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:AMA / D DREDGE & FILL
ENERAL PERMIT Previous permit#
ew Modification :Complete Reissue !Partial Reissue Date previous permit issued
:d by the State of North Carolina,Department of Environment and Natural Resources '` 4;
istal Resources Commission in an area of environmental concern pursuant to 15A NCAC �{ Rules attached.
Jame I
iktit 411•4 \CAOtaai► .- Project Location: County 4 Y�9I, i?1!{l�
Street Address/State Road/ Lot#(s)
`Yti;wi--►'-- State NC__ZIPAL1b.9k illIVOVAil IA"I,t t
110 ) ? -;-‘%° Fax#( ) Subdivision 10 11{ 4tivA16
I Agent MG(fit Pb 11.1 l 114L1YS 4k1 ' Imo . City Mlo ZIP /V
EI CW EW ,F .PTA ❑ES ❑PTS - Phone# (910 ) 4 )-159 River Basin efkil 1P!
❑OEA ❑HHF E IH ❑UBA E N/A Adj.Wtr. Body fYt IN.
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distance offshore V T __,
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ng permit may be required by: Q- - 'I KGYC • ' nld [,S�e@e notte on back regarding River Basin ktAltet vikx n
Special Conditions �t QV 1 � • t '/ L

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DIVISION OF COASTAL MANAGEMENT
DJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
€Individual Applying For Permit . %=f
/c 2/1-ezd 4 ,-.4(9 Lir Aoc._
;ofPmPe, YiP ti A 3 a(i'-K sh) I Dr-
(Lot or Street#,Street of Road)
(CityIdt Imin -4 1Uw). iz,,lamove/r
• -
and County)
y certify that I own property adjacentto the above-referenced property. The individual
g for this permit has described to me as shown on.the attached drawing the development they
posing. A dtscription or drawing,with dimensions,should be provided with*this letter.
P( I have no objections to this proposal_
have objections to what is being proposed, please write the Division of Coastal
gement, 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
ive been notified by Certified Mail.
WAIVER SECTION
"'stand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be
c a minimum distance of 15'from myarea of riparian access-unless waived by me. (If
ish 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
fia.4 lZ g// C/%
lame Date
A V/A
�,�Knii 71 V/5

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IA11103IMAIV! /N.OLL DIAI I OAI2IHNPAO AD1 IdO'Id NVRIVdPI INEDVia
J IROVNVNi IVISVOD 30 NOISIAIO

5 09 10:49p Steven G Harvey 9107997079 46.*:"A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Fever Pere,Governor
James H.Gregson,Director Dee Freemen,Secretary
Date -71 C'/oci
Name of Property Owner Applying for Permit:
—The-1LEI4A26002. A 7L(A-7tON.),
Mailing Address:
5 D5 trikAtZ,Sti 6
I certify that I have authorized(agent)AL►-IE;D -R�E \Dr�i12RC ,�LL-C- to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) kJ eld i5OLV-0-t
at(my property located at) `l t1(2-i LE MALL A 2t p.1 A
This certification is valid thra (date) I Z/3
` ,0A ' o, iaec-1012-5
1 3/(o/°G►
Property Owner Signature Date

IIG,Ilra
ACH R/T 053000196
ALLIED MARINE CONTRACTORS, LLC 08-03
910-367-2159
92 HAROLD CT.
HAMPSTEAD, NC 28443
ORDER OF E 4�( l>F
MEMO wj
GP 5a5 (►,� )
0 0 0 3 S 4 ?II' 1:0 53000 L 9 61: 000684 2 1, 3 '� AUTHORIZED SIGNATURE
7 E7 III
a i,S+di" �`", ',��:,-^� ,',`'F,�8 �"�`b.�*✓,:.`� ','� ti,*"' x�q`i-rpt+.L� N''" ,r ,Rb av •',:;:.p A,Y.�."Y .r...,

,t
3 111 0311.00 iv 010A'SS31:100V Ne013e 3H1 dO
1.14 iH 3H101 3d013AN3 dO da11Y 113S011S 30V1d
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete -':•ature I•
item 4 if Restficted Delivery is desired. X CI Agent
• Print your name and address on the reverse -. 1'1Aadressee
so that we can return the card to you. B. Receiv* .y(print Name) C. Date of Delivery
IN Attach this card to the back of the mailpiece, c
or on the front if space permits. `, �,/�L� /) 3 i k
1. Article Addressed to:
D. Is delivery address different from item 1? ❑ Yes
��//// T If YES,enter delivery address below: El No
Jhufv'1 L /Kvi
-1 3 #4 010,4 1 �f 3. Sepioice Type
Certified Mail ❑ Express Mail
WICIAVIeb+-1
L Z�31.1 CC" ❑ Registered ❑ Return Receipt for Merchandise
/� ❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7008 1140 0000 4303 2506
(Transfer from service labe,,
PS Form 3,811, February 2004 Domestic Return Receipt 102595-02-M-1540
Allied Marine Contractors, L.L.C.
Serving Southeastern NC since 1996
Hal Fogleman
92 Harold Ct
Hampstead, NC 28443
cell [phone]
fax [phone]
AlreaMar],Contractors L.L.C. [e-mail]
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Si- .tore
item 4 if Restricted Delivery is desired. �A gent
X I(
• Print your name and address on the reverse ' ' ❑Addressee
so that we can return the card to you. gt- -wed by(Printed Name) C. •.te o Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits. ' C l
1. Article Addressed to: D. Is delivery address diff-rent from item 1? • Yes
If YES,enter delivery address below: ❑ No
I� I/ //. /) _