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Home My WebLink About56549D - Lyerly- CAMA / ❑DREDGE & FILL 0ENERAL PERMIT Previous permit# New Modification ❑Complete Reissue El Partial Reissue Date previous permit issued irized by the State of North Carolina, Department of Environment and Natural Resources r� coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC_ x/ Rules attached. it Name ,/ 1- 4 /{ �Project Location: County looy,-Zavluf 7 fy rJ /1 G t State/_ �y C ZIP T /f z�l k(Y� Fax#( ) ced agent 67plva irci J 0 w i✓ Street Address/ State Road/ Lot #(s) L19 Subdivision City / ZIP, ❑ CW DEW ❑PTA ❑TS ❑ PTS Phone # ( ) Riven Basin LU�7s ❑ OEA ❑ HHF ❑ IH El Eln WA Adj. Wtr. Body C. 'i,✓�/ O!� /� /�/�✓ (nat+ ❑ PWS: ❑FC: yes /� PNA yes /� Crit.Hab. yes / no Closest Maj. Wtr. Body/ �✓�✓ f Project/ Activity �P,flLAC? �� IS�� •� s /� , z /"Vra R4 Z %j,04 tl i "i SA "-, ' t0 (Scale: / ; Kk) leneth ■■■■■■■■■■■■■■■II■■■�■q■■■■■■■■■q■■ 1 ■■■■■■■■■■■■■■■■■■q■■■■■■■■■■■■■■1 ■ ■■■■■er �.... ■ ■oom a w�■Jf!■m■i ■■■■■■■■■■■1 ■■■■■■■■q■■■■�■■■■■■■■■■■■■■■■■■■■1 _ . ■■■■■■■■■■■■■■■q■■■■■■■■■■■■■■■■■■1 -, distance offshore -6 ■■■■■■■■■■q■■■■■■■■■■■■■■■■■■■■■■■1 r-x distance offshore -05.— ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■1 ■■■■■■■■■■■■■■■!!E'M--�■■■■■■■■■■■■■■1 ■■■■■■■■■■■■■■■=IN � lid■■�1■N■■■■■■■■q■■■1 INIME MEN w so ME np ....■■■■■■■■■■■■■■ I� ■■■■■■■■■■■■■■■■■Ci■�■■■■■■®■N OMEN ■■■■■■■■■■■■■■■ NIA k'71�®�■■■■■■■■r.l■�1■I ON NIMomNENEON ■■■■ EU�In�■1!■■■■/�J�il>i.17>�fZ�(I� �� ...I■� ■I■[�'VIUMC■■ ■■■vt■ ■■ 11■ ■� I■I qII I■ ■■ I■1■1 t!■ ■� I■I ■ 1■ ■■ I■1 ■I i ■ ■!M■■■111 -- Length ilFz,7A ■■N]R. FEi!■■■ J 1■ ■� 1■I q ■� 1■ ■■ I■1�■1 �� Iii��lnl ■■■� • not sure yes • iurn: n/a yes no - ■■M�U711/■■ 11■ ■l I■I q ■i 1a: ■ N I■1■1 �11■li!■r/I�/��'l■■� ■rrl�ili(Itiii■■ 1 �■ ■� 1■I ■/ �! I■� ■� �11■iiliiMENE N ■■■■■■■■■ rMomMll91Ql■■■■■■q ■■■■q■■■N ■■■■■■■■r: do �Mo■■■■■■r� t�■■■■■■■■� ■■■■■■■LI WNINME■O■■N■■■1w1kd■■■■■■■■1 ■■■■■■■■ q■ ng permit may be required by: f%O aP. ,-, sNA,� ❑ See note on back regarding River Basin n S J.M. PARKER & SONS, INC. J I i Located at Junction Hwy 17 & Hwy 211 at Supply P.O. BOX 32 • SUPPLY, NC 28462 • (910) 754-4331 • (910) 754-4332 • FAX (910) 754-5423 IS lr� b{�w' oA fj op 1 �!a� VILL A +.� Y24 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue James H. Gregson Governor Director Dee Freen Secrei AGENT AUTHORIZATION FORM Date: Z 7 '� , d lamW roperty Owner Applying for Permit: a of Author, gent for this project: 1 )wner's Mailing re s: 'hone Number Agent's a' ' g Addr ss: r �n l„) 14 s, Phone Number v 1 certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying 'or and obtaining all CAMA Permits necessary to install or construct the following (activity): (my property located) at This certific n is valid thru (date) Property Owner Signature Date CERTIFIED MAIL — RETUWN RECEIPT REQUESTED DIVISION OF COASTNL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEi NT I hereby certify that I own property adjacent to Ive 's property located at ��! ///%fie/W/ ��/Ile (Name of Pro erty Owner) (Lot, $Igcl�,oa) on , in 0 �dlih,. , N.C. (Waterbody) (Town and/or County) _ Applicant's phone #: `f 79 H , a/¢ Mailing ddress: / 01 He/She has described to me as shown below the development he/she is proposing at 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) j�e�p�ace e1�is�Jy �ir/�OF�a� If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writ within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Est. Wilmington, NC DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no obiection if You have been notified by Certified Mail (Propejrty Owner Information) Signature / U U h AA e11 4 Print or Type ame Mailm Address 2 (Riparian Property Owner Information) •i / i ..I at.z• Signature U U /)�' 6�zz..'ge Print or Type Name qt'40 B&C Mailing Address CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �►.0 1/� � / 2v�,�e (Na e of Property Owner) property located at ae,(/�✓ I (V-07401:94t7'C'4�1 Lon in , N.C. (Waterbody) (Town and/or County Applicant's phone #: 'O f '02�9—/S�� Mailing Ad fess: l'�/e •✓row C _7 ai.. He/She has described to me as shown below the development he/she is proposing at 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 writi within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Est. Wilmington, NC DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no obiection if you have been notified by Certified Mail (Property,OJwner Information) Signature ✓/ � U �4- �C er Print or Type game Mailing Address ,/ // (Riparian Property Owner Information) Signature ` Print or Type Name Mailing Address >lic�nt: ,� L L y P2 ty e: 12- 1711, Permit #: S /, (— Y JC _ -D cribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen nd in your Habitat code sheet. iitat 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 fin. disturbance. Excludes any restoration and) temp impact amount) > L Dredge ❑ FiI119—Both ❑ Other ❑ 3— C/ Dredge ❑ Fill ❑ Both ❑ Other j9— Q 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 0 Both ❑ Other ❑ AL LYERLY 8043 REGINA G LYERLY 5312 GOLDMINE RD / 55-112/531 MONROE, NC 28110-7305 �,- 9.cu,v BFUNCH BANKING AND TRUST COMPANY 1-lr^^r00-BANK 8BT BBT.com \) 744 l:0531011211:0005216491205110013043 H".