68573D - Partington

,-�CAMA / _' DREDGE & FILL 1 'I "85 6 3 A B
aEN ERAL PERMIT Previous permit #
New .. Modification Complete Reissue -Partial Reissue Date previous permit issued
>rized by the State of North Carolina, Department of Environment and Natural Resources -7
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
0— �j ]�, El Rules attached.
it Name 6kV' t1 ��V` ' 1 u o Project Location: County
31 1 L. t )1 ✓-0: U v Street Address/ State Road/ Lot #(s)
�
G �o w ood State ZIP Z 1 LCA tT "� 6 Gy 5�
(WO —3 E-Mail Subdivision
zed Agent 61 VA Mkj V xv oq VA Ci S w �f �(� ZIP 2 ��
A � N, ((,, p
i Cw ElEW [IP ES �PTS Phone # ( I ) 7 1 ` I s River Basin
❑ OEA ElHHF ElIH ❑ UBA ❑ N/A Adj. Wtr. Body �� Cf' (at ,
El
yes / Oo PNA yes / no Closest Maj. Wtr. Body
if Project/ Activity
V-f Aj,
Eck) length_
'latform(s)
g Platform(s)
ength /
umber
afl/ Riprap length 5C)
ig distance offshore_Q�
iax distance offshore_
:hannel /
ubic yards
imp
use/ Boatlift
ulldozing
�S�rbc
0 X 2 bno
,
e Length
not sure yes o
rium: n/a yes
yes o
Attached: yes o
ing permit may be required by:
I nral Planninv Jurisdiction)
s inn 4e � (�to [ k
Sri W ,�IN a Vm'ry 6✓ 1
(Scale: ( ;
❑ See note on back regarding River Basin
/ i

Page 1 of
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41 A
North Carolina Department of Environment anc Natural Rescurces
Division of Coastal Management
` 0ad F. Easley, Govemo' Charles S. Jooes, Director N:Iliam G. Ross Jr.. Secretary
Authorized Agent Consent Agreement
r
is hereby authorized to as on my behalf
tPrWed Name a( Agent)
in order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to the
specific activities described in the attached sketch.
LOCATION OF PROJECT:
5 r-
S P ) t r�l
P7RTY OWNER MAILING ADDRESS:
-
PHONE NO. (� �� / L3�Y/
AUTHORIZED AGENT MAILING ADDRESS:
LE-N 01cp rer Lick A,e5 --
NO. q «— 4qT-+4a4SS
Signature of Property Owner.
Signature of Authorized Agent:
Date:

voiSvvnj in-od
b jo I
raorg Qq 01M

,G
■ Complete items 1, 2, and 3. A. Signature
■ Print your name and address on the reverse �( '? r
so that we can return the card to you. �`
■ Attach this card to the back of the mailpiece,Sece
ived
or on the front if space permits. l
1. Article Addressed to:
1a13 p���r�
C.
7,
D. Is delivery address different from item 1?
If YES, enter delivery address below:
nt
Addressee
t e of livery
Zi;l7
❑ Yes
❑ No
III�IIIlI IIII II I II I II I I I it III I'lllll I I I I I 3. Service Type ❑ Priority Mail Express®
❑ Adult Signature ❑Registered MaiITM
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted
❑ Certified MailD Delivery
9590 9402 3518 7275 5860 89 ❑ Certified Mail Restricted Delivery ❑ Return Receipt for
❑ Collect on Delivery Merchandise
P. Article Nt Imber ransfer from service label ❑ Collect on Delivery Restricted Delivery D Signature ConfirmationTM
❑ Insured Mail ❑ Signature Confirmation
7 017 0190 0001 1319 0491 2 Mail Restricted Delivery Restricted Delivery
500)
PS Form 3811, July 2015 PSN 7530-02 00 - Domestic Return Receipt
■ Complete items 1, 2, and 3. A. Signature
■ Print your name and address on the reverse
so that we can return the card to you. X
■ Attach this card to the back of the mailpiece,
_or on the front if soace Dermifc B Received by (Printed Name)
11
1. Article Addressed to:
I& 1 �� 1iW�.u-�n�
NC 9,E),7e)
9590 9402 3518 7275 5860 58
nl„m{nr Trnnnl r fmm nn n I.. {. nll
701�7 0190 0001 17119 nuf_.n
❑ Agent
❑ Addressee
C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below:
❑ No
­ oervice type
❑ Adult Signature
I] Priority Mail Epresse
❑ Adult Signature Restricted Delive
❑ Certified Mail(D ry
Registered Mail'-
Registered Mail Restricted
❑ Certified Mail Restricted Delive
❑ Collect on Delivery ry
�y
Delivery
Return Receipt for
n Collect on Delivery Restricted Delivery
Insured Mail
Merch@ndise
❑ Signatyre Conflrmation1m