53148D - Thompson

�.CAMA / ApREDGE & FILL {?'
New ❑Modification ❑Complete Reissue `iPartial Reissue Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural Resources ' � ©�
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC J
)(Rules attached.
t Name 1J\�iI �M o,,-r,e 5'tJ Project Location: County C-)N,JS L Li
I y,5 tV E S--E.-1 L,a„.)-i_. Street Address/State Road/Lot#(s)
3i.ADs FL ILQ-y State tJ L ZIP 2-4Sq b'' ' , y._ e v E (LE T' L'AcJ v
(c lc) 33(• sc,3 I Fax#( ) Subdivision
edAgent V\-›..iT.‘" (.... PQCsNJt..R._ City StJt..Al j VL-`k-`'y ZIP 2...SL'ko
❑CW Jam` W ? ,PTA ❑ES ❑PTS Phone# ( ) River Basin W i
❑OEA ❑HHF ❑IH ❑UBA ❑N/A / �Py
Adj.Wtr. Body 10 t A./ (--ZJ E �" (nat #
PWS: ❑FC: R )2 `1 6'(�_
no yes / PNA yes /� Crit.Hab. yes / no Closest Maj.Wtr. Body 1v
'Project/Activity `(\i1 Ny a�c P.t C.-f.. tX[�iA i'ON-c� J o
�AC i_-->L.Z.S N3
>51:,NJ ' •Q—c k'` "1' — > 3 ' 0 1--VV. (Scale: ''►.-
ck)length
—
r(s) r � tr _
(f\ll
ngth i
mber i
d/Riprap length
distance offshore I I_ ' 1 t•
rx distance offshore ,— _ + I I
cannel I., )(3v X
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bic yards
np
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ie Length n — r
not sure �es no
s: not sure""yes j -
'
rium: n/a yes Cr, . ` f I + C 1 I l 1
yes o + - F
Attached: yes no J
ing permit may be required by: :-)C- 51--ate Vv 4.--1'C\- • See note on back regarding River Basin r
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ATM
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
'30 O
Name of Property Owner Applying for Permit:
David 7Zopcc# 1
Mailing Address:
1ti5 e tircHLa,_
f2cmJc /c ' y NC
I certify that I have authorized (agent) � ' to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) J v' N f in,
at(my property located at) tt
( �
This certification is valid thru (date)
i��Gtti�tX

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to `1 ` z2./R ' -��'✓ 's
(Name of Property Owner)
property located at h/ (/-PReT C -
(Lot,Block,Road,etc.)
on 71/4,v ] e X , in �/1Ae N.C.ai5 L cc)
(Waterbody) (Town and/or linty)
Applicant's phone#: - 5 21-3 ' Mailing Address: /37 tie
51)e/id s fe 441 /1JC.
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
hg(ix
Mailing Address Signature

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to , r ` `e�'(,4 N. /-� J (c: N S 's
(Name of Property Owner)
property located at / �7j L V-eas-< ri /..-4 N-c
(Lot,Block,Road,etc.)
Ale Q EA) / f U , in 2,u c(a co S/U�� S ��-1 / , ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone#: Mailing Address:
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
i:j
Mailing Address Signature

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to f'j'J.Pm, �P� i— 's
(Name of Property Owner)
property located at 3 3
�,/ (Lot,Block,Road,etc.)
on !`� a G./ , in .S-ect4 /-e:�.-y N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 5 10 2,0'3 / Mailing Address: 1 80(f S
A7c ,y,
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
I'd Aix 6ff
Mailing Address Signature

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TOPSAIL OFFSHORE INC
PH.910-328-2316 2899
743 COCKLE ST
SURF CITY,NC 28445 66-1220/531
° ' 2 Dig Date
Pay to the
Curler of h s
$
,�
Dollars l3! F,,.e,
CAPErTM�Q 1}�(�1'v}�^' a e
�"^Y y`��`k��L,i 1 fry.
For C-1?531 `g
• 1:053 L L 2 2041:000008656 LII' 2899