54026D - Angel

�ICAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
)rized by the State of North Carolina, Department of Environment and Natural Resources �
Coastal Resources Commission in an area of environmental concern pursuant to 1 SA NCAC
/� � [y�RLles attached.
nt Name k� .r, 9„16:CL Project Location: County 69 N AS'V ,c/l
s `7.3-7 6,e /t 4®ty Xd, Street Address/ State Road/ Lot #(s) 2 O� � y%
117 C dAlle State_ ZIP
V JA)ZU—,o5'1 Z Fax # �)
zed Agent C% Q, g C c
CW SLEW :PTA Ii.FS ❑PTS
OEA ❑ HHF ❑C IH ❑ UBA ❑ N/A
PWS: ❑ FC:
yes /rfig PNA yes Qo
of Project/ Activity ,y,
ock)length p �(
m(s) _...._....
pier(s)
ength
I
umber
ad/ Riprap length
ig distance offshore
tax distance offshore
:hannel
ibic yards
LmP } --
I
.use/ Boatlift
j
Bulldozing
,mayOF
--�--,!
ne Length t (✓'
Crit.Hab. yes / no
Subdivision
City0e •n.• Z4,r t6epc i zIP27Y6`
Phone # ( ) River Basin
Adj. Wtr. Body60,r4L
Closest Maj. Wtr. Body
not sure yes �ffo
gs: not sure yes
)rium: n/a yes
yes o
Attached: yes
ling permit may be required by: (--)G
11) . / / /, , // -�
(Scaler
❑ See note on back regarding River Basin

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
el F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Sec
Authorized Agent Consent Agreement
r , -5 L /'''t e lit h.Z 'z .C_ is hereby authorized to act on my behz
(Printed Name of Agent)
�r to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to
c activities described in the attached sketch.
TION OF PROJECT:
of 91Ylaq
ERTY OWNER MAILING ADDRESS: K'
bdak NC
-2TI IX tz - PHONE NO.
DRIZED AGENT MAILING ADDRESS: C�'r,%"
PHONE NO '1f0 —.
ure of Property Owner,,
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MCKENZIE COASTAL CONSTRUCTION, INC
1341 SUNNYSIDE STREET SW
SHALLOTTE, NC 28470
IPAY
TO THE _
ORDER OF
c _
FIRST BANK --
�EAN'SLE BEACH, NORTH CAROUNA 26469
°FOR -
coo
e`�77-�OP6402.
II.00CO L 1$ 6n• i• —
053104568l.
1186
DATE_.- --g 66-456-531
10
P
DOLLARS
wiBw

■ 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.
s Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
-�; CclrsL.\
�. p . 30 K -73 8-�)
A. Signature
X �_ Agent
�' Addressee
B. Received by ( WnrC. t of Delivery
1 leIr('�' Eft I
D. Is delivery address 4ffe&nt fro1? es
If YES, enter delive s w:Z AU No
ace Type
Certified Mail ❑ Express Mail
Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 0080 0001 9498 0078
(Transfer from servic_._ _., -.
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
■ 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
--bwl ° -O cn r c
Z�-3Z0
A.
Is delivery address differerm item 1? Yef
If YF$. �tj d1naddres below: ❑ No
V Cftffe&ffl-TT ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service laben 7009 0080 0001 9498 0061
PS Form 3811, February 2004 Domestic Return Receipt
102595.02-M-1540