54055D - Wolfe

7 CAMA / ;�DREDGE & FILL
3ENERAL PERMIT Previous permit#
Jew L iModification uComplete Reissue iPartia(Reissue Date previous permit issued
,rized 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 ) rl -` `fl
/ Rules attached.
V
it Name e C N of A- C Project Location: County 0NL L ,-.A.,)
c:\ c'13 Q1- 1 - Street Address/State Road/Lot#(s)
puiZF G Ty Statet-)L- ZIP 2 4LF3 S-r
(el 14)32.% O3cj``i Fax#( ) Subdivision
zed Agent City ZIP
d LiCW ❑EW "PTAS ❑PTS Phone# ( ) River Basin
❑OEA 7 HHF /❑IH ! ❑UBA ❑N/A /Ly,Niac-
Adj.Wtr. Body v.riNe v f•l b (nat
PWS: ❑FC: _
yes /� PNA yes /Wag, Crit.Hab. yes / no Closest Maj.Wtr. Body 1,�f�/ h/
of Project/Activity __q,. A-. L L.. jJ J\ k3 I-r./ y r i ' 1 L-Nc., t ,at)
1-C- it 1la%;\a-- ( C -(S-1 N L (Scale: ( -
dock)length
rm(s) — --
r pier(s)
length
number
�,L--�_
ea /Riprap length �Q —F N ► —
avg distance offshore '1"' z l
max distance offshore r - G
channel -
ti4 .X
:ubic yards
amp \ j
ouse/Boatlift \
\ ' ' h '
Bulldozing \ ! \ . :
\ '\
,1 /740 \,-• , N. ,.• %.
ine Length cis'
i
not sure yes no J�
tgs: not sure yes �o-� }�17 iL — .9
..—
xium: n/a yes 6167
yes
-Attached: yes eio• 1
ling permit may be required byyL\CZ—\- ( ) ") . I See note on back regarding River Basin
/Cnnrial Ir nnditinnt

)-2009 08:56 From:
To:9103831476 P.5/6
Ind grad : •cc.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
�uE
I hereby certify that I own property adjacent to E [° p na Ife 5
(Name of Property Owner)
property located at 9093 W. qt tveet
�X (Lot,Block,Road,etc.)
on
1 t /CI '-, e0PR ,in 511Yf Lit 61,Ol o ,N.C.
(Waterbody) (} ' (Tow and/or County) `
Applicant's phone/#: l
p RIV�� 5J as— )n�14 Mailing Address: clos'n w i
6 C l t , '. a 8 LH
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)
(information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
O?31/ 431 Signature
Mailing Address
U r( d:4 iV6' 02 e</4/ C `� E✓ _ rn . , 4
City/State/Zip Print or Type Name

-2009 08:56 From: To:9103831476 P.6/6
-1e14.Aahead, ` Cl °}S r
Q,erJr ed
CERTIFIED MAIL—RF flS 2N RCEIPT RE VESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
L" u L . o � '9
I hereby certify that I own property adjacent to . � rinc�(Name of Property Owner)
located at CIO 3 StVEe c,
property (Lot,IIt ek,Roadret ) a N 5 l 4r N.C.
r� tg in 1l�t/ Li...
I �""" (Town a d/o rCountj) ! ��
(Wateybody) 30� a '•_ A�dr •s;Q� 3 `�'
Applicant's phone it: 910 a Mil • OIN .�.
He/She has described to me as shown below the development he/she is proposing :t that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING O PROPOSED DEVELOPMENT:r attach a awing)
(Individual proposing development must fill indescription
If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)in writit
p
within 10 days of receipt of this notice. Correspondence 6 should be mailed to 1.21 Cardinal Drive Ext.Wilmington,NC
DCM representatives can also be contacted at(910) 9 s
es no e's co s dered t e e ns io ob e t n If of n e bee oti e b c lfied nil
(Riparian Property Owner Information)
(grope OwnerYnfornlntian) ;
Signature
Signature
4-e Print or ypcNamo
Print or Type Name
Mailing Address
Moiling Address // c f `
G[( ' L-'-- — City%State/Zip

A
g7A.
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.,
Authorized Agent Consent Agreement
is hereby authorized to act on my b
(Printed Name of Agent)
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limitec
Decific activities described in the attached sketch.
OCATION OF PROJECT:
q 3 14)ex/ 9 74
r-.-CY ,
'ROPERTY OWNER MAILING ADDRESS: •
Y 3
PHONE NO. 9/9— ITola v2-
AUTHORIZED AGENT MAILING ADDRESS:
PHONE NO.
Signature of Property Owner: �'►� .v
9 p

BRANDON D GRIMES
90459thSt
Surf City,NC 28445 1032
/� _ 66-21/530
7 "/�3—.6 y BRANCH 77667
Pa to the `J 7 Date
order of /1)j
T�T A c Dollars
�' ACi�1v OVIA. lJ ea�wn.e�
Wachovia Bank,N.A.
wachovia.corn
1:0 5 3000 2 191: 10 /0105497028u iO3 2
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