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- CAMA / _ (DREDGE & FILL
TENERAL PERMIT
Nv Modification []Complete Reissue
❑Partial Reissue
No. 72827 A B c
Previous permit # P1) CA I (] P -
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 15A NCAC O�" • 0 0
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Applicant Name V
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Project Location: County
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Address
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Street Address State Road/ Lot #(s) 7 A fP�'
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City State N ,
ZIP 2 4 tpoc)
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Phone#(ill) L11L,41. E-Mail 1V1('11iGtG�
1 h�. rr• EDi^'t Subdivision
Authorized Agent 6",t 1 A L t 4�1 Cal
City � 1 v - ��J✓1 �
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-�Pkone # (�) �} ✓ River Basin C,47
Affected ElElEl❑
AEC(s): OEA ❑ HHF IH ❑ USA
N/A
Jl y Adj. Wtr. Body f7(i V�
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a/1C(JJ i L1 J (nat /man unkn)
❑ PWS:
ORW: yes / a PNA yes /
Closest Maj. Wtr. Body
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Type of Project/ Activity.- ty�A_id tLnL,t�
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Nl (41 Vl C\ Ou
(Scale:
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Tdistance
Riprap length offshore 7
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
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(Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: David & Dianne Roger
Mailing Address: 204 Water Street
Phone Number:
Email Address:
Wrightsville Beach, NC 28480
919-616-4664
momadi@nc.rr.com
I certify that I have authorized David Logan of Logan Marine, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
erect new bulkhead
at my property located at 204 Water Street
in New Hanover County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit applil ion.
Propert /Owner Informati
r
Signature
ff
Print or Type Name
Cw4)E=
Title
2_ , ,.2
Date
This certification is valid through 6 / 31 / 2019
FEB 2 2 2019
■ Complete items 1, 2, and 3.
■ 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.
1. Article Addressed to:
�2oi L1���E P�cNE
5\�1-vE OC'L
OC
9590 9402 2978 7094 5966 11
2. Article Number (Transfer from service label)
7018 1130 0002 0001 7650
ro rorm 001 1, July 2015 PSN 7530-02-000-9053
■ Complete items 1, 2, and 3.
■ 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.
1. Article Addressed to:
Q'CiaCCLAr, LQLC N (V ,A
If YES, enter delivery address below:
o. ocl vwa 1yNC
u Frionty Mau txpressuR
❑ Adult Signature
❑ Registered Mail -
El Adult Signature Restricted Delivery
❑ Registered Mail Restricted
❑ Certified MZO
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
El Signature Confirmation-
n Insured Mail
❑ Signature Confirmation
isured Mail Restricted Delivery
Restricted Delivery
rver $500)
Domestic Return Receipt
A. Signatruree 0 Agent 'VW ��p ,,
�1 ❑ Addressee
B. Received by (Printed Name) I C. Date of DDQlivery
D. Is delivery address different from item 1? ❑ Ye;
If YES, enter delivery address below: ❑ No
I JJ 41
3. Service Type
❑ Priority Mail Express@
III
II
I II I
I
III
III
II I
I
❑ Adult Signature
aiITM
❑ Registered Mail-
❑ Adult Signature Restricted Delivery
El Registered Mail Restricted
9590 9402 2978 7094 5966 28
p Certified Mail@
❑ Certified Mail Restricted Delivery
Delivery
❑ Return Receipt for
O Collect on Delivery
Merchandise
0 ni, — k— rr.., — s.........._.:__ .-1 _„
'-' Collect on Delivery Restricted Delivery
❑ Signature ConfirmationTM
7 018 1130 DOOR 0 0 01 7 6 4 3
Insured Mail
Insured Mail Restricted Delivery
❑ Signature Confirmation
Restricted Delivery
_
--- - ---- - _r
- (over $500)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
Date Received
Date Deposited
Check From Name
Name o/ Permit Nokror
Vendor
Chock Number
Check
amount
Pemrlt Numb-roCommenro
Rent t or Rs/und/MMlocarod
Columnl
Columnl
Column3
ColumM
Coiumn5
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Col mn8
cola o
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