48346D - Davis

CCAMA/ El-DREDGE & FILL 4
JENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial 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 I 5A NCAC 7/y iia 0
II'ules attached.
t Name Pe4 /e/V D U/5 Project Location: County 6,e,4,,1 y,,c it
2 7o 7 Ptr/e Cc cm,,,f/' P..;, Street Address/State Road/Lot#(s) i1'J/2. /yV, d
14 f/ipo i. + State/Ye ZIP 2 g74/ r. T 4 v 2 2 rii /'{,.r.¢ 1 i1,/-- ,
('/#) 2,37- y v gilax#( ) Subdivision..sr Y/IM#j "/,4J"/i97//e,",
ed Agent ",/to.el.ely 117 , 7
1 L City —CO o?y/�©a n. f ZIP -2 eT``/ ,
❑CW CM1rW" g-PTA RES ❑PTS Phone# ( ) River Basin 4,',,,ii
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body // /W 6•1 at /r
❑PWS: ❑FC:
yes /, -,: PNA es�/ no Crit.Hab. yes / no Closest Maj.Wtr. Body /L✓/✓
Project/Activity 17,2 I 4?-e f u L,e4 0,9 d
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ier(s) i
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ng permit may be required by: pla Nr_S,-✓,c 1' (,,,,,4/ See note on back regarding River Basin r

MILTON FERRELL SMITH 6073
DOROTHY SMITH 66-112/531
PH.SASH LITTLE ' / J�a BRANCH szaaz
3372 ASH LITTLE RIVER RD NW
ASH,NC 28420-2804 Oat?
g �o t/re&tyke of )Z I $ !/27
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JL 05,2007 11:10 Mintz Construction 910P427546 Page
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JUL 05,2007 09t12 Mintz Construction 9108427546 pd( , 2
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Avg&
iirDatin
North l:an,Ana Department of Environment and Natural Rest»,rtem
Division of Coastal M$Mgnnont
Michael F.Easley,Governor James N.Gru smn,°trector vninioyn r floga;r,°,,erxertiry
Authorized Agent Consent Agreemont
is hereby authorizox to act on try Cobalt
(YrMj PO NM?Ol Agra)
In order to obtain any LAMA permit(o)required for the property lidlod below. The anithuri-ation is lfmiled to the
spec!fic activities described lithe attached Ct:etch.
LOCATION OF PROJECT:
P MINER MAILING AOt)tNtSS: 76.5 S 1 - 7//),07-e r
Le-
. &a-dr
PMONE NO. }r0 -
AUJTHORIZED AGFNT MAILING ADDNLSS:
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PHONP NO. J t.44.1;4.
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117 r:aiiinal Ditre zt.Wilmirwton.North Carolina 28405384S

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, 2, and 3.Also complete A. Received by(Please Print Clearly) •:te- De •-
item 4 if Restricted Delivery is desired. ,{
• Print your name and address on the reverse
so that we can return the card to you. C. Sign.
II41,
Attach this card to the back of the mailpiece, X / 4 d 0 Agent
or on the front if space permits. Ai Al.' �I at/ 0 Addressee
1. Article Addressed to: D. Is delivery ao-ss different fro hem 1? 0 Yes
?efe ck ye.R If YES,enter.elivery address below: El No
�-0 5VP:\ va\le ?cA
55;n� n n
Y 3. Service Type
I L) 2.5 l/ `,�ertified Mail 0 Express Mail 4
• Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Number(Copy —___.:__ -„
7005 0390 0003 5186 9053
PS Form 3811,July 1999 Domestic Return Receipt
102595-00-M-0952
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature J
item 4 if Restricted Delivery is desired. X / t��� ❑Agent
■ Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. Received by(Printed Name) C. ,:t: •-Delivery
• Attach this card to the back of the mailpiece,
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: 0 No
3DD �t 4 a $ ZUW
"1 Vl )/ C 3. Service Type
13� ❑Certified Mail 0 Express Mail
(� ❑ Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) Cl Yes
2. Article Number 7005 0390 0003 5186 9060
(Transfer from service
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540