51330D - Smith

(LAMA / ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
•rized by the State of North Carolina,Department of Environment and Natural Resources / ( /Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC
S ❑Rules attached.
it Name �, R. 4 V? h•�� Project Location: County , /e 4i, ./kki-e4.4
6I5' Fort s fi (-{ 1 t (.5 D(• Street Address/State Road/Lot#(s)
J /
/V/ t /#15 7p 't' State / ZIP 2 S� &3 314 N . C Nn! / AM!ri •
V'( 2SIe .30172.Fax#( ) Subdivision C 44 s / HAM!
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zed Agent F ,c/yrt .s City kl) /kti i 7Z ZIP 2 g'
1 ❑CW R LEW PTA DES illPTS Phone# ( ) L44l/ River Basin (>,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body /11-4 / 41,
❑ PWS: ❑FC:
Closest Maj.Wtr. Body /11!Se'fr/ :er) :f)/,
CD/ no PNA 63,/ no I, Crit.Hab. yes / no
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f Pro•ect/Activity C �'I /i"l r /�s-, ,, ( 7 Li,' . f l//jC / V l24/fret,
-�' LAX" h9 f�l( i/` t�C� (Scale:
xk)length )1 7$/.
pier(s)ength A 1111.°1i
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umber
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lax distance offshore 7 / A ,I1E
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:hannel 1111111
byards � �� jpi
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1 1 {ne Length >200 , ,�7J ! ‘. 31 ___
not sure yes io II Fr '
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)rium: n/a yes f IN . I
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yes / ' I+ i i , (i j1 i •
•Attached: yes 9 ; 4 'V ling permit may be required by: NH Ga , rN5pa/(/'17'7s ,A,,O7• See note on back regarding River Basin
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36659
F AND S MARINE CONTRACTORS, INC.
P.O.BOX 868, TEL.[phone]
WRIGHTSVILLE BEACH,NC 28480 66-85/531
DATE 7� 1 �U
FAY f ,
TO THE " 2, �9'L�).�-
ORDER OF . � � "`�
/
/
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RBC DOLLARS LrJ `
ce�,tura Gi° 51 330
R R C RBC Century Bank
Wrightsville Beech,NC 28480
FOR ' cp//L'�/3'fV i' M,
u'000 366 59n' 1:0 5 3 L008 501:0 2 ? 200 580 u'
01,

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F Easley,Governor Charles S.Jones, Director William G Ross Ji
Authorized Agent Consent Agreement
ZVF—LyA/A)
is herwhv al ithnro7pri to ac ,emu 1
(F'nnted Name of Agent)
in order to obtain any CAMA permit(s) required for the property listed below The authorization is tante
specific activities described in the attached sketch
LOCATION OF PROJECT:
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14 I) C Z 1�1 RECEIVE©
r DCM WILMINGTON, NC
AUG 0 7 ZOOS
PROPERTY OWNER MAILING ADDRESS:
R ,e,54.07-4-
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Pp lk.Airj hi,. 2.4670j PHONE NO. l/a're50 b�� 1)
AUTHORIZED AGENT MAILING ADDRESS:
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AWRIYA< S01-01 17 2 `
PHONE NO IJD- ca4 3. c)--
signature of Property Owner P/ �/� i7
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SENDER: COMPLETF THIS SECTION COMPLETE THIS SECTON ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signat
item 4 if Restricted Delivery is desired. .1•••••
II Printyour name and address on the reverse • i ❑Agent
so that we can return the card to you. 41.+ 0 Addressee
• Attach this card to the back of the mailpiece, Received by(ITiaced e; e) C. Date of Delivery
or on the front if space permits. / viS
1. 'cle Addressed to: D. Is delivery address different from item 1? 0 Yes
If YES,enter delivery address below: 0 No
plx, sA(Ayes
�'/ T7n 3. S. ice Type
/� `) I� r'"�t ` ►� Certified Mail
S/ Z YES0 Express Mail
/ J 0 Registered ❑ Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number ❑Yes
(Transfer from service label) 7lyS Pip np(_1 �33' 68t b
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Compleete items 1,2,and 3.Also complete A. Si: atu.• r
item 4 if Restricted Delivery is desired. ❑Agent
• Print your name and address on the reverse X ■ •ddressee
so that we can return the card to you. B. -ceived by(Printed Name) .' ate of Delivery
• Attach this card to the back of the mailpiece, fl
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
If YES,enter delivery address below: ❑ No
gm &vita 6,tai,
31 Ai, ( Il ► ,�n.
3. Se ice Type
C�1 J ���J/Y► ��/>1 ///��� Certified Mail ❑ Express Mail
4 '" ') / ' ' 2 8 51 �y ElRegistered 0 Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. ArticleNumber ��v l 1 Jb I 23 ‘8)7
(Transfer from service lab 0
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540