52512D - Drake

CAMA / 'L I DREDGE & FILL
GENERAL PERMIT.
New- Modification Complete Reissue Partial Reissue
k-', " 52
Previous permit #
Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources y'
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
ules attached.
Name L>PY Project Location: County
1--)fl i!--. PCQ,ctC.� C-t ("
aL vy'� State O V ZIP
( p)2_-77) - '_'>\\\ Fax # ( )
:d Agent 2--T V \- \ �-\ f—
C CW
❑ OEA
❑ PWS:
(es
❑ EW ❑ PTA ""€s ❑ PTS
❑ HHF IH UBA ❑ N/A
innel
is yards
P
e/ Boatlift
Ildozing�—
❑ FO
PNA yes � Crit.Hab. yes / no
Length Inv I —
not sure yes
not sure yes
im: n/a yes
yes
ttached: yes
g permit may be re
Street Address/ State Road/ Lot #(s)
LET 3 �-p.a� S��►� F�
Subdivisionlrq�ij rj►'►J(LE S
City ' ZIP��»�
Phone # ( ) River Basi ►
Adj. Wtr. Bod &jJXS GA&Aj6at
i
Closest Maj. Wtr. Body
(Scale:
ipecial Conditions �\nL1L}k� 'S�J�AL� 'mil

e
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross J
Authorized Agent Consent Agreement
Imo' Oe, C.onS is hereby authorized to act on my I
(Printed Name of Agent)
i order to obtain any CAMA permit(s) required for the property listed below. The authorization is limite
pecific activities described in the attached sketch.
.00ATION OF PROJECT:
/_0J 3
dig re Jho�'�s
►-� iyc
'ROPERTY OWNER MAILING ADDRESS:
0 -7S PQ,�,f� c C G,
PHONE NO. 330 --,77-
AUTHORIZED AGENT MAILING ADDRESS:
(2 S Pc�+
P� 05 3 z
PHONE NO. q(O �roz d2,2�f3
Signature of Property Owner:

05/2_i2009 10:00 33a3322111=3
May 18 Do 12132p -"red D Lopp DD3
SEEM WOMENS ��ARE
336-852-US52
Na6E a2/
P. !
ADUCOT RIPARIAN PROPERTY 0VMjt STATEMMNT
OVEAPIMMOOR NGPILWG&MA rLnrlyBW tWOM
l �+�i �fy that i own peoperty +�d)acent to el�tJ�d i� �Nl� � a
(I ov of Proporty OsW)
PMOV locabd at-112- 06A-w-- -(L-07-3
,
u r' N.C.C.
7) fy"M t,oaao)
lie has dowl bad io nK is sbo" below, the dewelopment he is proposing at that Wcatioa, end, I
have mo objectiM tc hil poopoNLL i undw*xW that a pierhooaring pilings / boaW boathouse
suet be met beck a minimum dtataom of Stbwc f"t (13,) em my am of riparian am= tmlen
xlsiv% try me. (Ilyov *6 to wain the satbwk, yea moat ieltial the approptb* blank
Wow,)
f guts wish to waive
I �g wimh to waive that WWA r'aquirement.
DUCRIMON ANDM DWAWM OF PRopcM bZVMi.OpWgNT!
(7e be ftd !Jr by "rldtatlpropadt *"bpaheog
,lell
�� �.� Cn,�2.i ��� rh�c✓LC.�i ./iwc'..d i.✓K/L�, .��i `"' W�Lt'�
(�iQ,�'t°err.��✓ wry �� ql v A,
CX l� �,
Print cd T Ni

05/21/2009 10:00 33J3322233 SALEM WOMENS CAkE PAGE 04y':
uur 1 er;4cfav 12.04 5i a3439512 DR WALLACE
PAGE 02/8
AWACC1 ff RVARIAN MOPERT Y OWNn STA►TEMNST
SOAMVM
I hbvby m* propwy a to J Wle r2z. e's
(tune of Prapem owtkr)
ptupom leoxmd at 12- 4L o-r3
L/ ..� M.C.
may) ('i'owe. or testy►)
He ins gibed to mer � ai�oam below the drvalopnx!dt 1� is proposing at tbai.kx�rq ,ed, i
itsva Sao o�jec s to hisptopa�I. I tt� Ott P l boetli� I bor#som
ftum be sat bl4k a di a woe of fftx= t,(1 suh-my am ofr4wrft aooess unless .
welred by me. (If ,pe'wi lk to w @ iee the, eetbuk ym nsAllkW me sppmprjmhe bunk
bdo".)
I OM wid to waive
wich 0 woM tip xtbeak t+aWanem
n CARTIOP AMMR DIUWM OF pRopoSSM DCVXLDP-.....-_
Mr k,191id # ay ..,. prnpa�b+X
Prim ar r v!W

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Id

FOR
LIGHTHOUSE MARINE CONSTRUCTION
P.O. BOX 2532
SURF CITY, NC 28445-0028
DATE -2 05
Bankof America
ACH R/[053000196
�rwT - G1 P
ff!' •
1150035 2011' 1:053000 L961: 00065 131 13 67118
M
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