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CAMA / >(DREDGE & FILL
,9C�ENERAL PERMIT
New Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to
Applicant Name ' my% f> Tru
Address /qG6 N r A vtA U 1?
City f 1 State �x ZIP ;L$ 05
Phone # ( IC)) 076200E-Mail
Authorized Agent MC Sb►1 a I✓t�
❑ CW
❑ EW )(PTA XES ❑ PTS
Affected
❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
❑ PWS:
ORW:
yes G
PNA yes / no
No. 75836
A B C
Previous permit # 7Z-ZS
Date previous permit issued I I
I SA NCAC 7l, ' // D0
DQ ❑ Rules attached.
Project Location: Countyr 4In SwI GN.
Street Address/ State Road/ Lot #(s) I
Adkik-tS oriVe-
Subdivision
City SQLAixArAf zip
Phone # ( I� River Basin G FR
Adj. Wtr. Body Af KJMa� �� m nat an /unkn)
Closest Maj. Wtr. Body'--
ody ArwLJ
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' I ! lilt, ►. 1►. NOV.
. 1 / om IMP
(�x � *aohd
Agent�r Applicant Printed
(\/ e-�
Si ature ** Please read compliance statement on back of permit
400,00 a3(P5
Application Fee(s) Check #
Per�mi Officer's Prin Name
Sig ture
H g )00
Issui g Dik Expiration Date

NC Division of Coastal Management
Cashier's Official Receipt
Received From:
Permit No.: _1 L
Applicant's Name:
Project Address:
155
.�' ABC;)
Date: ' 20
$ 'nc.�
Check No.: "� J
County:
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: `� Date:
Signature of Field Representative: Date:

ECAMA / DREDGE & FILL N2 7L 5 9 A B C �D
GEN ERAL PERMIT Previous permit #
ew :]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
1 '/ ❑ Rules attached,
Applicant Name +11 -L�i T-f�/ _1L Project Location: County A,yt /V
Address LAN 0 UN Street Address/ S e Road/ Lot #(s)
r
City ? Ill State ZIP
Phone # -Mail Subdivision
Authorized Agent LAA i0In�,�- City ZIP LIL
T
Affected Cw ❑ Ew PTA 64S ❑ PTS Phone # (_) River, Basin
0 OEA [IHHF ❑ IH ❑ URA ❑ N/A , j
AEC(s): Adj. Wtr. Body nat man unkn
❑ PWS:
ORW: yes no, PNA yes/ no Closest Maj. Wtr. Body
Type of Project/ Activity
1 UN;'
Pier (dock) length_
Fixed Platform(s) _
Floating Platform(s)
Finger pier(s)
Groin length
Bulkhe iprap length
avg distance offshore_
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach
Other
Shoreline length
SAV: not sure yes no '
Moratorium: yes
Photos: �� yes
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions VIA,
El See note on back regarding River Basin rules.
60
Agea or Applicant Printed Name' P kOff{cer's Primed , ame
re *`Please read compliance statement on back of permit" Si u e-i �
i
plirseiorf ee(s) Check# Issuin Date Ex

Name of ProD@rty Owner RoqLmWV pqirrnd:
I
MaOing Address:
/VC-
PhDne WxnwCi 105ito &24D
Ernall Address:
I Certify that I have authorized Mcqievst�. rAqvir,4
Agent I C""recof
to act on my bettag. kw the purpose of aWWg fot and obtaining ad CAMA perm"
nemssary for VW WiDwing PrOPOSW d*VGWprnent
1 fultt)@fmole CefW thst I 8M 10010,1zed to grant, WW do In bd VmW Mmkojon to
Division of Coastal Managwwritstaff. the Local pomt OMM&W#j* log-j, #0WIbr
on the afaremenlioned (ands in wnwbon with &"Xv#V j*vppoft MA to ft
Permit appficattor
PrOPNtY Owner Informatior.
PAW or type Name
Z%.J,JCe—
roe
This ce(Iftation is -*-,Ad through,__,__ __ I - I

Date Received
Date De/had Check From Name
Name of Permit Holder
Vendor
Check Number
Check
amount
Permit Number/Comments
Cokrmnl
Column2
Column)
Column4
Cokitnb
Cokknn6
Colutnn7
Co_lumn8
4117/2020
41172020
_ 4M7r1020
4(17r"
castle branch l oak_ WWW tell, LLC oak island tek, Ilc BB&T _
_ _ use marate Larry Lakin s II Coastal 8adc and TmM
Vence Morgan Money Order JM Hartsel USPS
_ Herbw Maine 0-istruchon in _ Stever P.-oll. onio Bank of Amedm
McPIwwr Merire SerwceaJ LLC _ _ Oarrs True _ First Cdaen_e Sack
OfPNC Bank
WilOe Ctareice Richardson/Rkhardson Corsktrctlon _ .,James and laws cain BB&T _
- McPherson Manse Services, LLC _ _ Michael and Amy Brian First Cihzem Bank
Carolina Marine Construction, Inc. Joseph R Starks First Bank _
H5 C.r tructbn, LLC Kenneth Keels Jr. BB&T
McPherson Marine Services. LLC Tim Gammons First Ciizerw
Steven Nagel ante Coastal Credit Union
9937i
i 200.00
GP i71E62D
GP 074676D
GP 175637D _
1 GPf75676D
GPW?45636D
GP t76258D
GP n75666D
GP 975835D _.
3147
t 200.00
26583351077
400.00
1056
S 200.00
411712020
2366
40D.110
1817
200.00
Y17A020
76M
III 00
41174M
3017
200.00
41172020
12642
$ 20D.00
GP 975816D
4H7/l020
24911
S 200.00
GP676116D _
I&I' 020
2984
S 200.00
GP 675683D
33461
$ 200,00,
GP #7WQ5D

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