52575D - Arthur

CAMA/ DREDGE & FILL
IENERAL PERMIT - Previous permit#
Idew LiModification `.Complete Reissue vPartial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources t�
aastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7n• l/G a
LL ❑mules attached.
Name(,f'" f'Qf iiu4 Per®2 r 17,✓<. Project Location: County 3Q y.,sw,c/C
2 k 5 AiG.s r ,C -57 e(FT Street Address/State Road/Lot#(s) 312 .S 4,0Qei
fo/r4p oL>3 State C ZIP 2?4 8/ Prt. L .
(_51)9i1- /9$ Fax # ( ) _ Subdivision 1
:d Agent /-t/. - .� i P City Su.542 7 R4°49C4 ZIP 2 Y G
❑CW UEW PTA ,ES ;PTS Phone# ( ) River Basin bider,
❑OEA ❑HHF IH UBA [i N/A
❑PWS: FC: Adj.Wtr. Body T./a}1 e ,SL a w f 4 (nat
es / ram,_ PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body /��
Project/Activity .' 5 ti L.it -4'9 d
(Scale:
c length T 4
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;Riprap lengthy N o ,`i �_
Distance offshore
distance offshore tieII {
• _ „ 4. tonnel 'tp ' • Y '/d/0 ' I
yards •
K \
1/•' 0 oh. • to„\
./Boatlift `0 O . . .u/`*4x yc t .\'L p
N N i- v 3:z ® ;4..• tr']. Al..2 . . .''uy� with
S
(dozing f� 6! q21C
P Y 1,
10.5 �L i l
c •
M , • a• S6i
Length- • z V
not sure yes 1�6) 2I
not sure yes - - ,., ,-_ ,^ III ,•
•
m: n/a yes 0) o;I <; `�
yes no T [ ,2•3f�
tacked: yes ��o , i , I i j . , 1 i i IC
permit maybe required by: n W
9J4NJCj' �% See note on back regarding River Basil. _ .
pecial Conditions la1 Lkh o,¢d ft ,., ,( 2,i,d D 14 90.D a F i;71 i C+oA,S 4 C. G•ie/4l.,d s. o

AvicraiA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Purdue,Governor James H. Gregson,Director Dee Freeman,Secretary
AGENT AUTHORIZATION FORM
Date TA-A✓ /// 31)c
Name of Property Owner Applying for Permit:
e /a ye.1y A /6 e t �- /Y1•`/Ic,-��i-cf. ��
Mailing Address:
9-C o s 4)e4--r t S-csc7`
ra t-rp /•`fiN_' • Vac',
I certify that I have authorized (agent) a 'tft to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) /3 µ//(Re a-c'
at(my property located at) 30
This certification is valid thru(date) 9U PR 14/"
r
Property Owner Signature Date

J - lbcfwr./ • • .
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /?/4 r'T L ,1 /i'c%. ,s
(Name of Property Owner)
property located at L3 d a- if Auk(A: d v e '6, fw 7- aft. Ai .C',,
(Lot,Block,Road, etc.)
on Cvr e ,in JLA ¢ a2 Eck Al 'C, ,N.C.
(Waterbody) (Town and/or�County)
4 Applicant's phone#: 7 a K 90/1 Mailing Address: -'G d S 4.J cry re Jfl'ef`
Ka Ni.-,a,d/.ri/v-c 242147
He has described to me,as shown below,the development he is proposing at that location,and,I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
r o,¢e filled in by pro,e, owner proposing development)`''r• -.c.y," rt r .3 i _ .
t ry *} J
.V K 4"s a ry lL
g , \/ .
` YIN A��., _• 1
si .15 [
; t ; " 1 n \, •
ter
•
1 N •9s l;tti 1.-;;;l�.
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)-0 �f
S'tP Aii,),t, I .4/4%41--
f L�� cd
Mailing Address Signature
2,-,- jci. ,j. N C'. 3-re(Pi ' C7EWC C , fJlekin}!,f
City/State/Zip Print or Type Name

•
r - buwee
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to / 4 @t L, .t `tie:-. .. ,s
(Name of Property Owner)
property located at 3 O'1- .P)j r C k . 1, vC -� f' ci- cio4 A
(Lot,Block,Road,etc.)
•
on C -r -k ,in ' i cr-A4 -e;t he b c.r(F it'. C. ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone#:70 Y= 9 3 /9E'Mailing Address: 54 OS. V 4 w,•,N ` `�r
l�2 A',�/oj-r//i°`_'4146 GP(
He has described to me,as shown below,the development he is proposing at that location,and,I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To,be filled in by prose owner proposing development)
i .---•'' :f.,:;..-' . . E..:. -... •f:.•''.. ., . .-• . ,
1. 'P7
1 N^ 18 ,
F P
Cit 0 ' •%.4,
4,42440
r ' := 3 TOTAL Q�r
l; �H 1 Z'w"- _:ti L t'IK$0!% 4
(Information for Property Owner Applying (Riparian ' : , rty Owner Information)
for Permit)
db. (17A".44,k_
Mailing Address Signature
ra.--N V d I;.r,.d, C. ,f)ojy ' $ C tp9-Qb 6 " -e.,v
,.,
City/State/Zip Print or Type Name

nm. WAYNE B SMITH ss-„43i2�1 1107
EDELTROUDT SMITH ppp43/25s
7.
NCDL 3882013 NCDL 3926265 ; , DATE /
PH.910 842 6317
2800 ELEANOR ST. ` . e
SUPPLY,NC 28462 r x 4 $ yeQ, `%-
l
PAY TO " , �^'
I
3 THE ORDER F f DOLLARS 8 ,„„
. fecueet, Yo1cd.Gccouict
il
SAVINGS BANK GP6 15Cc�-..\", 4
Shallotte,NC 28459 ___
MEMO � /1/tCCf'f �+�'�L
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