50303D - Cozort

1CAMA/ ❑DREDGE & FILL ' D
;EN ERAL PERMIT Previous permit#
!New ❑Modification ❑Complete Reissue III Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Resources %-Z (.-:),
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
❑Rules attached.
t Name n J c 'L. GcZ c(L j Project Location: County PE D L: Q.
2- 0 I ) C5 Lr:0 L a .J Th*Y2 Street Address/State Road/Lot#(s)
P L i-ZCJ ►N State') - ZIP --1(o i Z ,L-1 ISSZS.7l3 c -S tA`y L`
eve) pS5' 2.. Fax#( ) Subdivision
ed Agent IA t-L-L E > Ci io+%A1L ZIP CL'il
❑CW /' EW `ZJ PTA ❑ES ElPTS Phone# ( ) River Basin( P e
❑OEA ❑HHF /❑tH ❑UBA ❑N/A ----- r J
Adj.Wtr. Body 1005 Jvs Clt
❑ PWS: ❑FC:
yes�p PNA yes Crit.Hab. yes / no Closest Maj.Wtr. Body �J�S P2L S��^`�!
Project/Activity c2- N ve E 1S1-Tt )C f i.r3S1 ALL (.0)! 13$ ? t ``3 ( t'\
- ?,_ r0 9._v-- p .)-b 12-Y 1 Z S o;-.-5 Lam- '_ t,
(Scale: '
ck)length)x 1 3 ' ' iJ T
1(s)1 L) 1 1 I $)(�t.4F - - t ° t!T L. 1 S0 to rJ D + .
ier(s) 3 X S I
I ��
ngth i ° ' 4
mber i A
d/Riprap length (
distance offshore iK-,
ix distance offshore
cannel
Dic yards
P
Boatli a• j Z .
ulldozing - - - t
e Length I WI �' \. r. �_, 1✓
not sure �y no j
s: not sure yes C,ao, -- 1 ! _.-..-.....� - -- --
.-1-- — I - ---6't�J
•cum: n/a yes (_) 1
yes Coo . P I- -PI
Attached: yes '® L
ng permit may be required by: rS'T(- rb 6 4"- ---\ n See note on back regarding River Basin

Bank of America 3322
ACH R/T 053000196
ALLIED MARINE CONTRACTORS, LLC 08-03 66-19/530 NC
910-367-2159 102
92 HAROLD CT. 7-/5 0'3
HAMPSTEAD, NC 28443
$ 2oo
yea; ILG —_ __._..._.
DOLLARS
('f 5s 3O3
m.
PA
d e Ave Jars d c 1, '�
,9 .0033 2 2ii' 1:0530100 L961: 0006E4743 ? 313

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• AV=7A
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.,Secretary
Date �' f G('o8
Applicant Name aL -
Mailing Address ) 6 I/ C (eot der c tre
ef/-‘21,-i i, A/C- ,2 76
F'9 >< 4!U - ago_ 33.19
• •'t
I certify that I have authorized(agent) /1Ct� �c� � •�'Q •'i& to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) l.1,()c.K
at(location) /3" I 8 ri
This certification;is valid thru (date) I — 3 ! " OS
Signature , ��.
�

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Si�gnpure
item 4 if Restricted Delivery is desired. X f C 0 Agent
dim - El Addressee
• Print your name and address on the reverse 4A3 ...
so that we can return the card to you. B. Rec: •• •rinted7Ga4,C. Date of Delivery
• Attach this card to the back of the mailpiece, �Q - 6'
or on the front if space permits.
D. s deli•-ry address different smite 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below. ❑ No
> Gr12-3f P,o fi.es cc-L. JUN 2 7 2008
© 8cx n3ei
3.
/►�c a�966
�� O PO Express Mall
I r v ❑Registered--QRetum Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery'?(Extra Fee) 0 Yes
2. Article Number 7008 0150 0001 3137 9339
(Transfer from servic
PS Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1540
SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. SI. ature
❑Agent
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse X . 1i. ..a __�. , 0 Addressee
so that we can return the card to you. B. Received .y(Prin ed Name) C. Date of Delive
• Attach this card to the back of the mailpiece, - ,Y�r •�� ��,
or on the front if space permits.
D. Is de very address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
7Y),“ r F. s , e,e.;
pc 8cx .' cI7
3. Service Type
SLi'r .� C 1‘.� �f�/ . ' )acCeRJfled Mail ❑Express Mall
0 Registered 0 Return Receipt for Merchandise
;71g7 L Li() 0 Insured Mail 0 C.O.D.
(� 4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 7008 0150 0001 3137 9322 •
PS Form 3811,February 2004
Domestic Return Receipt 1o25s5-02-M-1540