56583D - Tharpe

5
1, AMA / ❑ DREDGE & FILL
NONERAL PERMIT Previous permit #
New ❑Modification iComplete Reissue Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
ii;�-Rules attached.
Name 41,7 ~,�! f % f1 �1tt'L Project Location: County QuNJk,:�
Street Address/ State Road/ Lot #(s) G✓I t �.,.
/,, I t State_ _/ c ZIP 2 z iLS-
( Fax#()
ed Agent FX.fi 4_ E �ur fQ ✓c�,u
❑ CW ZWLW +J-"A 8!5 CJ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA i N/A
❑ PWS: ❑FC:
yes /_-no PNA yes / & Crit.Hab. yes / no
Project/ Activity
/V P
Subdivision
City ZIP 2 7Y
Phone # ( _) River Basin 4un64
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rig permit may be required by: �/�( p�,✓ Le 6 --w El See note on back regarding River Basin n

ov-29-2010 17;5F
9evj,Ldy Eaves Peruw
GOV error
'E THARPP, MMP1'.NY
,partment of Envir0;
Division of CrTUtV Ifi'
James H. Gr6
7048721795
it and Natural Resources
P.001i00
Dee fre 3ma
Sec -eta'
AGENT A THORI Io�LF91W
Date:
of Authorized p►gen' for this project-
in for Permit: e , ,^
.. E 0 .-r,-- w gwnor Applying Tel C
I�a�iic vl � �r� v
ILjw r
Owners Malling Address'
Phone ►vN111V1..
1 certify that t have authorized the agent listed above to aC
for and obtaining all LAMA Permits necessary to install or
(my property located) at
This Certifications valid thru (date)
Signature
Meiling Aodre-s\s:Murntler
on my behalf, for the purpose of applying
the following (a::tivity)'
--7-4-16
Date

CERTIFIED MAIL — RETUIUN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner: I�i'e.w
Address of Property: Au
'- (Lot or Street #, Street or Road, City & County)
CLV
Applicant's phone #: CW��S_ S-Ici -C(61� Mailing Address: kw<;� P,,�—QCI
ou-o', T-
jL-& cid I N C '21 yo (,t-
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this p,
has described to me as shown on die attached draw .-ig the development they are proposing. A descriotion of dra,
_with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (D(
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distan
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial'th,
appropriate blank below.)
I do wish to waive the 15' set back requirement.
t/ I do not wish to waive the 15' set back requirement.
(Property Owner mation)
Signature
-V)V2Cl,r Q
Print or Type Name
V
Mailing Address
par' ope wner Information)
Signature
L
Print or Type Name
PO 60,,"- 335
Mailing Address

The The .'.�.sRobbins CmmDo rn'
%A&(
DIVISION OF COAST
,031ACEYT RTPARUN PROP!
Neale ofPrvenYOwPa:
j i91't'vy Z;j �iw l iiru 1
PsKS .Qtr'Ltf� 4D ma i! dwun Un tt &=&�Od dt0" f js tie oil
����1�lfifOs9_ nt116i_
4 have 110 objec*W m*" POPOS+i•
0,
'IN! is ttein 14M.0 wl; nett
is arride� wiailL. 0 der oiv'mdpt 6MM saw— 'Corte
waxnation. Kc 360&3"5., j74Keaprtl ,re �eeti e
��ened tit aug�ll.� nblR �M �.�.—
I
j cr+ SQX4 a cm1w. 4*4 M- mmq pi mar., b+tica�tter.
15' fmm my a:ea aF pA o4.e"ess vaisgs ovsieaQ vP me. i
cspyxcirrim,!,-.Lm c miD'W)
•.ens*:, ? f'M Wt. t+�tT4tinaa
_ i de tot wish Oo waive dw 15' sa ba k 14tqu.i
-IZP QM
@Tics or Two Nume
city I yeate �+P,
'low
5na??27naa
-J."
MANAGEl1I ?4T
'Y OWNER STATEMINT
HU;DL di
cr F.Nd, cky t C'wa y) Z t \
v
mt�L7 r,ss propo!'ing. l��lo'�lti7d1J�41
_ I have abj ee rims to thus x,rc+POW.
n cl,a D4vi on of �:o�utal MiLumaCmant (DOM
a also:ellunld ba m*iU:d b 327 I,orlbnat Dfivo Ert.
is
iw•
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L. iwi►tL teiti_,l-�Is
a �N•�,aw-� •fr ,
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icant: C+—i LLi'1" 162-011- rl "Py I,—, � > �✓ L
Permit #:
121ljw
;vibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
d in your Habitat code sheet.
tat 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/c
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other 0—
2 2—
2J
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 ❑

BRUNSWICK COUNTY INC
PH.910-579-9095
6618 BEACH DRIVE SW
OCEAN ISLE BEACH, NC 28469
DATE- I a �\� _ I l�
66-
PAY
TO THE
ORDER OF
_._
O
DOLLARS
mBRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.Com
and C-)P%6'93 CIS
FOR ����a -----
11200007 2761" i:053 10l L 2 L1:0005 L999 265 29118
13

■ Complete items'1, 2, and 3. Also complete
item 4 if Relistrided Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to-yoti.
■ Attach this card to the back of the mailp1e6e;
or on the front if space permits.
.. uc.0 muuressea to:
2
2. Article Number (Copy from ser
PS Form 3811, July 1999
A. Received by (Please Print Cle �te of
�s
C. Signat
X V ❑A
d
D. Is delivery address different from item 1?
If YES, enter delivery address below: ❑ No
3. ervice Type
rtified Mail ❑ Express Mail
❑ Registered O�geturn Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
7009 1410 0001 8701 6986
Domestic Return Receipt
❑ Yes
102595-00-M-0952
Postal
• , RECEIPT
Fomestic Mail Only; No insurance Coverage Provided)
CO .�(Domestic
Mail Only;
Er
$ N N C
O
C�
Postage $
`
Postage
CC)
Certified Fee c)
Certified Fee
C3
Retum Receipt Fee PS Ei ark
Return Receipt Fee C1 J� I�eF�'-
idorsement Required) pC V v O
C3
(Endorsement Required) are
O
estricted Delivery Fee )000(Endorsement
Restricted Delivery Fee
Required)
idorsement Required)
nn
Total Postage &Fees $ SNOV U 9 �U�O
total Postage &Fees $ S q�,�,/'
U G i 0' ,
r�
rnt
r
ErI_(
Sent To�T` -
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--- ---------------- ---�
•"-•--•••. -.--.• •••----••---- .... -
reef Apt. No.
Box No.-C��
Street, Apt. No.: r— t
or PO Box
f
PO _ —
'`�►�; Pu \c� NL 2
�7 ( —
Is, Z 4 L �U
�v
■ Complete items 2, and 3. Also complete
item 4 if Restridted 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.
A. RgceivedNby (Please Print Clearly) B. DaTof Delivery
t L 'ec5 l 1 r3 16
C. Signature
gent
X ❑ Addressee
D. Is delivery address different from item—T --O Yes