75845D - Scott

CAMA / - DREDGE & FILL , No. 75845 A B
PENERAL PERMIT Previous permit #
'New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environmental Quality
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC D 7 a000
(� ❑ Rules attached.
Name( /1eS�CQff IkV#e&t A Willit7#1 RWM Project Location: County Ale /7ygn Itc
Street Address/ State Road/ Lot #(s) 6
FC state]VC ZIP
( ) E-Mail Subdivision /L
gent zk 1�„l✓� wtS CityWr V!��e � ZIP Sa
❑CW ®'EW WPTA WrES XPTS Phone # ( ) River Basin �P
❑ OEA ElHHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body �049 h�7 CAWOfi,,
nat /rr
❑ PWS:
Closest Maj. Wtr. Body Nifzm
(es /(D PNA yes /
Project/ Activity '% ci2osr y �D� ' �f P✓i�% axo/ / �Dl1fi�1A40�C
C1
k) length
tform(s)
llatform(s)/ �TTS C�IiAidNFf t_ ✓L` /IV
er(s) '
i
igth �.
I
nber 4 4 I"e�j�cC
I/ Riprap length J
1�k ��
distance offshore � '✓yW
K distance offshore _
a: nel
IAO
lic yards
Ip
se/ Boatliftlax fo
,udozing _ \
IO T54AND ?f21vr�- Zo\I.IMIrs of �157uR6itihd i
i
I
Length �. 118 i
not sure yes V414JA►'t SJSYSCVI E P voir L
um: n/a yes �r rSLA;IO l7RIM 11 I 15�rt:lp I ivE z
yes
\ttached: yes 4E>---- -
ig permit may be required by: 7M44�/,,j;b-/SLi94 &W-`,
Local Planning jurisdiction)_ - - V
6's Swrr
LAN[) IJaw
(Scale: A/J r
094a S�FFo
47o CAA ' WA-1
❑ See note on back regarding River Basin ru
/1 - i I ^ i

Letter of agent
� f'f
I /Z1. L.14W-j"1-k J have retained Mark Clements DBA, Clements
Marine Construction Inc, to make application for any and all permits needed to start
construction on the work requested for our property or properties.
By allowing Mr. Clements to make such applications I do understand that this will in no
way relieve me of any obligations to perform all work according to the building codes of
North Carolina, CAMA, DWQ or any other state and or county ordinances.
Signature
Ill,141*1 `I � �- date ----
Contact information

Letter of agent
have retained Mark Clements DBA, Clements
Marine Construction Inc, to make application for any and all permits needed to start
construction on the work requested for our property or properties.
By allowing Mr. Clements to make such applications I do understand that this will in no
way relieve me of any obligations to perform all work according to the building codes of
North Carolina, CAMA, DWQ or any other state and or county ordinances.
H=A!(=JZE S '5
rint C.D iC
Pname
Signatire
110 • 152Z_D • 6v ( I f3 date
Contact information

Letter of agent
I � �C-417 have retained Mark Clements DBA, Clements
Marine Construction Inc, to make application for any and all permits needed to start
construction on the work requested for our property or properties.
By allowing Mr. Clements to make such applications I do understand that this will in no
way relieve me of any obligations to perform all work according to the building codes of
North Carolina, CAMA, DWQ or any other state and or county ordinances.
�S 'S CIO -W
Print name -
Signa e �
0110•-/7, • Ce(1B date
Contact information

'46 unread) - [e-mail] - AT&T Yahoo Mail Page 1 of
LOA Benson 17 May 18 1 jpeg
I.etter of agent
1. %ilbam l:- Benson fit. I ase reumcd %u rk Clements PR.4. t'ictuentx Marine
Coeuvucuon Inc. to make applicatum for any and all permits ocedrd us dart constmtism
on the wsxk requested for uur pmpem or propenre:-
iss allowing Mr. Clement to male such applications I Jar un&',twrd that Ih:s will in no
way reliese me of' any s�Firgauons to per(i+rm all work wctwdmg the ituildiN codes of
Noah I'arolina. CAMA.1 JWQ tK any ether slate utttl tit count) orJirwtke..
Killion 1, Ronson Ill
919-607.2903
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ADDITION OF EASEMENTS
FOR
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.G. I -LIE BEAO'
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STUART Y BENSON Y ASSOCIATES "m°�', ,.�
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so that we car return the card to you.
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9590 9402 3103 7124 4191 64
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PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt