48262D - Connell

.CAMA / DREDGE & FILL
3"ENERAL PERMIT
Previous permit#
New -Modification —'Complete Reissue ❑Partial Reissue
Date previous permit issued
sized by the State of North Carolina, Department of Environment and
Natural Resources
(�
�oastal Resources Commission in an area of environmental concern pursuant
to 15A NCAC
❑ Rules attached.
it Name C A `' C L C c L L -_
Project Location: County
Street Address/ State Road/ Lot #(s) -
`r t1State _ ZIP ` L
t 0) 367 f Z % Fax # ( )
Subdivision
and Agent 1 L) k­r,�> A.A A- re
City ZIP �✓few � y� � c �
❑CW 1_EW PTA L ES ❑PTS
Phone # (� /� 3G _ �S r}�iver Basin
❑ OEA ❑ HHF ❑ IH C' UBA ❑ N/A
Adj. Wtr. Body IZW <V T 41iVAL- i �nat1
❑ PWS: ❑FC:
yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body t fi✓�
f Project/ Activity ">7 /1 S'! r✓c 7 7�/ �.v
/� /i ��a �► `r�' n/ � c. � �`7
-f" /, ,r"f ";�
- (Scale: �i
,ck) length X / Z - — --
,(s) , l l V Z o
FT
:ngth
tuber
d/ Riprap length_
g distance offshore
ix distance offshore
hannel
i
j i
(
-�IAA
bic yards - - -
:
np
ulldozing +7
:
— - - 7
e Length
not sure yes no
l
s: not sure yes `no-
ium: n/a yes no
yes no t i I
4ttached: yes no
ng permit may be required by: `�(J ? r %t ❑ See note on back regarding River Basin r
/--A-' /1 /A - I

�. s�5 `_'

late/Time
JAN-22-2010(FRI)
10A B
P.001
AN-21-2010(TNU)
15:26
PERENNIRL
MTG. GROUP
(FRO 919 Hde dd6Q P 002190d
CERTIFIED MAIL — RE"I`URN MCE,L' UQUESTED
DMSION OF COASTAL MANAGEMENT
ADJACENT R1PA.RIAN PROPERTY O"TR NOTMCATION/WAIVER
FORM
Name of individual applying for the permit:r!dXVA Cannel
Address of property: 4 C 91 4 th Street
(Lot or et**.%. ubvctorrow)
Surf City, Onalow County
(Ckr,L Gray)
I hereby certify the I own property adjacent to the above referenced property. The
hadividuai applying for this permit has described to me (as shown on the attached
drawing) the development they, arc proposing. A description or drawing, with
dimensions, should be provided whit this letter_
I have a ) objections to this proposal
1Syou have objections to what is being proposed, please write the Division of Coastal
;Management, 400 Commerce Ave, Morehead City, NC 28557 or call [phone]
within 10 days of receipt of the notice No response Is considered the same as no
objection if you have been notified by Cardfled Mall.
Waiver auction
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or
sandbags must be set back a minimum distance of 15' From my area of riparian
aceeis unless waived by me. (If you wish to naive the setback, you must Initial the
appropriate blank below.)
i I djwish to waive the 15' setback requirement
I do rL2 wish to waive the 15" setback requiremcnu
2
Qi wh.�w
Tlo�..

to/Time JAN-Z1-ZUIU(THU) 16:17
21 10 03:33p
CE UT7,D 1W RETURN CEIPT QUISTED
DIVISION OF COASTAL MANAGEMENT
AD jACEN sC RpARL4.N pROI'ER'V' OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit:T(,ayr,- corneU l
Address of property: 4091 ath Street
(Lot or streett#, street or road)
surf City, Cnslow County
(Cite & County)
I hereby cerdfY the I own pragZerty adjacent to the above referenced property. The
Individual- applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, YAth
dimensions should be provided whit this letter.
t �havKo objections to this proposal
,s
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of the notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or
sandbags mast be set back a minimum distance of 15' From my area of riparian
access unless waived by me. (df you wish to waive time setback, your mast initial the
appropriate blank below.)
i , i do wish to waive the 15' setback requirement
I do not Apish to waive the 15" setback requirements
Z ��21 / 2 01 0

10
DA
�VDA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date 10
Name of Property Owner Applying for Permit:
Lo C®�►n e I
Mailing Address:
5q�2- Dun b<��l�h fiy�wi
I certify that I have authorized (agent) 4 'I Loq Ir-M a4 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) C. d 0G�
ot-
at (my property located at) `-u "I �y( VI 4�j 26��J
This certification is valid thru (date)
qA�o 2,011
//b illzil /

4LLIED MARINE CONTRACTORS, LLC
910-367-2159
92 HAROLD CT.
HAMPSTEAD, NC 28443
All
08-03
1100039 LEil' 1:053000 19El:
Bank of America
ACH R/T 053000196
3916
66-19/530 NC
702
DOLLARS
N
AUTHORIZED SIGNATURE dj
000 E8 L, 74 3 7 3811'