54006D - Padgett

I CAMA/ ' DREDGE & FILL
3ENERAL PERMIT Previous permit#
jew L iModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
irized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 741- . i I 0 h CG'
,,�� �-7 ules attached.
At Name NV 0 O``_) t. i�9 Project Location: County )( .;
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:ed Agent City \✓A-�Tt 0 ZIP Z -1
❑CW ❑-EW L�PTA RES ❑PTS Phone# ( ) River Basin ( M
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yes PNA es / no Crit.Hab. yes / no Closest Maj.Wtr. Body A-\\MAI
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ig permit may be required by: Peg-- See note on back regarding River Basin ri.
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//KA eh"- 4 /✓GO / /A
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /9"4/0/A 49;:(q 's
(Name of Property OGvner)
property located at 20 /1i94" Qom.
(Lot,Block, Road, etc.)
on , in / ;2✓d<.)�,e- ,N.C.
(Waterbody)y (Town and/or County)
Applicant's phone# /0-27D- *77 Mailing Address: // /Yl/9//,9 e
/ 9.i.a7r9J ,
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 property owner proposing development) n ,\-r
pe2G1L
Ce
- .2k
0
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
//S- 1//9/L f,vo ,e)€• W Y�
Mailing Address Signature

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to l?? ,'0/Q /4 e- 's
(Name of Property Oer)
property located at so ,4 4//i9.0 O
(Lot,Block,Road,��etc.)
l
on , in ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone 70-1-707y Mailing Address: /.s- /YIfJ��i9.tlJ ,O/�
f//94JD 5r77, /YG
O
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 property owner proposing development)
r-49
• Qt"
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
/do- /.l /' 9A_ .CAP.
Mailing Address Signature
AI A / i - /•

ARNOLD L. PADGETT PH.910-270-4079 6791
PAMALA A. PADGETT
115 MALLARD DR. 66-112/531
HAMPSTEAD,NC 28443 O7 0/O
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BM BRANCH BANKING AND TRUST COMPANY IIIII VGGLG
1-800-BANK BBT BBT.com CL ASSI
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