49217D - Fields

;ZAMA/ ❑DREDGE & FILL
/ENERAL PERMIT Previous permit#
}New ❑Modification -.'Complete Reissue Partial Reissue Date previous permit issued
-ized by the State of North Carolina, Department of Environment and Natural Resources r
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC �/4�• �. 6'0
�-' ❑�-tRules attached.
t Name T O c/e / / EC_As - Project Location: County R2 a../ /,f L✓i c '
2/2.-- ./ C - 14-/9 c279/2 , ,o/,(-'j Street Address/State Road/ Lot#(s) ;> 2 y ]rw,s
9 J( R.,ed,,,, j'1 State '/G ZIP 2 7.3?4, (9' // LA,..
(7/6) /Y5 ,?23' Faax# ( ) Subdivision
ed Agent !V of .P c./(f City-CO ei;I?I 8P096fj ZIP 2 ?
❑CW Elt . EP"fA BfS ❑PTS Phone# (_ ) - River Basin Git,,,t
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body /7/ '- na /r
❑PWS: ❑FC:
yes / PNA no Crit.Hab. yes / no Closest Maj.Wtr. Body_ - ���
Project/Activity j090/0/ -.4- 'SOA YLC 7S T o E.X • I J0 c/e d X e,v a v G
g71..-j Da c le (Scale:/,'
:k)length f JL if 4 i.7
(s) t ii 7%-y
er(s)
igth — r —+ - L W -�
nber
1/Ripraplength �_di�a �.tt %Q,/ � Pl��
distance offshore -__
x distance offshore �f" ; s� ,. - /
`� 1 -
annel i j /3f� -'--lr 9'-
iic yards
iP i 1-
i
I I
illdozing ; j_j
--. o 1 : H , -
�_ � ;- -►. •
I K
Length / 1/ '
f V 1
' ___ —``---- -__ _
not sure yes no
: not sure yes no.,
um: n/a yes no, 4 ' r
yes no- / r L
,ttached: yes no ' maw CN ��/ A u - `- ,v,
ig permit may be required by: S,, f e 7/ 469o46,4 . 7 See note on back regarding River Basin ri.

20814
MKS & FABRICATION, INC.
CROWN CREEK CIRCLE SW FIRST 1 BANK
.AN ISLE BEACH,NC 28469 OCEAN ISLE BEACH,NORTH CAROLINA 28469
[phone] 66-456-531 3/'I '
�O a
0
JR
$
DOLLARS 43
r/&-L%)S LL
�ai� �R/41Su
P y
�Gey9z/
-h fU� rips fe (r-�4ASI
PIP
100 208 14II 1:0 5 3 104 5681: 79 1000 6400

•
AViras
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S.Jones,Director William G. Ross
Authorized Agent Consent Agreement
6oc 1 :-Futvic,.t-io.„ is hereby authorized to act on my
(Printed Name of Agent)
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limite
)ecific activities described in the attached sketch.
DCATION OF PROJECT:
PY
S24 71Ai,S feel 04� L.k O
S‘nvsei- (3(14 NC
ROPERTY OWNER MAILING ADDRESS:
tletcfs
Clktyt C•rt,t.,l-
A73%‹, _ PHONE NO. Ol ) ) 6011 ' 3 )
JTHORIZED AGENT MAILINGI ADDRESS:
L
�YL'S1 1)736(, . ���vti4tll�Yt �YN-
c`IC C'r01)3 \ C,vQdc Civck
0 cetivti (s1e Rei-414 ) tJc, (i
• PHONE NO. (_it') 575 - a7(

DIVISION OF COASTAL MANAGEMENT
• ADJAC ENY RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVEREMM
Name of Individual Applying For Permit: _lvit,� 1--t e la% .
Address of Property: 5: I v,s Et d OCA..,_._ .
__
(Lot or Street ii, Street or Road)
SL.hsEE • 5ec.c,l, we -c)5.Vi'
(City and County) �'
hereby certify that I own property adjacent to the above-referencecL.property. The indiv
applying for this permit has described to me as shown on the attached drawing the development
ire proposing. A. desc i tion • drawing, with dimensions, should be provided with this lett(
V r have no objections to this proposal.
:1' you have objections to what is being proposed, please write the Division of Co
Vxanagement,. 127 Cardinal Drive Extension, 'Wilkniugton, NC 28405 or call 910-395.-:
Within 10 days of receipt of this notice. No response is considered the same as no objecti
'on have been notified by Certified Mail.
WAIVER SECTION—
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu,
et bck a minimum distance of 15' from my area of •a L. .f ssa unless waived by me
ou wish to waive the setback, you must initial th . t 11 fink below.)
t/ I do wish to waive the 15' setback requirement.
e----
I do not wish to waive the 15' setback requirement.
J �C/.sz7 lZ / / o 7 .
ign Name Date
GJ Wde E5 //Es 7Lf-- AINW.

,V1\V11 v1v
:h, NC 28469
) - Fax
c®r
r
Stops 18" Stops 18"
Before Mud Before Mud
CD=
9'X13'6"Boatlift 9X15'9"Boatlift
10X10 Pierhead pO gq
Stops 18" Stops 18"
Before Mud Before Mud
Mack Fields
5214 Twisted Oak Lane Charles Hester
Parcel#256CD015
Sunset Beach,NC 28469

U.S. Postal Service,.,
CERTIFIED MAIL,,., RECEIPT
D (Domestic Mail Only;No Insurance Coverage Provided)
r9
For delivery information visit our website at www.usps.corn
-a IAL E
Postage $
fL
O Certified Fee •
-
D
l� Return Receipt Fee _ Postmark
(Endorsement Required) ' Here
Restricted Delivery Fee � r
O (Endorsement Required) AI
l)•1ji7
$5.38 12J65ATAt
Total Postage&Fees $
..D
l7[� eM To JP cc,-
Street,Apt.No.; frt k
or PO Box No.
SwfthCr LkMn
City,State,ZIP+4
bli � I L a 7?t,
PS Form 3800,June 2002 See Reverse for Instructions
U.S. Postal Servicerm
CERTIFIED MAIL,., RECEIPT
O (Domestic Mail Only;No Insurance Coverage Provided)
rR
For dull'ery in'cimaticn vast our webstte at www.usps.com::;
II'
—El 1FFICISA81,
1 -
Postage $ $2.65 13
ru
p Certified Fee
$2.1 Postmark
1=1 Return Receipt Fee
(Endorsement Required) Here
!77
/J
Restricted Delivery Fee 1
(Endorsement Required)
Total Postage&Fees
$ _
O Sent To
O Cilttv'tf -Wes-1-et.
or PO Box No. J78 cRevsljc. UY•
City,State,ZIP
c Nc a8303
PS Form 3800,June 2002 See Reverse for Instructions