63124D - Greenville

CAMA / O'DREDGE &FILL
�e
HIV ERAL PERMIT Previous permit #
14ew CModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources ICOJ1)
)astal Resources Commission in an area of environmental concern pursuant to 15A NCACLJIRD ✓y!/
/*ules ached.
Project Location: County t-Y
State Ale ZIP ��OW)I
U
:d Agei
❑ CW p& EWiA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
Project/
SC! A
:k) length
i/ Riprap length
distance offshore
x'ats-once offshore
cannel X
3
sic yards DD
ulldozing
ie Length
Street Address/ State Road/ Lot #(s)
!- rc
Subdivision —
City ZIP4.01
%G
Phone # O River Basin —`�-
Adj. Wtr. Body (nat
Closest Maj. Wtr. Body �f� L
/i
(Scale: /0�
ing permit may be required by:
❑ See note on back regarding River Basin

cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id in your Habitat code sheet.
TOTAL Sq. Ft.
(Applied for.
itat Name DISTURB TYPE Disturbance total
Choose One 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/or
temp impact
amount)
'J Dredge Fill ❑ Both ❑ Other ❑
0
O
[Dredge ❑ Fill Both ❑ Other ❑
/MOO
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 ❑

COASTAL EARTH WORKS INC.
PH. [phone]
1955 MIDDLE SOUND LOOP ROAD
WILMINGTON, NC 28411
PAY
DATE f rI4 - I� 66.
[
TO THE
ORDER O
vv Dom' I $ Zoo,
� DOLLARS
FIRST BANK
WILMINGTON. NORTH CAROLINA 28403
FOR P?f'yv.. � �324 0

PIMA
AA,Y-A.
RCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
iel F. Easley, Govemor James H. Gregson, Director
Authorized Agent Consent Agreement
William G. Ross Jr., Sec
12 rv\ w• 1 /%J ,-k A+f r7 is hereby authorized to act on my beha
(Printed /came of Agent)
er to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to
is activities described in the attached sketch.
MONI OF PROJECT:
C' Taw l�st;o.�
�a
)ERTY OWNER MAILING ADDRESS:
v' ; 4
fir' la w� o
PHONE NO. '710 -�� 3,5C6%
IORIZED AGENT MAILING ADDRESS:
2 r' 11
0 �� PHONE NO
C1
ure of Property Owner. __ - �'

-2013 04:26P FROM: 19102562660 TO:606755.5 F.1
Coastal Earthworks, Inc.
1955 Middle Sarni
Date 12-1-6
• Wpm Von, NC 28405 - Phone: [phone] + Fox: WM
To M,r e&J (30S "C j Fax# [phone]
From: Tommy matters Fa)r# 910-686-7555
Pages with cover
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VIA
'41
Goode-

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted 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.
1. Article Addressed to:
b .,6 0 T IeS Ra,
A. Sig ture
X ❑ Agent
B. Received by (Printed Name) C. Date of Delivery
=i ECG
D. Is delivery address different from 'i6ffl w W
If YES, enter delivery address below: No
]AN 0 9 2014
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7010 1670 0000 1604 4780
(transfer from service label) --- -- — — ---- ---
PS Form 3811 • February 2004 Domestic Return Receipt 102595-02-M-1540
U.S. Postal Service
CERTIFIED MAIL,, RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
Postage F$
Certified Fee
Return Receipt Fee
(Endorsement Required)
ResMcted Delivery Fee
(Endorsement Required)
$2.5
Total Postage & Fees I $ , ' 1
tm; k� bL,,,
or PO Box No. % 11 /•n P
Postmark
�C�Here
0 DA . n
U.S�Postal Service-
-CERTIFIED
m tr.Insurance Covera .• Provided)
O
Postage $'
Certified Fee rc
O
C3 Return Receipt Fee "
O (Endorsement Required)Here
M Restricted Delivery Fee �e
O (Endorsement RequiredL. Q
)
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Total Postage &Fees O T
LSen O v.n e (nma,,�`% �'�-------
.;d�,y------------
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