57373D - Deering

CAMA DREDGE & FILL 10
h PENERAL PERMIT Previous permit #
New . ElModification El Complete Reissue El Partial Reissue Date previous permit issued
iz%d by the State of North Carolina, Department of Environment and Natural Resources -7d, //C0
oa!116al Resources Commission in an area of environmental concern pursuant to I SA NCAC_
4?TRules attached.
Name %I Project Location: County 6o� I i lv�LVICA--
State ZIP Z � 3c-S
L�8 Fax # (_)
W Agent A, r1I C'k i - A7*'J �co Virm y h i
D CW El EW E PTA CES [I PTS
El OEA El HHF El lH 0 UHA D N/A
Street Address/ State Road/ Lot #(s)
7 —!,- -7
It "e- L
Subdivision
city Ae /-<,I^o ZIP Ciqk
Phone# (—) River Basin
Adj. Wtr.Bo (-(170tA-rtf (,&tT-k11t"11VA-ifa? /,
El PWS: 0 FC: Closest Maj. Wtr. Body A4 kv kv
fes /6 PHA Q9 /no Crit.Hab. yes / no
Project/ Activity A?Q-LAr-Jw
(Scale:
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igth
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10
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I Riprap length —
distance offshore
distance offshore 4)
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Raird
not sure yes no(
—
not sure yes n,?
im: n/a yes no
yes no
ttached: Yes
ig permit may be required by
ottTl / &� dl%-ej
❑ See note on back regarding River Basin ru

American r-isn Lvmpany
P.0 Box 11046
Southoort. North Carolina 2846
Email AFC036006aol corm
ACPlace/ kePcjr
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INVOICE NO M
[phone]
[phone] F

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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
lichael ras.ey, Govemor James H. Gregson, Director
Authorized Agent Consent Agreement
William G Ross Jr.,
is hereby authorized to act on my bs
nted Name of Agent)
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited
ecific activities described in the attached sketch.
)CATION OF PROJECT:
0 fast �t
�� z5.
ZOPERTY OWNER MAILING ADDRESS:
>rane T)ee('irl�'
2 ( Li is , Fi d d Ptc<c
'G��rVll�� 1 t.C,�i345 PHONE NO
JTHORIZED AGENT MAILING ADDRESS:
1(4a0 d ID&i:j(0e r6.
�h464 [I , e :)2S4b 1
PHONE NO. L11Q -Li5 7 `S,4$$
anature of Property Gwner:

t � n : ':wy5 76 ;-,5 S
i4h
Name of Individual Applying For Permit; ,
ri
Address of Properry., 70 Z E_
(Let or Street 0, Street or oad)
'.Ury and County) -
'. hereby certify that I own property adjacent to the above -refer, ncca ro e—y The indi
appl}'ing for this permit has described to me as shown on the aaftcheu drawing the dEveiopme
are prorosing. A description or drawing, with dimensions, should be ..roVideo' with this lei
_✓ have no objections to this proposti;
If You have objections to what is being proposed, please write the Dig isi'. n of C
Matlagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 91 -796
witbin 10 days of receipt of this notice. No response is considered the same as n0 objec+ YOU hove been noritied by Certified Mail,
WAIVER SECTION
I understand that a pier, dock, mooring pilings, bronl0vater, boat 'house or boat lift must
bck a minimum distance of 13' from my area of riparian access - unless Waived b% me, �
wish to „'ok'e the setback, you must initial tho appropriate blank below.;
41--
�...._.___ o wish to waive the 1 setback reauire,-e�:
rant ivltrnC
H Is t0 �Vc1ivC t11C 1 �' setback "�Q see -:c,..
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)plicant: DiM\,
ite: 1113111
Permit #: 5 "23 ^7
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
and in your Habitat code sheet.
bitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
--temp impacts)
FINAL Sq. Ft, TOTAL Feet FINAL Feet
(Anticipated final (Applied for. (Anticipated fii
disturbance. Disturbance disturbance.
Excludes any total includes Excludes any
restoration any anticipated restoration an(
and/or temp restoration or temp impact
impact amount) temp impacts) amount)
Dredge ❑ Fill [ El Both ❑ Other
�l��U
2-f,-- nr-�
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 ❑
Dredge ❑ Fill 0 Both ❑ Other ❑

THE AMERICAN FISH CO. 8361 E
CHARLES H. OR KAREN Z. PERRY
P.O. BOX 11046
SOUTHPORT, NC 28461 DATE �' �' 66-30/'
PAY
ORDER OF
OLLARS n
1
First Citizens
Bank
firstcitizens.com FOR Q-2P Dmo
u008 3 6 1 r3o l:0 5 3 L00 300i:00 L S 3 L 20 9 9 2