52531D - Bruce

CAMA / DREDGE & FILL
xENERAL PERMIT Previous permit#
R'Qw -Modification ❑Complete Reissue `iPartial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources 7 /�
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / T/. 12 G Q
G�Rules attached.
Name l 4 /x I?t/CC Project Location: County Xcio' -fs,Jic,�
—?0 % L46 U e I// e4'.' e-, Street Address/ State Road/ Lot #(s) / 9J! L , 2 '
?eo.,S9o�lc State IYC ZIP 2 ]f/.-a
Fax # ( )
;d Agent ik A ? 1 eJ P_-
❑ CW L7 EW C-41TA --+n ❑ PTS
❑ OEA ❑ HHF IH UBA ❑ N/A
❑ PWS: ❑ FC:
Subdivision
City OC C, W 1 rie 4949c ,� ZIP Z ? Yi
Phone # ( ) River Basin --,✓ z"" 14
Adj. Wtr. Body C 19,. A I U A./(nat 9�
(es /� PNA yes / o Crit.Hab. yes / no Closest Mal. Mr. Body /'4�w�
Project/ Activity k to d 4c e .S / 2'C c, F CA A7>j) /yam ram/
(Scale:/ _- G
k) length S • - y
gth
fiber
/ Riprap length_
distance offshore
c distance offshore
is yards
Ildozing OW
LengthQ
im: n/a yes no
yes no i
ttachec!X -~'Cy"es no —
g permit may be requirecf 7-d^ by: �� PO r� �P ElsL �O/a C /7 / See note on back regarding River Basin rul
ipecial ✓ Conditions / 14C'74,eT 17)q %y(J� 1 �t/C/j -ACn ly /a 40

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_E No.198 02120 '09 09:40 ID:INSURANCEB-FIX FAX:[phone]
18 09 08:13p Charles Maree 910-842-4049
NCDO"mbENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Dlroctor
Authorized Agent Consent Agreement
PAGE li
p.2
ik
Wiliam G. Rosh Jr 5t cG
C�s A�se.az is hereby authorized to act on my behalf
(Pfvftd Alamo al Agenl)
n order to obtain any CAMA permit(s) required for the property listed below. The authcrizalion is limited to the
specific activities described in the attached sketch_
LOCATION OF P/R--OJECT:
pG c a h Isle.. A a6 i.A � A1,11011 c A'd <
ley, G
PROPERTY OWNER MAILING ADDRESS:
J1M L%uGG-
S3U q 11GrT� v
rGer}SQor'J Al. 2?�CP7 PHONE NO. G� 31T�j d
AUTHORIZED AGENT MAILING ADDRESS:
PHONE NO.
Signature of Property Owner
Signature of Authorized Agen

-E No.188 02111 '09 11:06 ID:INSURAWEB—FIX FAX:[phone] PAGE 3i
V 09 11:15a Charles Maree
ri1N.24. 5 a 41f�1 HMENR WIRO
910-642-4049
MD. Ow
rTatxrs of jpdividual AppII►iag Forpam�W&VJ'"
Lteeg
Ad&M of propevY,
(Lan or 9aeat #l, BtKet ar Noad) '
P.2
p.2
1 hereby nerd* that I Ma pcaprxty adjacwt to the above-tafteacad props tv- The in&VWW
spill far ftpenvdt hoa daaa> bed to me as abown ad ft attached draw►hagtbe devalnp=eatthey
am prapoe3ag= A dencripdad Or dmwiu& with cr= iom, shwid to pwvIdIed with this latter.
I hot no *oCd= tb d1b ptwVwAL
U yoo bsls Qbjech*= to what Is being oMONA Place write tba DiTtstoa of C &&Ul
Drlana$etaant, U7 Cardinal Arlie Rst0*14 � �� q 14C 28405 or liar some saaao ob j96-59ecOON 0
witiW ID days of receipt of rib soft, tda respo
If
You have been aotftd by Cerwed Avam
l undanud tbst a pier, dock, moorinS ~ breakwater, b"tboase or boat Oft roust be eat
bak a minimum diatauco of ls' &ass m'7 ISM of rtpartan sorest - wwlasa Aalvod by me. (i YOU
*lab to waive the tetbatk you roust !sisal the appropriate blank below.)
I do wisb to waive The Is, se*ec* iequlremmat.
I &UMI wth w waiw the Is, setback Z"*cmeat
B'� erne � Aar
PrW Name
�S z -�--
umbwwith k" Gods

_E No.188 02111 '09 11:06 ID:INSURANCEB-FIX FAX:[phone] PAGE 21
)7 09 11:15a CharWs Margie
91 D-842-4049
MD.eM
A Yot P.1k lJ r u
Nstee otIuditAdusl PAS
r n ^ 1
Ads of Piopezty',
7; or Sheet 0. 8aget or R04
P.2
p.2
v that 1 mvU ptopertY ac4aoeat to the abonre-:oftreoeed pt 7• The indiYidnal
I bet�b, � de9�ed to tae a s�oo9�e attached d:awia0 the �t�Y
aWl** fbr"P with dim im, should be ptwlded wn this War,
are pip": A desct#dW or dmwin&
j�-Z-fz-)j have no *Ccdm,ta this piopaeal.
I[ you bare objoctia" to what is beiag pmpoasd, Please write the D'vbloa of Consul
Xsoapment+ u7 Cardisal Drive 11steneion4 gip+ IiC 20406 or 4*1191"90-3900
wit6ta 10 days of receipt of ab softs. No resposre Is cousidetsd tbs sauna sa no objeettou if
you Gave bees aotised by Certiw KIM
WAY'1iRR ff=nON
I VUder> u d that a pisr, dock ogoe" ~brmkwater, boathouse or boat Oft must be xt
bah * aiial�aam dibta>sct of ioa must W l the aPF&Frtate 6latalt below jjved by me, (iiYau
widb to waive the eatbu k T
1 do wish to wawa 1be 13' setback isgWra=Ut.
I &,gawkb m waive ftut IT setback iegt*esnem.
sip Nettie D:tte
1'rint Name
Teteaham try wim AM Code

WATERWAY CREATIONS LLC
405 STONE CHIMNEY RD SW BS. 910-619-0655
SUPPLY, NC 28462-2662
PYi the
order of _
0
i
1209
66-112/531
3
Date
viv, DD
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Dollars k �°
` I BRANCH BANKING AND TRUST COMPANY 1-80o-BANK BBT BBT.com
For
11:053L L2D:00052942937541110111209 �-�.)
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