52444D - Courtney

1 CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
ANew ❑Modification El Complete Reissue III Partial Reissue Date previous permit issued
xized by the State of North Carolina, Department of Environment and Natural Resources , 961)
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
_, les attached.
It Name IVAVIS VI IlIltY41 LcvY4'net,t1 Project Location: County NCIn/ t11(V(V
e3 Li ac.N k!t(C}C Street Address/State Road/Lot#(s) 1/6- \5
i C lbl u x) State L 1 zip 5 a 15 „ L.d ►O U_Y1'l b-e✓ 'Kta A.
p' 13) ( 1- 5-3es Fax#( ) `. . Subdivision V\ I\MI n dun
zed Agent 1.t WI UCTY 101 b el( in
❑CW ❑EW ❑PTA City vve �I k+ 1s Ian et ZIP �qy )
I1) )Ill�" 53D% River Basin C,Q { r
I ES ❑PTS Phone# ( 1- Q
D OEA D HHF XIH ❑UBA ❑N/A Adj.Wtr. Body A Ot 41(, 0(ea✓i na i
❑ PWS: ❑FC:
yes / no PNA f yes/(no Crit.Hab. yes /�rf o)
Closest Maj.Wtr. Body li Ck V 1-1( ()Mil
i1
1f Project/Activity 11 U Yl C i ilZi i r: C i I i-Ai I 1(1l Y - F'P Q r It f� �t l
1L�1N(l t. (A ��- {XIS , C 1�l(1t)'k (Scale: 1'i
Dck)length — — -/ LW _ _
„(S> � x ept CYI (t) r i F+
pier(s) z.�'1_- ��H t4 ? 1 W^r ('1_ Y� � A i
ength i . o� 14• I 1b fifd.`1�P�11��
amber L / M - ` i '
ad/Riprap length l -
- - _
ig distance offshore _.__ _ `
lax distance offshore �.� -
t
:hannel I l ?r"+
ibis yards r JT1
t .....a-ir-beif .
uBoatlift 1 '
3ulldozing 90/X/1)'x-I! I `
Re5neep AkE 1
4
/A i co'x (e'c i-I►c,N) 1 4' t
t .,_�,
ne Length ��0, \ 1
i
not sure yes rw I qt..
gs: not sure ( ' no g
am,--
rium: �n/a no I �_
yes4
��� * k5 ,
Attached: yes n� l.QJRf 1� r
_ (f 1
ling permit may be required by: 1'4C1AJ 1-1>10V(r `GtirvILI n See note on back regarding River Basin 1
C. .Al la,i I' II 1(r,p, N I,. L1 It 1,. 1,.. .,.1,,,,, ,4 , , , e.,./ 1, A:. e .1 i,._-. L,

2/2008 12:02 CCHMC DDBP (FAX) 513 636 3433 P. 002/0(
AVA
NCDENR
North Carolina Department of Environment and Natural 'esources
Division of Coastal Management
Michael F.Easley,Governor James H.Gregson,Director dliam G.Ross Jr.,Secretary
Date ! Q /3 06C7
Name of Property Owner Applying for Permit:V4 0 5- W////A m (a c/Ale7 C 'I e p
krybi li co
Mailing Address:
303 L,Nd Ige
( tf dry��r D�� SZ/S
� ,/ f
I certify that I have authorized (agent) Ze //S /..age �t/, to act on my
behalf,for the purpose of applying for and obtaining all CAMA Per is necessary to
install or construct(activity) fe/)4M'Y t,ge10/9Ceepx4/7s i tee4
at(my property located at) lS(d Leerr /6XY /�j (� •
This certification is valid thru (date) f /.?j69
•
Prope er Signature Date