54413D - Yow

CAMA / DREDGE & FILL t,
EN ERAL PERMIT Previous permit#
■ Jew - 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 4 ' f 2cLD
Mules attached.
nt Name 1<'e1151 e yov.,/ Project Location: County JC41 s 2(c i`'j y J'1 fe1(SUN QV 1� Street Address/State Road/Lot#(s)
' tf) State NC- ZIP Z7 530 Le 00( V\I . (;' .t-1 02•
#(1(t) 77( -Z iti Fax#( ) Subdivision
ized Agent TD(vl".`/ Co2.2..4—'IOW\, bsi-t C.c. City 0 J 1`, i ✓0 ZIP 2
d ❑Cw CEW } PTA 'ffit El ( ) River Basin
S PTS Phone# WI
❑OEA ❑HHF ❑IH ❑UBA ❑N/A / �A ,
): ❑PWS: ❑FC: Adj.Wtr. Body Gihl KV r (r t,
yes / IS PNA yes /6) Crit.Hab. yes / no Closest Maj.Wtr. Body I vtiJ Jam/
of Project/Activity I'ZCC-ONfiGtJrc el_ [.�C 1ST1N6, a c 66 (lvC M IL.,,/Ty-- 1F?OVIo Af n
VC'C k l- 194 0XtV 2Lerr/bit/Ili (0N-sfe a C ; "F
}}.� Q, �t�?�Kale:
dock)le(ngth.yl 9j1,5a xb s (Tr0inrl 1" r 3) Fi?Lite,eilc�
rm(s) IU/X10 (10x 10 T
i I
r is `
I
length
number ' Jy - f
ead/Riprap length PKle � I —
avg distance offshore i`i.-Cfrflf4Ii a
nax distance offshore DOf:.1 - t A
ei
channel A. i I 3 A,_ t , I fi__.tty. , _ _ _
(. 4 ( c..6 Par,}
:ubic yards
amp — — '
ouse/Boatlift I 1 wV At*AM Pi -hh4 , 014
r
Bulldozing 1 i
j
line Length f� f V
not sure yes 611j 4/
I i .
�,
i
yQ
ags: not sure yes G r"b
L�✓q ..-.__.._.... _.._r—
orium: n/a yes
t4 i
s: yes 6) , j
r Attached: no
ding permit may be required by: ahe I H See note on back regarding River Basin
i,
:/-Snar'ial rewarlitinne 14i I C'C .)0 111 CA.1c rr `l l4_ 12r i Cl/1i-4 f-r•str CI ir:" LMv IG -f.A A,.....

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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
PAirhael F James H- Gregson,Director Wiifiarn G ROSS Jr.,Sec
Authorized Agent Consent Agreement
11-0"., _ Pttry is hereby authorized to act on my beha
minted Nam o!Agent)
n order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to
;pectic activities described in the attached sketcn.
.00ATION OF PROJECT:
600to vies+ ae r. •c ,
'ROPER1Y OWNER MAILING ADDRESS:
I6i5 eF�Cr3on1)ovts M/'SaY
ncerd -f..0 21110 ..�
PHONE NO 9,LIFt- "1"1 ii`31 _
WTHORIZED AGENT MAILING ADDRESS:
.3cido Mc-0 Brid.6c ga•
'IS 0i44 orb- R.C. 2sr(4L_
PHONE NO. L 7 `/gl
signature of Property Owner:

N.
American Fish Company
P.O.Box 11046 or 3600 Old Bridge Rd.
Southport,NC 28461
• Boat Yard(Shop):910-457-9658
Fax:[phone]
Tommy PerryCharles Perry
Marine Construction E-f►tall a F C 3 bO l Ramond Jones
910-443-7045 pot_ C "e"\
910-457-5488
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- - To:cJ,"576551
O V" QN QE QQ� ' AI..MANAGEMENT
, ADJACENT XPAR1AN a.OPERTY OWNER NOTITICATTQN/WAIVER r OR v;
Name of Individual Applying For Permit: Rc \c 1 CAW'
Address of Property: (c;CSC'lc NAk5 e)Cir\, cc- E
(Lot or Street#, Street or Road)
O,K -T*AA &cu(1- 'tCs
(City and County)
hereby certify that I own property adjacent to the ahove•referenced property. The
applying for this permit has described to me as shown on the arched drawing the deg e c
are proposing. A description or drawing, with dimensions, should be provided wits. :.;.
VI have no objections to this proposal
(t' you have objections to what is being proposed, please write the Division
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910.Th--
within 10 days of receip.t of this notice, No response is considered the same as no
you have been notified by.Certifled Mail,
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
bck a minimum distance of 15' from my area of riparian access - unless waived by mc,
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback reauiren-ien:.
I do not wish to waive the 15' setback requirement.
bc
SignC)141e Datc
� G� hn cahh
Print Name •

T o:3=+576551
• D1qIQN_9F gQASTA,L.MANAGEMENT
• ADJACENT _IPALAN PROPERTY OWNER NO ICATtON/WAIVER FORS_
Name of Individual Applying For Permit: , Rcc 1 C)
Address of Property: (r.C C,(c 1AkSi- 66,-,, d--- 0 c--
(Lot or Street 4, Street or Road)
K -- -tend &Un45tA)t'c �
(City and County)
I hereby certify that I own property adjacent to the above•referenced property. -..The
applying for this permit has described to me us shown on the attached drawing the deveio:
are proposing. A description or drawing, with dimensions, should �e provided
I have no objections to this proposnl
It' you have objections to what is being proposed, please write the Divisiun (_
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or rail yi"
within 10 days of receipt of this notice, No response is considered the same as n )L.;:. ',
you have been notified by Certified Mail,
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, bout house or boat l,ft :r..:'
bck a minimum distance of 1$' from my area of riparian access - un;ess wain c(-i b\ r.
wish to waive the setback, you must initial the appropriate blank below,)
_NM I do wish to waive the 1 5' setback requires,cn:
I do not wish to waive the 15' setback �?.cuireri,:-_:-.:.
17 00001/4iuolf.______
if b____g_fof
s :,,,,m:i :
Print Name

•
•
THE AMERICAN FISH CO. 81583
CHARLES H. OR KAREN Z. PERRY
P.O.BOX 11048
SOUTHPORT,NC 28481 2 —
2 — p9 66-30/531
DATE453
$ 2oU� ao
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DOLLARS 8
st Citizens
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itizens.com
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