52547D - Wayne

;,AMA/ ' 1 DREDGE & FILL 52
1ENERAL PERMIT 'Y Previous permit#
Jew -Modification 'Complete Reissue ❑Partial Reissue Date previous permit issued
:ed by the State of North Carolina,Department of Environment and Natural Resources
lastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7h'- 12 a c/
p•Rotes attached.
Name g/L Z,/6'/�C Project Location: County 1562:a/vs ",cX
'2 9a 5 1.-/ ,co cl. Street Address/State Road/Lot#(s)2 6 1:74 f/J1
fi0- G6Lp✓e- State/YC ZIP ""2J'
?t y)937-2637 Fax#( ) Subdivision
d Agent (A9,/Pf /72/ t c �,Z City Ps 1Sjf e.fi/}c 4 ZIP 2 8 Y
❑CW ❑EW ErPTA -7ES ❑PTS Phone# ( ) River Basin L.E4A, 6 f
❑OEA ❑HHF ❑IH E UBA ❑N/A
Adj.Wtr. Body C�.✓A i .1 /7)//4, (nat m
❑PWS: ❑FC:
as /vim PNA yew Crit.Hab. yes / no Closest Maj.Wtr. Body �"��✓
'roject/Activity go LLcA1 t ct C'o.✓vo2,4 EX'37`4..f frCli."71• S olr I. 9 /reef C/4'v,a�
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listance offshore ---
distance offshore
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tached9( no l (�_ i — , i l
permit may be required by: JC OW",t ie 80A4? I See note on back regarding River Basin rulE
pecial Conditions A/L. ep,„d, I/G,,,r 0't ,'/-, /2co /►S 4/i// /9I A//0,4op,t ,s7 7/,

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Proposed lif t
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8'
Edge of concrete
- 20'
t
IN
26 Fencer St ,

09 10:14a EWI Construction 704-932-8129 P,1
AtirrA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
.4ichael F. Easley,Governor Charles S.Jones, Director 'William G. Ross Jr..Secreit
Authorized Agent Consent Agreement
n4 r-L P.rS l'Aace&U is hereby authorized to act on my behalf
(Printed Name of Agent)
in order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to the
specific activities described in the attached sketch.
LOCATION OF PROJECT:
CP CZ
PROPERTY OWNER MAILING ADDRESS:
(2qa 720
/ v C , .v PHONE NO. ( 0ce q38 �USl
AUTHORIZED AGENT MAILING ADDRESS:
i"
•
PHONE NO. y/.D o'/ -(96c.5c
Signature of Property Owner r).);___
f �z
Signature of Authorized Agent
Date:

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/21/2009 15:29 8432159440 TREBOR PAGE 01/01
• 910-842-4049 P•2
16 09 08,38a Charles Maree —__ _....._
jp.c�g P.�
Jur,.24. a:41w1 eiRWIRO
kv� C
AD - \
N .A.pplying For Pettoit
Ada of PropertF or Sheet#,Street mitnad)
(City and County) . .. --
ba the a prop v individual -
herebyI
certify that I own pcapatY'�}� Date drawing-the�'��
for; perhae dim as shown should be pcnvi d�with
�.^:.._" Ate.. �,•:i..r or drawing,Vl '
this letter.
yf pera have objtc1iaea to wbat is Wing p•reposed, pleaseWilmington,eusioze NC 28405 �y 0-395-3900
Cardinal Driveo No is ao the same scx no objection if
�wYth3n 1D days of Tit oWf ds��� .
you have t n a
by Certified MIL
WAIVER SECTION
l ,boathoa�or boat aft mast be set -
I cnderrstand t a pier,dock,m r arta of riparian access-unless w t by me. (It you
bc'kaimam di�cx of IS'¢oran�4 ,_.
wish to wales setback,you must batia1 the appropriate btsnkbelow
I do wish to waive the 15'althea
1 h to wsivafe 15'setbatec ontitetoeut.
Date
igsNa� � - . xt,,,,s, :. ;
Ha
Past Name .
_.6.:".-±1---"S . Kc2t----......---. well:141w
aaeAiumber*lib. Code ..

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405 STONE CHIMNEY RD SW BS.910-619-0655 66-112/531
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