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LAMA / ❑DREDGE & FILL
IE.NERAL PERMIT Previous permit#
dew ❑Modification IL Complete Reissue JPartial Reissue Date previous permit issued
ted by the State of North Carolina,Department of Environment and Natural Resources , LL
)astal Resources Commission in an area of environmental concern pursuant to I 5A NCAC I /2 0G Rules attached.
Name R1 /a?,r 4 yJ, , 41 t11/ f Project Location: County uQ L;.✓Sy/1 C <
/ 6, I/O 41A-$' t, Street Address/State Road/Lot#(s) ,ST ,' C
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;dAgent 4/&.-I4l 64 'C City SU � St7, - a•ACI► ZIP
CW lEW EL.PTA C--ES ❑PTS Phone# ( ) / River Basin Gur•,
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❑ PWS: ❑FC: 67/ iv Al
Closest Maj.Wtr. Body
yes Cr9 PNA yes I 02 Crit.Hab. yes / no
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(Scale:
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mber mL.
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ling permit may be required/by: _SW r S.0 / e9i C A f�J. I See note on back regarding River Basin/^
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1 GRICE CON PAGE 01
3/29/20F�'6 20:16 9105799096
Arir
NODE
North Carolina Department of Environ ent and Natural Resources
Division of Coastal anagement William G.Ross Jr tetra
Michael F.Easley,Governor
Charles S.Jones,D actor
Authorized Agent Con entAgreement
is hereby authorized to act on my benal'
(Panted Name of Agent)
in order to obtain any CAMA permit(s) required for the prope y listed below. The authorization is limited t) 1i
specific activities described in the attached sketch.
LOCATION OF PROJECT:
St(n sef tail rf c tog
PROPERTY OWNER MAILING ADDRESS:
0,414\,4_ CO,(A 4,4 n
P ONE NO.
h�� � PIa t Sq � -----
THORIZED AGENT MAILING ADDRESS:
CRICC °ON8 TUd11..hN
8618 BEACH DR. $W
OCEAN tSit.B BEACH NC 28489
(910) 67a 9og5
PHONE NO. 2CVS
Signature of Property Owner: f

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 00t 1V2.4-
Address of Property: \� I(o\-\'�
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A descriptio or drawing, with dimensions, should be provided with this lette
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cw
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-:
within 10 days of receipt of this notice. No response is considered the same as no objectil
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
bck a minimum distance of 15' from my area of riparian access - unless waived by me. Of
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
ea z ag.ve
Name Date
.g-79`L4.e s L° . C/9.5.e v AQWA

G?'5- 561 and 5II5-
........... . . . ... __.. _... . . .. . . . . ... _. ..... ..._ ..... ..... . .. .. .... . ... ,,
. GRICE CONSTRUCTION OF
ii BRUNSWICK COUNTY INC
PH.910-579-9095
t
6618 BEACH DRIVE SW
•
i OCEAN ISLE BEACH,NC 28469
DATE 1 C,*\-2k-a
PAY
:f ORDER OF lA C- V- F V\N--
I $40'
f BMX
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com
.}..,):74,ry8kt 1/N.--A.k.„.
FOR G
ii.0000L,E. 5 LH. 1:053 10 L L 2 LI:000 S 19 9 26S 2 90 C-1P 531
1

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Alto complete A. Signature
item 4 If Restricted Delivery Is desired. di, - 1 0 0 Agent
• Print your name and address on the reverse
so that we can return the card to you. . . ❑Addressee
• Attach this card to the back of the mailpiece, Er 1 eived by(Printed Name C. Date of Delivery
or on the front if space permits. `• /A `'.Iti / -
1. Article Addressed to: D. Is delivery address different front+� ,❑Yes
If YES,enter delivery address.•low: 0 No
.r\\rY\\/ ccvs-ey
21\t Q w66AC .u--V
W ` 3. Service Type
VV�� � -k Certified Mail 0 Express Mail
2 95'D` ❑Registered -- 'Fietum Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer fromservlcelabel) 7003 1680 0004 9790 6734
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
Postal ServiceTr., U.S. Postal Service
'TIFIED MAIL., RECEIPT EC CERTIFIEL MAILrr,1 RECEIPT
(Domestic Mail Only:No Insurance Coverage Provided)
estic Mail Only;No Insurance Coverage Provided)
livery information visit our website at www.usps.coml For delivery information visit our website at www.usps.com
1,1
£ .,..... ..r.:a , aa�r Sk:� .. eras x% L.
Poste e $
Postage $ g
Certified Fee IDCertified Fee
Postmark pPostmark
Return Reciept Fee
im Reciept Fee - Here Here
ment Required) (Endorsement Required)
3d Delivery Fee CM Restricted Delivery Fee
(Endorsement Required)
ment Required)
'ostage&Fees Total Postage&Fees $
m
•V` C mm SentT
rs- Street,Apt.No:1-7 �r� R `/
Ipt.No��1 1/ a c� 4 r• or PO Box No. I 5 rid`? of l c .
ox No.�j /� ` J
a2 . State,ZIP 4
3800,June 2002 See Reverse for Instructions PS Form 3800,June 2002 See Reverse for Instructions
SENDER: COMPLEI E THIS SLtCTION COMPLETE THIS SECTION ON DELIVERY
• Complete Items 1,2,and 3.Also complete
item 4 if Restricted Delivery is desired. 0 Agent
• Print your name and address on the reverse MIIIPI. iJ,. .0 ❑Addressee
so that we can return the card to you. B. Received by Printed Name) I. • . Deli ery
• Attach this card to the back of the mailpiece, 7 ()�
or on the front if space permits.
n. i n.a. .. D. Is delivery address different from Item 1? FA Ye-