56581D - McKinney

i■

A6
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Dlre,ctor William c
Authorized Agent Consent Agreement
is herebyauthor'
(Printed Nams ofAgent) authorized to act c
in order to obtain any CAMA permit(s) required for the property listed below. The authorization iE
specific activities described in. the attached sketch.
LOCATION OF PROJECT:
PR PjTY9VN R MAILING ADDRESS:
IC�t --��
�'O"� T 7 T' .
PHONE NO._1
C�44 07
�A�ITHORIZED AGENT.MAILING ADDRESS:
GONSTRUCTION
6618 BEACH DR. SW
(910) azq-gags
PHONE NO.
Signature of Property Owner:

arc_;•
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL M.�NAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to��� � is
(Name of Properjy wn er )
property located at (,i4�)
(Lot, Block, Road, etc.
on r� �`�� ; �, `ct'c Km - in tee vi;, � �e'V � , N.C.
(Waterbody) _ (Town and/or Couutp
Applicant's phone #: �1L-`j�(�-"LII-\L� _ailing Address:\ _�p,kb
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writ
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, Nt
DCM representatives can also be contacted at [phone].
No response is considered the same as no obiection if you have been notified by Certified Mail
(Property Owner 1pf rmation)
Signature
P . 0-T n t�
Print or Type Name
V cal 1 �ri g 1A--
(Ripa 'an Property Owner Information)
Signature
Print or Type Name
A .(..: 1:.... AAA.......

CERTIFIED MAIL - RETURN RECEIFT KE V u L61 hJ2
DIVISION OF COASTAL M.NAGEMENT �r
ADJACENT RIPARIAN PROPERTY OWNER STATUNIENT
I hereby certify that I own property adjacent to 0-f- t,; r `s
(Name of Proper -Sy caner)
�- l
property located at ( � l�l�i� rC � � , L t( � �� t(
(Lot, Block, Road, etc.
on IG~y�Ya in u << C��« ti N.C.
(Waterbody) _ (Town and/or CouM-try\
_Applicant's phone#: ql� �f�t- ��t� ailing Address: � �1b VD� `5
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
-------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writ
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NI
DCM representatives can also be contacted at [phone].
No response is considered the same as no obiection if you have been notified by Certified Mail
(Property Owner I of, rmation)
Kul- A
Signature
t . R,
Print or Type Name
(Riparian Pr pprty Owner Information)
1�
Signature
5J,, (�
Print or Type Name
G I G r oC' J l

licant: F q.
Permit #: S ��
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
id in your Habitat code sheet.
itat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
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 fina
disturbance.
Excludes any
restoration andh
temp impact
amount)
}
S• (�
Dredge ❑ Fill Both ❑ Other ❑
1,09
/ f
Dredge ❑ Fill ❑ Both ❑ Otherx
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 ❑

GR ECI CONSTRUCTION OF
BRUNSWICK COUNTY INC
PH. 910-579-9095
6618 BEACH DRIVE SW
OCEAN ISLE BEACH, NC 28469
PAY
TO THE
ORDER OF
7335
66-112/531
DATE
}
BRANCH BANKING AND TRUST COMPANY
1-600-BANKBBT BBT.com 1p
II■ 53LOLL2L�0005�9992652 II
II■00007335 -- ~--=�-
��= �.r,.....
8 ot�d"„e

■ 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 cardSQ ou.
■ Attach this card to the bacK A[ iece
or on the front if s➢i3cte permits. VC
1. Article AddressecMo--
(Z `
W,4gent
❑ Addressee
If YES, enter delivery address below: ❑ No
;!tCertified Mail ❑ Express Mail
❑ Registered �$ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
2. Article Number (Cop- &— 1-11
7009 1410 0001 8701 6948
PS Form 3811, July 1999 Domestic Return Receipt
Postage
Certified Fee
)turn Receipt Fee
;ement Required)
oted Delivery Fee
;emeni Required)
Postage & Fees
Apt. No.;
Box No. �l� T6'1-2,
9-
0
N
Postage $
Certified Fee
r�
1:3
Return Receipt Fee
ED
(Endorsement Required)
ED
Restricted Delivery Fee
O
(Endorsement Required)
H$
a
I-
Total Postage & Fees
r-9
Cr
Se
W-1i \
C3
Street, Apt. No ^
or PO Box No.
■ 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
❑ Yes
102595-00-M-0952
M
GEC 11 5 2010
am-
)IeceivNby (Please Print CI rly B Date of Delivery
C. ignature
_`— ❑ Agent
❑ Addressee
D. Is delivery address different from item 1? ❑ Yes
If YES. enter delivery address below: ❑ No