54409D - Sears

CAMA/ '. 'DREDGE & FILL
ENERAL PERMIT Previous permit#
New ❑Modification - ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources ,t
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 P. 1 c
`��
rJ is,6,Rules attached.
t Name SSA Q 5 L-f�rv►� NKr �-Nc.. Project Location: County P"
s S (c C-IA,.,) 6 A ✓6 Street Address/State Road/Lot#(s)
>k-A Si f- G1'1- y State t'G ZIP r y9 �p D 2.0 L.IA i. 1 i ✓
#(CI It)) 3z. •f?3►I. Fax#( ) Subdivision
ized Agent City.-5 uA a-c- I I ZIP Z5:314
d ❑CW [ W ❑PTA ❑ES ❑PTS Phone# ( ) River Basin( 1 ?t!
❑OEA ❑HHF ❑IH ❑UBA ❑N/As+'Z�-�
• ❑ Pws: ❑FC: Adj.Wtr. Body 1 0.,u_ . �Q
y\1::w Z
yes / no PNA ' yes,Y no Crit.Hab. yes / no Closest Maj.Wtr. Body 7- ►�/
,f Project/Activity , i , v\--t,v;e \i A iv c_tt -. I <- ram k j%J,--.) .3 X
t1
(Scale: l
lock)length
m(s) —
pier(s) f
. .). .., f tjlength 11 — 0
lumber 4 L l '
:ad/Riprap length
mg distance offshore
nax distance offshore - ._ 600 '
Fhanne S )C U 30 X ' ®.NLi /77
e i //1 /
Frt41+,-- . herrii/ucyards 7/ /sfrLt/
amp 1 T + —
>use/Boatlift 7
r-- .
Bulldozing
f
I
inc Length I '.. J T. 1
not sure yes no ?
tgs: not sure yes no +
>rium: n/a yes no I
yes no
Attached: yes no
ling permit may be required by: Sl..A(Zc- /"r j Y L I See note on back regarding River Basin I

AT,rA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor James H.Gregson, Director William G.Ross Jr.,Secretary
Date /L' -/v
Name of Property Owner Applying for Permit:
> .A--✓ j LU,,.Ji rk` „/ ( A o S
1
Mailing Address:
PD 3a
7`.6 ec-A . 2 `t om
I certify that I have authorized (agent) IC\v 'L c A-Fr- to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
1
install or construct(activity) r � C -f C IA eaVv
,, ✓��� , r
at(my property located at) b �> ct. ,,I
� C S J► , Cl‘?
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This certification is valid thru (date)p n I D .

Dec. 15 2009 12:57PM P1 FAX NO. :5408548777
3M :TREXMAN CORP
7. 1:2.>Z....2,a.i..z;:l.;... .4.Z.
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Nato‘b Of Zrldiviclual .2.K.73:olying ecr Pr-zzni.r: 1 ,1ifi, a'4.1'/,,e,e5.; ICC
.,
Addr'eSS Of Vropa=ty: ,...24.h.bdt.. 9e
-Lifil-L4t67474-ALLIL-akX5.-------_--
(Lot or Strt *, !:;:tret ,,r P.o.r..d, Cit,k ,ii Counr.y)
ii
Air /1 Ofeeni-"rog Ch•Pngri6 •:.-.5-1_,4/af, WfifA
',. Liaraby certify t..hut T. own property adjacent to the ten . propercy. The inclivil zppl-dring fol* zhis permit has
, .
described 7:.o me as shown on the attached drawing the developMent
they are proposimg. A description or drawing, with dimeusions,
e.:1f.%1Ad be provided with this 1e1:n!r.
A/ 1 hav no abja=icrs to this lor000sal.
If....grzujya.ts.^r<21,713.z2 ._.
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loan nsinvtroi,_islia ...2.a.4.sa_sar_r_a _sA-::,(•:_..x-"i„,:334...r_lil
2a) ; .r_i_Af-_,=,apapt._t:41 :;:h:Lq Tiatic.p_litz_zes,-L63.
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At =m,„,,.._,--7r:777. -mv._., ..z.•_-.,-.7".=7.:,==Astial--__ . ._----- .... .---
' 52-23aULEE=1Cm
I understand tlzat z piur, dock, moorim; pi/1ngs, breakeateLr, boat
louse c=r1Dat 21±t must he :let beloh a alittmum eistimmu ot 4.5" ' :•.-cm
:my area cd :zips:tan amtess - UM:leSs cstaitmd ;1>y Me. Cl4f you ui.s.b
VRivia zba setba.7.4, yon mum ±m4tiz1 the app=cp=iate blank: '.below.)
_ _ -_ 'I do wish to wa..i.v.E, 'che 1S 'sembeiCk rei.11.rement.
- wi to th
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,vromit_tstACH,NC 28445
PAY DATE / 2-
1 TO THE
1i ORDER OF --�
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I -^� BRANCH BANKING AND TRUST COMPANY 4'��►�7y��-`// (/ [%') C
1-800-BANK BBT BBT.com • `,�'v�
FOR (� /�
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1 0000014380 1:0 5 3 10 1 1 2 D: . 4
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signa ure
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse X ❑Agent
so that we can return the card to you. Ail ❑Addressee
B.
II Attach this card to the back of the mailpiece, Received b (Printed Name) C. Date.f Delivery
by
or on the front if space permits. 1 0
1. Article Addressed to: D. Is delivery address different from item ? • Yes
If YES,enter delivery CI below: No
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Pe.. ‘,1• i C ‘t- I �+ �� /0 3. Service Type
Certified Mail ❑ r Z 3 �1's Exp ess Mail
CI R@gistered ❑ Return Receipt for Merchandise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2.
7009 008[] 0001
'S Form 3811, February --- 72p2 1366
--- _ 102595-02-M-1540