52497D - Huguelet

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CtAMA / DREDGE & FILL No
GENERAL PERMIT Previous permit#
Cf1gew ❑Modification El Complete Reissue III Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources ^, /,,
• Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC / /`".. 2 Q0(/
IllRQfes attached.
nt Name ../e (j 5 p f- Project Location: County Be a A,s w,c k
.s / 7 SW P€'fir .r, ,iic,//au/ Street Address/State Road/Lot#(s) 1 OO6 4647'
, Ln,r,,j, _ State/C N4AIP27Vfir L-,./ F 5- ,
# (_ ) .?5 - /2.?6 Fax#( ) Subdivision
rized Agent !i?tt t Pi kA•••1 6 I I•V let tf City 5u c v-/ g0 96A ZIP 2 ki
ed ❑CW DEW Ll-PTA DES ❑PTS Phone# ( ) River Basin L v'a__
E OEA ❑HHF ❑IH ❑UBA ❑N/A): ❑ PWS: ❑Fc: Adj.Wtr. Body }L/7,.ros riz- .e e na j yes / no PNA �y�y no Crit.Hab. yes / no
Closest Maj.Wtr. Body �ywy'✓
of Project/Activity iZ 7(AL e rT.)Z.'S A f 6'4-
(Scale:/
dock)length /F F ,X i7 ' ,q, J ' .)C
i ,
rm(s) " i F /2 I
r pier(s) I ` I
length HHIHHhIif1iWSJiJiJHIII
ead/Riprap length - =g'■,■�■■
avg distance offshore
1E111 I
�,,� ,��_� .■ �■
max distance offshore
in!
channel i
II
cubic yards iuii : ; 1
in ■
souse/Boatlift ■■■■■■ ■■■■'.■1II Ir17111■■■•■■■■■■■
Bulldozing ! ZE ■•■■■■�■■■II
HhIiViPW!I!J!l..$.....0
IN ■.. M■■LIII ■■■■II -
RlINIIIIIIr■I■I■■■S__i-■-■'�■�■■■■■■i■■L!■■■■
line Length — ��11� 11 ■.............. ■■■.
not sure yes no IiIIiiiiiL'!IIiIflIiHflIIEI!i
ags: notsure yes no
orwm: a/a yes no ■ ■■■1H1111111■• 11MI;TJ ■■■■■■■■■■■■■■
s: yes no II/ ■'_ w 2D ■■■ ._... ■■ ■-
r Attached: yes ' I I
ding permit may be required by: 5ciA,f e'• UJ 0,4G1 1 I See note on back regarding River Basin
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1�
NCDENR
North Carolina Department of Environment and Natural Resource
Division of Coastal Management
Michael F.Easley, Governor James H.Gregson, Director William oss
Authorized Agent Consent Agreement
C, NA' 1es ;NNkA is hereby authc a act my
(Printed Name of Agent)
in order to obtain any CAMA permit(s) required for the property listed below. The a,. ation i ; mite
specific activities described in the attached sketch.
LOCATION OF PROJECT:
5062- w.sT N.-N*5 Q_
S V v�ScT e wLv� I VIC_ z_vicQSt
F
PROPERTY OWNER MAILING ADDRESS:
GM-7 5.,.�4 QT�.�,,,ti o\\c )
PHONE NO. ( Io 3'AS - 49,13f?
AUTHORIZED AGENT MAILING ADDRESS:
28°1 vvoop S4r,
DC SS\e 3e 1,. Z 8 j
PHONE NO. (9P-) SZO
Signature of Property Owner: M(')

uery - Intranet - "Quick" Search P�
UNITED STATES
POSTAL SERVICE
Track/Confirm - Intranet Item Inquiry - Domestic
Tracking Label: 7008 0500 0000 3878 2097
Service Calculation Acceptance Date/Time: 01/28/2009 10:14
Destination ZIP Code: 28120 City: MOUNT HOLLY State: NC
Origin ZIP Code: 28469-5501 City: OCEAN ISLE BEACH State: NC
Class/Service: First-Class Packages Certified Mail
Anticipated Delivery Date: 01/30/2009
Weight: 0 lb(s) 1 oz(s) Postage: $0.42
Zone: 02
Delv Rqmt: Normal Delivery PO Box?: N
Special Services Associated Labels Amount
Certified 7008 0500 0000 3878 2097 $2.70
Return Receipt 7008 0500 0000 3878 2097 $2.20
Event Date/Time Location Scanner ID
DELIVERED 01/29/2009 10:46 MOUNT HOLLY, NC POS2960826
28120
Input Method: Scanned
Request Delivery Record j
View Delhery Signature and Address I
NOTICE LEFT 01/29/2009 10:17 MOUNT HOLLY, NC 030SHAD910
28120
Input Method: Scanned
ACCEPT OR PICKUP 01/28/2009 10:14 OCEAN ISLE BEACH, NC
28469
Input Method: Scanned
Enter Request Type and Item Number:
Quick Search a Extensive Search r
Explanation of Quick and Extensive Searche4

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sig :tuurre item 4 if Restricted Delivery Is desired. V
p C
• Print your name and address on the reverse `�N �' \ C
so that we can return the card to you. B. Receiv:•by(Printed Name) C. Dat
■ Attach this card to the back of the mailpiece,
or on the front if space permits. ',
D. Is delivery address different from item 1?
1. Article Addressed to: If YES,enter delivery address below: C
ol'N \-\-•\\
LI \ a_cc, Sv,),\orccxsgE
1v� .i._) \\D-.5,-1,) / O 3. Service ype
14 Certified Mail 0 Express Mail
Li 3() j / 0 Registered Ig Return Receipt for I
0 Insured Mail C.O.D.
4. Restricted Delivery?(Extra cm' [
2. Article Number 7pp8 p500 0000 3878 2080
(Transfer from service label
P
o� .E PS Form 3811, February 2004 Domestic Return Receipt 102
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