52456D - Smith

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CAMA/ ❑DREDGE & FILL �i
;ENERAL PERMIT Previous permit#
New ❑Modification LiComplete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural Resources N �5oa
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
A' 1 Rules attached.
t Name LAY St11 rk Project Location: County N (tnl Ha h Or(V
1 OS Ccn€ M€h W 'Ail?, Street Address/State Road/Lot#(s)
11/1 k, State t\Z ZIP oo1(071t 3 I Vt1 t Nit4 k&ad '`
( iet L}�'- %Cj Fax# ) Subdivision I VYC C l k4 151(A�
, �,��
sd Agent V f t\5 )11 �AGl'\ ytrth -- City Wi 111(1i n -6 N. ZIP 2 4I I
❑CW ❑EW ❑PTA ❑ES ❑PTS Phone# (61 1 I)^^ 14 4-4 9la/1� River Basin (Aft I
OEA I HHF 1H ❑UBA ❑N/A Adj.Wtr. Body t'�fl' atjG be PA K. /�/1
❑ PWS: ❑FC: I A fh1( V t P Q t\
,yes / PNA yes / no Crit.Hab. yes no Closest Maj.Wtr. Body fl
Project/Activity A V- Yl G✓1 z_f a bf Cr c k II CI ui-f 41 Ye s ►'.z a K as Q mild..
(tom t-c( of 0t5A-1,1c sav\tibA? (Scale: 1ii-v
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nber
VRiprap length 151.1 ( I a'
distance offshore `i G 1
x distance offshore , t 'MAY I i AVthin4fil
annel r(vf \ 0,60 rJY W1t
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iic yards r T ' I
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se/Boatlift C 1 5ptv �5 2 pI
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not sure es .no
s: not sure , no — ;i fr:(� f+COU I
ium: n/a yes no l N ' Q I + ' II $
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tttached: yes l...i'e
ig permit may be required by: I See note on back regarding River Basin r
seplewilitivair
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AiA
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 1 I—/ j 'b bp
Name of Property Owner Applying for Permit:
Mailing Address:
31os einc.k, kl
pdaetelfL Agj d--- -'‘? 3 /
I certifythat I have authorized (agent) �I V` ls to act on my
( g )
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) ,
at (my property located at) .
This certification is valid thru (date) lc9-'3 / - 0,-4 / ? .
Property Owner Signature Date

?2:53 >> P 111
111; 11/03/2090 15:59 0139 P.001/001
North Carolina Department of Environment and Natural Resources
Dhrlslon of Cowl Management
Michael F.EMMy,Gomm Junes N.O*gson,Director Wiliam G.Ras Jr.,tiecretery
Date t I ,3)2OO8
Name of Property Owner Applyias for Permit:
..kro ‘ry Sr ) :4-1-,
Mai3ng Address:
31 OS Core Manor L Qrl
mac. g--) k
I certify that I have authorized(agee t) W0 res S. C o &r to act on my
bekall,for the purpose of appkylas for and obtataiag W GA,MA Permits necessary to
install or construct(activity) f r 0
(my pml y located at) 3 JrvIPA k o L , �;r uce g rmA .
This certification is valid t rs(date) t ) ‘ ,•
c91f)b.tP
Property sire Date