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CAMA/ LJ DREDGE & FILL Ev
IENERAL PERMIT Previous permit#
Kew Modification Complete Reissue DPartial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources f/. �U a
oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC r
✓mules attached.
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. 2 tio# AS"4,/ 0/' /9S /9// O17

STEVEN T. FARMER 3647
TRA COM SERVICES 66-112/531
PH.910-754-2725 BRANCH 62401
897 MIDDLEDAM RD SW
SHALLOTTE,NC 28470-5657 f/ j I�)
5 / 7 `' Date
a tthheorder of fl( AJ/ I p20 b c'p
L Q U� �G Dollars 8 's.�:„,
BB&CT
BRANCH BANKING AND TRUST COMPANY94S3(l`J
11-800•BANK CBT BBT.rnm �>
For / '� r �
1:053 Lo L 1 21':0005 2 1 /0 0. ' I.03611
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(Notice: This site data is current as of 8/' )/2008)
Ownership
Ownership & Location Information
Parcel#: 2440M033
Physical Address: .L� 2/
Legal Description: L-33 B-CANAL 1 S-B OIB PLAT H/374
Current Owner: SULLIVAN JOSEPH EARLE ETUX LEIGH H
Deed Book/Page: 1812/1384
Mailing Address: 3708 SINGLETREE ROAD
CHARLOTTE NC 28227
Neighborhood: 6006/ O.I.BEACH ISLAND
#of Lots or Acreage: 1.00
Assessed Value: 741,750
a - Print current page's data
126,409

A7A,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
'ael F.Easley,Governor Charles S.Jones,Director
William G.Ross Jr., Sec
Authorized Agent Consent Agreement
is hereby authorized to act on my behai
(Printed Name of Agent)
er to obtain any CA permit(s) required for the property listed below. The authorization is limited to tl
5c activities described in the attached sketch.
1TION OF PROJECT:
z� /7Ok/ hO si
c
fc)4,S Ce)
'ERTYOWNER MAILING ADDRESS:
, Sd 10.447- Li
70e 3111,51c-4,--_ee 2J
f�4ll )6-6- L L d- PHONE NO. 70(-/— � /O 33.,D-1/
DRIZED AGENT MAILING ADDRESS:
11 Cerni CernsTY6/��
'0 'Box /32,0 S —
) L6-
/6 WC- PHONE NO. 9/0 - Vy.3- 7 7'f 3
ire of Property perty Owner:

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: — V
Address of Property: q (7„ I ci,S 6)-c,
(Lot or Street #, Street or Road)
COA7/1 ?&A-C44 U12.tivico,c
(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 description or drawing, with dimensions, should be provided with this lette
\-S-1 r ''II
H6 I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cm
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-2
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
(16 ff‘
I do not wish to waive the 15' setback requirement.q ment.
iign Name Date
AA

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: age) J 1 i 0111
Address of Property: L7u(cL boy Ls
(Lot or Street #, Street or Road)
1—s le- JU C= I�?,Q.�tit s c L
(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 description or drawing, with dimensions, should be provided with this lette
m I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coy
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-2
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
h/t h._ I do not wish to waive the 15' setback requirement.
(O —r(— a8
;ign Name Date
illPra @ -FI„ AWP A F . AA t SO

IRA-COM SERVICES 1,4-C_C__ oc ti;V; 44-77ti T" ./-)oci
P.O. Box 1365
Shollotte, NC 234E9 -11- R-11(402 Dec/ /974(0
1/0- IN 3- -2-) 3
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X`� 7 1 CIO l! 1� 1;7 Agent
• Print your name and address on the reverse / El Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece, )
or on the front if space permits. C it L
D. Is delivery..dress different from item 1? El Yes
1. Article Addressed to: If YES,enter delivery address below: El No
/6,01 3 y tt_1 h-en-fr hC1,
u ' " �� � 3. Service Type
�,1�� 1ri 5 V( I/� ❑Certified Mail ❑ Express Mail
/ ❑ Registered El Return Receipt for Merchandise
f/� El Insured Mail El C.O.D.
o^ / 4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7005 0390 0000 2577 7400
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. Signature
item 4 if Restricted Delivery is desired.
III , ❑Agent
Print your name and address on the reverse X / Ywu� ,
so that we can return the card to you. ressee
• Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery
or on the front if space permits. c. -
1. Article Addressed to: D. Is delivery address different from item 1? ElYes
�j If YES,enter delivery address below: El No
9013 S-t-,4-►- v7oz hT(;-ro4
C.77 rs bpy ,�I '�►-
D 3. Service Type
❑Certified Mail El Express Mail
�1` �� El Registered ❑ Return Receipt for Merchandise
❑ Insured Mail El C.O.D.
4. Restricted Delivery?(Extra Fee) El Yes
2. Article Number 7007 0220 0001 4610 4307
(Transfer from service It
PS Form 3,811, February 2004 Domestic Return Receipt
102595-02-M-1540