52049D - Tally

❑CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC H
.. f Rules attached.
nt.Name,. w rJ ! L_\1 Project Location: County T=OT C.IN)
s 2-35- -CcAt-L,)w� �l 5\oe sus ace t L u►t-` Street Address/State Road/Lot#(s)
'P+y:<j'T`_c.v 1 L.L.c Statel\ C' ZIP 2-55 r'"3 \1--) t `n c`s-p+\ct-6»1 jU
,�) Lj3 Lill 5 Fax#( ) Subdivision
ized Agent i-z-i 7) City �f i I- iS L A c_-}-} ZIP ZgLILi
d ❑CW CIEW r PTA ❑ES ❑PTS Phone# ( ) River Basin tfki.C
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ Pws: ❑FC: Adj.Wtr. Body� .7K 5 GHia�*�e`- (i.
yes /,no PNA yes Crit.Hab. yes / no Closest Maj.Wtr. Body T'- 1 -1.^�-1)
)f Project/Activity ZE-P i-t'.c*s,f.NJ ) G 4--, ".) - Q,L£) % N E kISTICt
-14�iZ. -'r (Scale: 1
f /ock)length
II � `1 ' I I
pier(s) i
t I
�f
ength 1
umber
ad/Riprap length ' I
. I +
ig distance offshore I —� _
iax distance offshore 1 I I
:hannel f . '
I
I
1 I
ibic yards + i •
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Lmp I 1 . i
use/Boatlift jcX I..ct 2--)
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Bulldozing _ ' —
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1 .
f1
rt
a
ne Length (. o I i I
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not sure yes j . + ,
gs: not sure yes �� ` ,
rium: n/a yes �cn4/ I 1
yes n4 ; .. . f ..-._ ._ —
I
Attached: yes crtp� 1...._—_
/ �Q
ling permit may be required by: )•P SI — 1�€ ' G UGH See note on back regarding River Basin I

Bank of America 3226
ACH R/T 053000196
ALLIED MARINE CONTRACTORS, LLC 08-03 66-19/530 NC
910-367-2159 702
92 HAROLD CT. 7.- g-
HAMPSTEAD, NC 28443
11(
ROFE /kb& (?-
� e0-D DOLLARS
7
(a..C..e. — i 1 .l /- -i-tr lU-
0003 2 2611' 1:053000 L961: 000684 74 3 ? 38ii'

K-ul-LuuotIun, 13. 1] IfLL3 a IfLL3 n117 kI n/1/71U uuJ uu10 r uul,uul
rr 07 08 12:35p Hal Foclemart 910-2703374 p. 2
ffriltrAL
NUDE
North Carolina Department of En vnment and Natural Resources
Division of Coastal Management
Mel F.Easiey.Gomm -CbattesS Jones.DirElctar Wiliam G.Ross Jr-Secretary
Authorized Agent Consent Agreement
4// ee() /46,1 K r /P-�< is hereby authorizes to as on my behatt
(Partied oAgo*
der to obtain arty CAMA permit(s)required for the property fisted below. The authorization is limited to the
ific activities described in the attached stretch.
PERTY OWNER MAILING ADDRESS:
JoL C. Ta
•
54117..
F444 P •O.fie /LrG a3 3 PHONE NO. '7/0_ 1483 - 75
roRIZED AGENT MAILING ADDRESS:
h
PHONE NO. 'J(O .3 C07 (5 1
tyre of Property Owner.
'ure of Authorized Aft
Date:
121 SZttimal Orme Est,Wanimgton,Norm Caviare
Phone: [phone] l F&C 910.395-19sa l '

DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: •J c�'
Q
/
/ 1 � t1v,�Ph,��y
Address of Property:
(Lot or Street#1, Street or Road)
cps P-a O< c .
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing_ A description or drawing, with dimensions, should be provided with this Ietter.
L I have no objections to this proposal_
�f you have objections to what is being proposed, please write the Division of Coastal
vlanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
vithin 10 days of receipt of this notice. No response is considered the same as no objection if
Ion have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
et bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If
ou wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
L I do not wish to waive the 15' setback requirement.
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ate
, NapipA
i://1,- ,/ cos tide- L(V
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int NarrSe `+
NCDENR

DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ,J OL II._ mp1. u
Address of Property: s
(Lot or Street#. Street or Road)
•
(City and aunty)
[ hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
ire proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
'f you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
vithin 10 days of receipt of this notice. No response is considered the same as no objection if
'on have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
et bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If
on wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
k7h) A /-1>
i1i Nance
Date
A L AAini Name V
�-
C Z / ��s NCDENR