51319D - Smith

CAMA I L]DREDGE & FILL
GENERAL PERMIT Previous permit#
New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources ' ��
Zoastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC �'� } '
'Rules attached.
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BRANDON GRIMES
CELL 252-661-1747
250 KINGS LANDING RD.
HAMPSTEAD,NC 28443
Pay toero thfe A 11 1l� �f
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C'APEF-ARBANK
Anil 5/Y)
For GPS q _ c/
4053LL22041:0000L4722311' L 0 4 7

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NCDENR
.4:-.41 Carolina Deo5iment of Env,ron+ment and Natural Resources
Division of Coastal Management
M°cr,ael F =avaf, Gcvrrenor Jarrts H.Gregson,Cirac or W11;em G 'cs u-., at
Authorized Agent Consent Agreement
6rtIr4 0 in U('i 1^f5 is hereby zuthc:,=ed tc act m; :er.
Finag Name u!agsn1
in . rdert: o::a n any CAM A. per'nit(5) ;ecLired for the property •sted below. The autt:ori atior is limited
:;re.if;:at:.i .ss descr:ted .n re attachec 5te:ch.
LOCATION OF PROJECT:
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PROPERTY OWNER MAI_tNG ADDRESS: Rk
15 *2 4 FosLe,` Sip re
2 '1 D 61 8 PFCNE NO. L33L .515. It l (2, --.
AUTHORIZED AGENT IVAIUNG ADDRESS:
�336 02 b I. 9/ v
PHONE NO.
c n4 tLre .:f -roc:erty Owner: G L.1 spi
:^.atl,rs of Authorized Agerc
Date: ,7- Q1 Joe

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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. - 0 Agent
• Print your name and address on the reverse X i(r . fir iwi„r„ 0 Addressee
so that we can return the card to you. B. Received by(Printed Name) f . D:te o Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits. A , f r 2 f - C
D. Is delivery address different from item 1? 0 Y-s
1. Article Addressed to: If YES,enter delivery address below: 0 No
jPiJAMIr iSI0667
I VI' `0 roi<f t 0 J, C fit:
^e{os rP✓r,(� AU, y �'? 3. Type
Certified Mall 0 Express Mail
❑ Registered 0 Retum Receipt for Merchandise
❑ Insured Mall 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7007 1490 0001 8394 4281
(Transfer from service label;
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 Sign./ re
item 4 if Restricted Delivery is desired. 4 f 4 j 0 Agent
• Print your name and address on the reverse Addressee
so that we can return the card to you.
• Attach this card to the back of the mailpiece, B R v ' .1' (Prnted ame) C. Date of Delivery
II
or on the front if space permits. ^'v+
1. Article Addressed ✓4 A D. Is delivery address different from item 1? 0 Yes
vc i' ,-,, f a r 'V t M,f h If YES,enter delivery address below: 0 No
64
1 r ep 4-ci1ard, Pr .
pal h. coo,{- Ft, 72i'
3. Service Type
❑Certified Mail 0 Express Mail
❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service lab&, 7007 1490 0001 8.394 4298
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540