53966D - Parks

CAMA / DREDGE & FILL : +
GENERAL PERMIT Previous permit#
—New 'Modification L 'Complete Reissue ❑Partial Reissue Date previous permit issued
Drized 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 N' I ,
7Rules attached.
nt Name - n ?iXtg.-\l--' Project Location: County ?-i\D C''(1—
— i 2 3 SSE- Q'-a-` Z. Street Address/State Road/Lot#(s)
,r�L. i:.L (,- i-i State t`' (--- ZIP Z�i.; '3 W L".S i I;'¶ '�-->:
V.( ) Fax#( ) Subdivision S t-NiN. 1 r2- D&r
zed Agent \,- IA--c-C ,.' City .A 1Z(--- £LT\-/ ZIP�Z3(-1'
i ❑Cw ❑EW ❑PTA ES ❑PTS Phone# ( ) River BasiL- \?t
❑OEA ill HHF IH UBA ❑N/A Adj.Wtr. Bod) ? / S�h�� (nat`I
ElPWS: FC: 125r T L / 1
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body ) c' "`^ ^'�-
if Project/Activity • _ ?1_..i-,T {-.a t'`---- 'h. N 1- Z
(Scale: 1 ; 3
Dck)length
1
— — 1.
n(s)
•
pier(s) - i i —
— — — —
ength — f • ----- �..—
amber
t
ad/Riprap length
,g distance offshore 1 1 i
ax distance offshore
:hannel — �/ —1/4"r — ik
,bic yards I )
_ I- --
use/Boatlift ` —
3ulldozing '
yy
_, . d
6><36
ie Length ��
not sure yes _ , i 1 � _ �0,
;s: not sure yes �� \,/ �/ 0-ti \' V f
Gt' _ _ ,L - � j
rium: n/a yes P \ t
yes _ �, \ \► '
Attached: yes
ing permit may be required by: Cj N 9.—c G 1 1`/ I See note on back regarding River Basin r

AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue,Governor James H.Gregaon,Director Dee Freeman,Secretary
Date Qio
Name of Property Owner Applying for Permit:
)4.qater Par
Mailing Address:
2.-pir4aCierTAA 1211
NC 27IO3
I certify that I have authorized(agent) 14 rt3 I [' to Acton my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) aerrA.. - &nit 141
at(my property located at) 1 1 W.Q,1� 1'C Z1L .e} G J P1
This certification is valid thru(date) 1 2/31/W
9/tihey
Property Owner Signature Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT_RWARIAN PROPERTY OWNER NO I-IFICATION/WAIVER FORM
of Individual!Applying For Permit i l i.` t f cc K4. ' L ,L x ` i2
•
is o:fProperty: ( ( d h± R -
(Lot or Street#, Street or Road)
(City and County)
iy certify that I own property adjacent to the above-referenced property. The individual
sg for this permit has described to me as shown on the attached drawing the development they
posing. A description or drawing,with dimensions, should be provided with this letter.
I have no objections to this proposal_
have objections to what is being proposed, please write the Division of Coastal
;orient, 127 Cardinal Drive Extension, Wilmington, NC.28405 or call 910-395-3900
10 days of receipt of this notice. No response is considered the same as no objection if
:ve aeen notified by Certified Mail.
WAIVER SECTION
rsta.nd that a pier, dock, mooring pilings,breakwater, boat house or boat lift must be
:a minimum distance of 15'from myarea of riparian access-unless waived by me. (If
sh to waive the setback,you must initial the appropriate blank below.)
_
I do wish to waive the 15'setback requirement
/61C I do not wish to waive the 1T setback requirement
.========_
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HUH H!I UDJUUU i w
ALLIED MARINE CONTRACTORS, LLC 08-03
910-367-2159
92 HAROLD CT.
HAMPSTEAD, NC 28443
PAY TO THE it 1 CJ)
ORDER OF \\%%
[-IA/ k,,indli-e fle/e, \
MEMO
ACV Ll't'tZ4z- AUTHORIZED SIGNA
o f:03757o I:0 5 3000 1,96i: 000684 74 3 7 li'
.,f,r

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse CI Agent
so that we can return the card to you. CI Addressee
• Attach this card to the back of the mailpiece, n'eceived b (Printed DName)V C. Date of Delivery
or on the front if space permits. , 6i- �C i rS
1. Article Addressed to: D. Is delivery address diffe-nt from item 1? CIYes
If YES,enter delivery address below: 0 No
/114/1- y 6 r,-ir,
Po 60
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3. Service Type
C�(c 5 v ro ( kIL 51 Certified Mail 0 Express Mail
0 Registered ❑Return Receipt for Merchandise
Q2 7 3 3 ❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee)
2. 0 Yes
PLACE STICKER AT TOP OF ENVELOPE TO THE RIGHT 6 2593
— _____=F THE RETURN ADDRESS,FOLD AT DOTTED LINE
PS CERTIFIED MAIL---------
rm 102595-02-M-1540
_______ '71d I OJIJI1 : _t ________-
SENDER: COMPLETE THIS SECT/ 3NIl a31Loa 1V OIOd'SS3H00v Nn13H 3Hl d0
1HOib 3Hl Ol 3d0l3AN3 dO dOl1V 8]NOIiS 33V1d
• Complete items 1,2,and 3.Also complete A. Sign-ire
item 4 if Restricted Delivery is desired. I . * ElAgent
• Print your name and address on the reverse
so that we can return the card to you. ❑Addressee
• Attach this card to the back of the mailpiece, B. 'ec•ived by(Prnted Name) C. Dale of elivery
or on the front if space permits. 9'70 O�
1. Article Addressed to: D. delivery address different from item 1? CIes
{ If YES,enter delivery address below: 0 No
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3. Service Type
L . r ',( ®Certified Mail ❑ Express Mail
,,5 /1t<� �/( NC a2 y Li s 0 Registered 0 Return Receipt for Merchandise
/ ❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. A(Trans Number 7008 1140 0000 4156 2586
(Transfer from service labe),
. DC C...... D011 r_, ___-