56606D - Wright

CAMA / E4bREDGE & FILL 5i
1ENERAL PERMIT Previous permit#
;:Jew' ]ModificationComplete Reissue El Partial Reissue Date previous permit issued
ed by the State of North Carolina, Department of Environment and Natural Resources - 7
.uastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / N j (U J j Z UL/
ules attached.
Name i Project Location: County I Ck
t , d ; N� Cl_ _ Street Address/ State Road/ Lot #(s)
,-Trt J ! t--l.R _ State_ -- ZIP -- Li . E YIN-C NT 0l .
�1L) 4s Ss Fax #--
ed Agent ---
Subdivision
9 ity lil�t� ISt,PN ZIP
❑ CW ❑ EW
© PTA ❑ ES 7 PTS
Phone # ( )
River Bann LUt
❑ OEA ❑ HHF
❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body (
Wy') (nat /n
❑ PWS:
❑ FC:
yes /�/ PINA
� � no Crit.Hab. yes / no
Closest Maj. Wtr. Body`��
Project/ Activity
V_IrPl_At.E LI'tL-"t
12m
ST 5jLtCl -A�)
Pie Ivw5-,�
Vi EK I Vi 4N\
(Scale: ',
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RV01"a
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,distance offshore
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illdozing
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not sure yes no
not sure yes no
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ng permit may be required by: }pc CSC / ❑ See note on back regarding River Basin n

USPS - Track & Confirm
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Label/Receipt Number: 7010 1870 0003 0026 8012
Service(s): Certified Mail"
Status: Delivered
Your item was delivered at 10:34 am on May 04, 2011 in SOUTHPORT,
NC 28461.
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Detailed Results:
• Delivered, May 04, 2011, 10:34 am, SOUTHPORT, NC 28461
• Notice Left, May 03, 2011, 10:20 am, SOUTHPORT, INC 28461
• Arrival at Unit, May 03, 2011, 10:04 am, SOUTHPORT, NC 28461
• Processed through Sort Facility, May 03, 2011, 12:13 am, FAYETTEVILLE, NC 28302
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■ Complete items 1, 2, and 3. Also complete A.
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you. B.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
(L
❑ Agent
❑ Addressee
Printed Naale)rl - I C.
Is deliveryy address dl*rent from item 11 13 Yes
If YES, enter delivery address below: ❑ No

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UNI TED ST13TES
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Label/Receipt Number: 7010 1870 0003 0026 8036
Service(s): Certified MailT'
Status: Delivered
Your item was delivered at 4 21 pm on May 03, 2011 in CASTLE HAYNE.
NC 28429.
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Detailed Results:
• Delivered, May 03, 2011, 4:21 pm, CASTLE HAYNE, NC 28429
• Arrival at Unit, May 03, 2011, 8:58 am, CASTLE HAYNE, INC 28429
• Processed through Sort Facility, May 03, 2011, 12:47 am, FAYETTEVILLE, NC 28302
Nowication uptions
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Copyright© 2010 USPS. All Rights Reserved. No FEAR Act EEO Data FOIA e
• Co:�npiete 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:
10L Zc I AzoT aF .,IY-
SS�� bAQAb(s 64,
Agent
O�essee
- --y a�� r airrerent trom item 1? ❑ Yes
If YES, enter delivery address below: ❑ No

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CERTIFIED MAIL, — RETU%N RECEIPT REOUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Vane of Property Owner �
Address of Property:
(Lot or
applicant's phone #l:CAI ® ' rx y t,
9, Street or Road, City 8t County)
Mailing Address: V-rl%E2 V;�Oda_
FY E r= l��tLE & c 02T 31 a
E hereby certify that I own property adjacent to the above referenced property. The individual applying for this pe
nas described to me as shown on the attached drawing the development they are proposing. A description of draw
with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DC
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 7%-7215. No response b
considered the same as no obiection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distanc
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
appropriate blank below-)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement -
(Property Owner Information)
Signature
��� t. M-T
Print or Type Name
ago
(Riparian Property Owner Information)
Signature
-S Li_4 "6�i A to
t or Type Name
Mailing Address
Alf-- / Q-2 1 3
Mailing Address
<,- ,. Ad DR �+ A 1. r 'A? L4- ,I

II Iu.Lla ICIIt MAT JHrC Ot L%JVr\ �,U. v1v-`YvrIVii N.
�tlENR
North Carolina Departrnent of Environment and Natural Resources
Division of Coastal Managemmw
Beverly Eaves Perdue Janes M. 6re6son Dee Freema
Governor Director Secrelar
A6F:NT AUTHORIZATION FORM
Date:4*—//—
Name of Property Owner Aff2lying for Permit:
/lf Gti1
Mailing Address_
S-d ael C
Phone Nur: -votL7--. c1 915._p?� �y
I certify that I have authorized (agent) Z A c'� ;r- to act on my
behalf, for the purpose of applying far and obtain' g AN CAMA Permits necessary to install or
construct (activity) 6`'Y
at (my property located at) ��dT y�?2�e k r�G
This certification is valid thru (date) I / 'p4
_. Date

ICW
Proposed Dock
256 Sq'
701
ss' P

Division of Coastal Mgt. Habitat Impact Computer Sheet
icarit:NIGH�, �Nf� Permit #:
51 11►
:vibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
d in your Habitat code sheet.
tat 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 final
disturbance.
Excludes any
restoration and/o
temp impact
amount)
Dredge ❑ Fill (Both ❑ Other ❑
0
7D
�i
Dredge ❑ Fill F( Both ❑ Other ❑
Sv D
J
Dredge ❑ Fill ❑ Both ❑ Other Q"/
Lf q D
`T q'0
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 ❑

reene Construction
P. O. Box 370
Supply, NC 28462
BRANCHCOMPANY
- 00-BA K BST BBT.COM
1219
66-112/531
DATE ,
i

N"
CERTIFIED MAIL — RETURN RECEIPT REOUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner: Q)NiA w a; ��T
Address of Property_
(Lot or
Applicant's phone #: �� as 81
#, Street or Road, City & County)
Mailing Address: 1Gs��----
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this pe
has described to me as shown on the attached drawing the development they are proposing. A description of draw
with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DC
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response i
considered the same as no obiection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distant
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you mast initial the
appropriate blank below_)
I do wish to waive the 15' set back requirement.
— I do not wish to waive the 15' set back requirement.
(Property Owner Information)
Signature
Fy() A�
Print or Type Name
avc-(t vLio
Mailing Address
Owner
C-1 A
or Type
Sl1cl / zc
WA'(
o/2�,�5�
Mailing Address
A .-rl -r_ 1l_ Al / ')U)

ICW
Proposed Dock
256 Sq'
0