDER
THIS CHECK IS DELIVERED IN CONNECTION WITH THE FOLLOWING ACCOUNT S
U-54605"c n
1100000 146311' l:053 LO L L 2 0:0005 L0 L374639u8
$ 9,00.
DOLLA S
t1J44q0-