54040D - Provision

,CAMA/ ifbREDGE & FILL . f
3ENERAL PERMIT Previous permit#
*.lew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources //��
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC I/4' /SO&
[ Rules attached.
t Name Pe U 1,1 i5 16 r/ CorytoAy Project Location: County ew 4,4s(4/ie.-A'
y k/ k/t,s 10,./ L,✓. Street Address/State Road/Lot#(s) /,?Y ? C'L.D,'
State/eve ZIP 2iybZ 1-4,-,,,-5 mac' I.
(1/O)2.7 GijO Fax# ( ) Subdivision
:ed Agent teh44 1 P_f /�??,9,, e e l City 5•ete(2, ZIP 2 77
❑CW hEW RPTA CUES ❑PTS Phone# ( ) River Basin L ci raj
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body /4/ Iv N/ na'/r
❑ PWS: ❑FC:
yes 9 PNA yes /" no . Crit.Hab. yes / no
Closest Maj.Wtr. Body /7/ G✓s.
r Project/Activity "//ir 74t,1 A,{.ct x cA U,41,c•✓
(Scale:/ 4::
ck)length
ier(s)
*I.s"."'-‘...• 8;1 i Ai 1"1 --r----- - _
ngth ! I
mber t 1
d/Riprap length
distance offshore I
ix distance offshore 1
canneli2ag.20X,.) /
/5 ,x /7'x-f' -
)ic yards 5-2 y
lid
se/Boatlift 1 �%�`�"y ,� ,
i `- r
ulldozin � I ����i'�
g I i/I 0 ///. e 4 `f
b
i .. ! Axe ' 40
Length t 1 �, • ,-
I - -
not sure yes CP
'‘ -. - _ _ I
r: not sure yes I
- { 1
cum: n/a yes --
yes 60 all t. I 1....„.
1tached: yeseel1 I ' L J 3 F1%04 L A r '"'5 4d-
1g permit may be required by: be u.. S e,.„, k c40 .... I See note on back regarding River Basin ru
- . . - el-.. - .0.,w 73/ r . - - -.r- .1 .�1 4". . . ,

Provision Co 9108427547 p. 1
20 09 08:43p Charles Margie 910-842-4049 p.1
4C7A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
tJichae!= Easley,Governor
Charles S.Jones,Director Wiliam G. Ross Jr..Secretary
Authorized Agent Consent Agreement
'_-\e_s Mc„rw is hereby authorized to act on ray behalf
(Printed Name of Agent)
in order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to the
specific activities described in the attached sketch.
LOCATION OF PROJECT:
130 3 Ceoic,,- _Lcp,JJ?- 16\).
A/(J )-7vti,6a
PROPERTY OWNER MAILING ADDRESS:
Mb) ijfel )n,
PHONE NO. (7•/V t 7'6I JD
AUTHORIZED AGENT MAILING ADDRESS:
'-f-os 51-Coke,C kA- spa
PHONE NO. 10 C1` 0p5s
io
Zo�
Signature of Property Owner Lirc�ll��r t[ .
Signature of Authorized Agent: r
Date:
nv„o Fa Wilminolon. North Carolina 28405-3845

•
UNITED STATES
POSTAL SERVICE„
Date: 06/01/2009
Charles Maree II:
The following is in response to your 06/01/2009 request for delivery information on your
Express Mail(R) item number EB35 8222 755U S. The delivery record shows that this item
was delivered on 05/22/2009 at 11:19 AM in CHARLOTTE, NC 28217 to W REEDER. The
scanned image of the recipient information is provided below.
Delivery section
Signature of Recipient: " .2L
Ink cta_ Ree6tex-
---
Address of Recipient: ILO-
35 /g .c.4_
Thank you for selecting the Postal Service for your mailing needs. If you require additional
assistance, please contact your local Post Office or postal representative.
Sincerely,
United States Postal Service

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Label/Receipt Number: EB35 8222 755U S
Class: Express Mail® Track&Confirm
Status: Delivered Enter Label/Receipt Number.
Your item was delivered at 11:19 AM on May 22, 2009 in CHARLOTTE,
NC 28217 to EXPRESS MAIL . The item was signed for by W REEDER.
Detailed Results:
• Delivered, May 22, 2009. 11:19 am, CHARLOTTE, NC 28217
• Arrival at Unit, May 22, 2009,9:06 am, CHARLOTTE, NC 28217
• Processed through Sort Facility, May 21, 2009, 11:56 pm, CHARLOTTE, NC 28228
• Processed through Sort Facility, May 21, 2009, 5:04 pm, FAYETTEVILLE, NC 28302
• Acceptance, May 21, 2009, 9:02 am, SUPPLY, NC 28462
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20-2009 13:23 From:. To:910 842 4049 P.1/2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to era LI I .s i n t4 çz).of Propertyncr
(Name )
( '
property located at 13 4 �3 �� I _ J11 t, ....
(Lot,Block,Road,etcj)
on1- Ali W ,in Su l 31 C Z ,N,C.
(Waterbody) (Ton an (/ �/or County)
Applicant's phone#: IL) 217 00 Mailing Address: CO kt,5eLn.
d eli zrf62_
He has described to me,as shown below,the development he is proposing at that location,and,I
have no objections to his proposal.
�\ �\�\\\H•N\\\H\\\•N\\\M\\\\�\\\\H\\H\Nw����w���w_���M���r��w��\\M\�\\\\\\\\M\\\NH\\�\\�h\N�
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled In by property owner proposing development)
t
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Q1 1<li5AV.rt. LA . jr(Mailing Address )ae( e- /)
Signature
C zN� //6)/4/.VE_SP7f7�
C ty//Stt /Zip Print or Type Name

PlL T W
1 \A/
O C
--Existing Pier 1239 x 6'w
O
O O
i back side of floating dock 1281 x 20's x 6'd
568 yards
Provision Company
1343 Cedar Landing Rd

WATERWAY CREATIONS LLC 1280 ea'
405 STONE CHIMNEY RD SW BS.910-619-0655
SUPPLY,NC 28462-2662 6s 112/531
Date
Tto—ili[e)
order of
$
Dollars
Bar
BRANCH BANKING AND TRUST COMPANY
P 6 BBT.o C
For
1.0 5 3 L O L L 2 L I:0 0 0 5 294 29 3 7 5 411'O L 280
COLONIAL CLASSIC