52485D - See

AMA / DREDGE & FILL N°
N E RAL PERMIT Previous permit#
IllNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC /// 1' e2'
C}RQfes attached.
nt Name . 4�0c� ..... c. c-- Project Location: County ,- --2,9",Si v/c L
s ' 3/ 2 e—f7;'Ai A`✓is.✓ 32' Street Address/State Road/Lot#(s) Sf /()/r,
i%/v"I/ State I"/' ZIP 2-320 5
#( -'"4 ? 7 S 22 Fax#( ) Subdivision
ized Agent C as a/'',r !/'' 119,4/iiy.614%i ri,sd P A Ad'.1) City (7C 't',., f L P qg4'-, ZIP -<T /
d E CW ❑EW -illPTA 9 ES E PTS Phone# ( ) River Basin 4,/0)
is ❑OEA ❑HHF ElIH E UBA ❑N/A Adj.Wtr. Body (4e1r0.4 s'` �/1-srh/ (nat
❑ PWS: ❑FC:
yes / no PNA yes /413 Crit.Hab. yes / no
Closest Maj.Wtr. Body //�f/Al
of Project/Activity ,c. Q'L Ac. e L ,e '57t/,.., iit, v/2If (l P‘2S /dea'ys P` /N/ 'l'✓
L'r✓ 4c (Scale:
Jock)length c' D C/
I
•pier(s) 1
length I / {
lumber B�' /` i � r
/
aad/Riprap length j
ivg distance offshore ! r — 11111"11111 Nam.
nax distance offshore
channel Xi p,--/ e eA }
t (2.9i .
:ubic yards
amp � I
ruse/Boatlift `_—I t , ' `NM +
Bulldozing !
at ,9,.,
ine Length __ _ I de. 't .d
_
not sure yes no , I I s F
lgs: not sure yes no e Li- y i n y,)d (/
Drium: n/a yes no /; , r
yes no t
r Attached: yes no . ./. , �
ling permit may be required by: CC 40/2✓ _I f LP Ep/59<-4 I !See note on back regarding River Basin
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6-2009 10:16R FROM: TO:19105793683 P.2
Sall
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
t,'Rchaei I Easly.Governor James N.Gregson,Director Wrlam G Ross Jr Secretary
Authorized Agent Consent Agreement
dopig_ l o Is hereby authorized to act on my behalf
(A'wile(//0)A--#0 .1/‘P
ernu ofAgentl
In order to obtain any CAMA permit(s) required for the property fisted below The authorization is limited to the
specific activities described in the attached sketch
LOCATION OF PROJECT:
40 L
"er44.. Z.64.1 EA. C6 . a 9-45(G 9
PROPERTY OWNER MAILING ADDRESS:
p4/bert Se e
v /on 5#g 6
/ 1/mD ) fix d,3a.9 �O
5- PHONE NO y 7 -Q71o7-i 7
AUTHORIZED A ENT MAILING i'0ki2 D -bby oyd5 ' r V Y ' 6/ 62 -0e
2aglikr 4 (1i0)09--#0 r—al/llie74)
3,0X3L4—IC Ca .2.2i4Get) PHONE NO q - 529- 35'35
Signature of Property Owner. x
allt -ALC___
Signature of Authorized Agent .7. "- /
Z4
Date ye l /© ,P
t27 Cardinal Drive Exl,Wilmington,North Carolina 28405-3845
n........ nln'JAC 7 .0 1 BAV. rt.rt 9CI 'MCA I t.J........ ...............w onal..........,,n........1...J

. • DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: �AL, ty '.-70�"
Address of Property: j6 Jet_ +r laxeaC
(Lot or Street#, Street or Road)
,A2...e.ce...44_.44/4.- acia-c.1_ gt-44---51.4.)z.."--A C.-D
. (City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indi'
applying for this permit has des.cribed to me as shown on the attached drawing the developmer
are proposing. A description or drawing, with dimensions, should be provided with this let
I have no objections to this proposal.
/
If you have objections to what is being proposed, please write the Division of C
Management, 127 'Cardinal Drive Extension, Wilmington, NC 28405 or call 910-79(
within 10 days'of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
bck a minimum distance of 15' from my area of riparian access - unless waived by me.
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement. •
I do not wish to waive the 15' setback requirement.
4_1 l 7c S 2 C -6 9
ign Name Date

COOKE REALTY, INC. FIRST BANK
GENERAL FUND ACCOUNT OCEAN ISLE BEACH,NORTH CAROLINA 28469
1 CAUSEWAY DR 66-456-531
OCEAN ISLE BEACH,NC 28469-7505
PAY TO THE ^ X:I7) /,; ,�' $
ORDER OF /1/ L C /1/
41/Y(-. 4f-/
D ER 90 DAYS
MEMO/ M .SS /l�CJ��►+�►�� _ /��r
(c p 5 ,4g5) II°000 3 2Li 71,110 1:0 5 3 L04 568': 079 L000 209n'

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON_DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. 0 Agent
•.Print your name and address on the reverse X I� /G.R.: / ' • Addressee
=•so that we can return the card to you. rF-_-ceived .1 by(� C. Date of Delivery
■ Attach this card to the back of the mailpiece, /
or on the front if space permits. r L /
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to:
If YES,enter delivery address below: 0 No
Z-0 reCbt -di
I azz 6 kc1c X- CC
3. Service Type
❑Certified Mail ID Express Mail
❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7002 0860 0005 3218 0752
(Transfer from service label)
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE;HIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sig /
item 4 if Restricted Delivery is desired. .ent
II Print your name and address on the reverse X d( ■ ssee
so that we can return the card to you. B. Redir• by(Printe.Nam:•,l ate o • -ry
• Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address differen frip item 1 ia❑Yes
1. Article Addressed to: If YES,enter delivery address•-low: J N• 0
Cecctç rnn
12_6 ( .0\cecc:csecj\--LkYi
3. Service Type
O, l ..\ A „ C ❑Certified Mail ❑Expresse Mail
aCi§C( ) }`-11 J�(�/�It ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7002 0860 0005 3218 0738