50327D - Varnam

�CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
flew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
Prized by the State of North Carolina,Department of Environment and Natural Resources 2� V/l 2 O f
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
ll CI Rules attached.
nt NameiP/Aa v4 4i✓AM % / 7Y7 £.9i54.... Project Location: County R/Z c, " 5 L-//e.k
;Z.6 73 /7 p/d o.) 8lA c 4 A d. -S Al Street Address/State Road/Lot#(s)Z /j 4
.9 p y State'VC ZIP2 7%,4e aZ f9''< S0/`a <.J' DP . SW, ea:
0/D)j?$2".ZJ// Fax#( ) Subdivision �/2/, /-e 5.4A.ej
zed Agent 2)E2,4 A e_..,T/j 074/2,y/le-6_z, i vc. City S` re% ZIP 2 yG
❑CW :. SEW El-PTA l .ES ❑PTS Phone# ( ) River Basin ZL1n/
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body �/ L✓41 �,
❑ PWS: ❑FC:
yes �n . PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body i/12/
-o= 4f
AProject✓Activity f0 [-2, '., r F - c
(fie
ock)length SOU j< b
i
m(s)�� ')C 7 �/ -"'_'
pier(s)
ength + .• ' .--h ' f. L y S {
umber ; �f ' e �,,.(
ad/Riprap length �[JT'
i
✓g distance offshore --___I__ ' - r��'
lax distance offshore Iifl .
:hannel
ubic yards — -- — '
imp 1 !_
ruse/Boatlift I"0 /
Bulldozing
B ldo ng „-y s i
j
ne Length �O IIIIIWS I ke 'sa lE tt
not sure yes �n �` v ✓' �''��-�.
gs: not sure yes
!g
b �,
i
>rium: n/a yes
yes no -_ e-4.---4 v �.._,6> ZP -v E
Attached: yes .
ling permit may be required by: R/Qy WS G✓,cf Cw.+--1y . Li See note on back regarding River Basin

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ARPO Map
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NTRACCKSTAL WATERWAY E0.SEA4ENT z`1
I
1' eel

•
•
5Lci
5outern r nvironmental Group, inc.
Lnvironmental, Development, and Conservation Advisors
www.seggi.us
I etter of A, cncq
I, Re--Ma V 0 rn Aryl C/ K 11, r'S0 7'7 ,6ere69 grant
(ASent/Ckicnt Namc)
Southern Environmental Group, Inc., (5EG0 the right to
represent Re-got 1,4107 a m in matters regarding environmental
(Client)consulting services Jon real property owned 69 Re��� 110 c e27
50 5c e,J I)e r c 12-d. S W. (1-q (rrowertv Owner)
at a}30 Pirn* Siwft'S Pr, siJ in }-O /t1e4-1 Bea cA ,
(Address) (C;j)
Brun i c k County, North Carolina.
Land Owner/Agent
3 1 S/D`�
Lipp ate

21/2008 08:36 FAX [phone] CAROLINA PRINTING 1 j002
i/2A/2088 04:47 9104522899 SEGI rAtat. a
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to t4 .11 v 1L Pt-) 's
)(Name of Property Owner)
property located at �GL 8-,
(Lot, Block,Road,etc.)
on T. Ctoti) in $l./_ L',AA Fbtt ,N.C.
(Waterbody) (Town and/or Coy)
He bis 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 individual proposing development)
sla a/tea-0'44d-,
(Applicant Information) (Riparian Property Owner Information)
-Mailing Address Sign tore
C. )R o.2i 16 10't IZ/A IA 'L Lt1

08-13-'08 10:28 FROM-Jeff Gordon Chevrole 9-910-350-1404 T-429 P001/001 F-0:
.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 'i e, 'i.& Jar1 aNt 's
(Name of Property Owner)
property located at LD i4 -Z .\k vyvcti ►o ?1a.�' $1 E 1
(Lot,Block,Road,etc.)
on I LI.00 ,in 4 UVA1A)0 kol �1'u; ,N.C.
(Waterbody) (Town and/or Cory)
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 individual proposing development)
Ei
(Applicant Information) (Riparian P perty Owner Information)
.21e75 1P .
Mailing Address Signature
G, r,.J,. Al/'`_ _1kidei 10111:nnt ,-,.-�1 n‘