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ay. 2. 2011s12,26P'vQUIIAt1;ant c Packaging Wi im, k--. 9602=P. 1/111N
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N61 F. Eaal-ay, Governor
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NC
North Camllna Deparhrant of Gnvlmnmw anci Nahiral Pamirrac
Divislon of Coastal Managornant
James H. Ompon, Vrwtor
Authorized Agent Consent Agreement
ftatt G. Roso Jr., Sacralary
-rdrn,/a is her+jt�y authorized to act on my behalf
' fed !James at A7snt}
der to obtain any CAMA permits) required for the prop oy Uted below. The authorization is limited to the
0c. adviiies described in the attached !skeich.
W11ON OF PROJECT:
i4 IAI .r
28 -6 0
WERrr OWNER MAILING ADDRESS:
Imi Lai— Nc) ('-*l+0 D
PHONE NO.
'HOWED AGENT firlAlUNG ADDRSS;
V rj _
PHONE NO. 1 /0 . _. Z
ature of Prowty Owner, Pw `f\/ C-c'trie.r kr<A,, 00",

1 06:01a L.B. Lee
K PM-Ug7TERS
FRS! MJ. :5106%?555
912-351-1594 p.1
Apr-. 26 2011 OP:51RM Pi/1
Coastal Earthworks, Inc.
1455 Mdc6eSwnd'Loop Road • WT-ifnin4on, NC 2840$ • ftne: [phone] f Fax: BOOM
f)atc JW216` 11
T'o 1,.,.rr7 13. ).-Ce Pax#
From- Tommy Watoen flax# 910-686-7555
Paps with cover r
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ary Date Oct 23. 20?C
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34"1• 281�7j&
77"48�38h8�W elev 211
:,a

Division of Coastal Mgt. Habitat Impact Computer Sheet
)licant: y (All -et'- Permit #-. 5� 3 3�
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
itat Name
DISTURB TYPE
Choose One
Disturbance total
includes any
disturbance.
Excludes any
Disturbance
total includes
disturbance.
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts
amount)
159
Dredge Fill ❑ Both ❑ Other ❑
O
146
Dredge ❑ Fill Both ❑ Other ❑
v��
COMPLETE•N COMPLETE THIS SECTIONON DELIVERY
nplete items 1, 2, and 3. Also complete e
14 if Restricted Delivery is desired. ❑ t
t your name and address on the reverse Addressee
hat we can return the card to you. t Name C. Date of Delivery
Netv
ich this card to the back of the mailpiece, ,n the front if space permits.
,le Addressed to: .svery ad different from item 1? ❑ Yes
_ If YES, e r deirvery address below: No
>C� ( 0,
3. Type
MAY 0 4 20% � `� $ C) IlillCotfled Mall ❑press Mall
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
fit , � I N GT Q N , 1�!'W._ 4. Restricted Delivery? (Extra Fee) ❑ Yes
Is Number 7010 0780 0001 6935 1499
sfer from servic_ .— _,
m 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Tom Watters —
Dredge ❑ Fill ❑ Both ❑ Other ❑
• 11%1RD6F.,4A

COASTAL EARTH WORKS INC.
[phone]
1955 MIDDLE SOUND LOOP ROAD /
WILMINGTON, NC 28411
Dah .
3822
66-7172/2531
w Pay to the (� I ZOO.
Order of
y Dollars
ntil�n •\
W ILMINGTON, NC W
For
1:253 1? I? 281: 169001030 2111' 13 2 2