49158D - Hobbs

AMA/ LI DREDGE & FILL / 1
GENERAL PERMIT Previous permit#
Mew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
Zoastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 21/ 110, ' ../ZQ o
E PRGr attached.
it Name ffM y,f S. / i411 Project Location: County 2 h AdS w/c/e
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t(//O) '/VI-92di Fax#( ) Subdivision /
:ed Agent ,Q3A/% )r'm P Z City/41( 4„d 6.04 G h ZIP 2 TA
❑CW &MW U-PTA [ .ES- ❑PTS Phone# ( ) River Basin Z limn i
❑OEA ❑HHF ❑IH ❑UBA El N/A Adj.Wtr. Body / h/ n
❑ PWS: ❑FC: /
yes (i PNA yes o Crit.Hab. yes / no Closest Maj.Wtr. Body /lij/�✓
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ing permit may be required by: / "OL cy ,..i �40A c4 1 I See note on back regarding River Basin r

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Direct Query - Intranet Page 1 o
'�— UNITED STATES
POSTAL SERVICE
Track/Confirm - Intranet Item Inquiry
Item Number: 7002 2030 0006 7451 9657
This item was delivered on 08/13/2007 at 14:07
ire
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¢.l UNITED STATES
P©STAI.SERVICE
Track/Confirm - Intranet Item Inquiry - Domestic
Item: 7002 2030 0006 7451 9657 Service Calculation Acceptance
Date/Time: 08/10/2007 11:37
Destination ZIP Code: 29585 City: PAWLEYS ISLAND State: SC
Origin ZIP Code: 28470-4459 City: SHALLOTTE State: NC
Class: First Class
Anticipated Delivery Date: 08/13/2007
Weight: 0 lb(s) 1 oz(s) Postage: $0.41
Delv Rqmt: Normal PO Box?: N
Special Services Associated Labels Amount
CERTIFIED MAIL 7002 2030 0006 7451 9657 $2.65
RETURN RECEIPT $2.15
Event Date/Time Location Scanner II
DELIVERED 08/13/2007 14:07 PAWLEYS ISLAND, SC 030SGW897
29585
ReQuest WNW Rec rd
View t li ttre and Addre s
NOTICE LEFT 08/13/2007 13:34 PAWLEYS ISLAND, SC 030SGW897
29585
ACCEPT OR PICKUP 08/10/2007 11:37 SHALLOTTE, NC 28470
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6-2007 14:06 From: To: 19105792808 P.2'2
CERTIFIED MAIL. - RETURN RECtET REQUESTED
PIVISIO 4 QI CQ,QSTAL MANAGEMENT
ADJACE,j*IT RIEINAN KIQpERTY QWbER NOTIFJCeT►ONIWAIVER FORM
nce purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or
ndividuals listed below. The CAMA General Permit application procedures require that applicants provide the Division of
:oastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property owners
ndicaring that they have no objection to the proposed work or that the adjacent riparian property owners have been notified
ty certified mail of the proposed work. Often these forms arc submitted to the adjacent riparian property owners by a marine
:ontractor or other individuals acting as an authorized agent on behalf of the applicant,
This form was sent to you by the following individual or company designated by the applicant as an
authorized agent: "�
/Y'o/ 4ntX e /haa areTy .l vt
i /% spy c 7
Au horized gent's Signature Date
Name of Individual Applying For Permit: _) A,'Yt E S S . 1-4-0a8S.
Address of Property k (0 6 (r(azEN S:(3I;2t -Cr.
(Lot or Street#, Street or Road)
A-kc)t-OiErt 'g.tiA �
4 i 2 LAV A.)' '<
(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 letter,
_i/ I have no objections to this proposal.
if you have objections to what Is tieing proposed, please write the Division of Coastal '1anugement, 1.27
Cardinal Drive Extension,Wilmington,NC 28405 or call 910.796-7215 within 10 days of receipt of this notice.
No response is considered the saute as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that u pier, dock. mooring pilings, breakwater, boat house or bout lift must be set back a
minimum distance of 15' from my area of riparian access. unless waived by me. (If you wish to waive the
setback,you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement. 111:Ate
; ' '
%,:.,-7.04-e/ 2 -/‘'x'
Sign Name Date 7 NCDENR

f6-2007 14:06 From: To:19105792808 P.1/2
461:1417A
NCDUrt
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
'ichael F.Easley,Governor Jamos H.Gregeon,Director William G Ross Jr.,Secrete.
Authorized Agent Consent Agreement
4.0)/ i i ' Os rcr1 is hereby authorized to act on my behalf
(Printed Nome ofAwn
►rder to obtain any CAMA permit(s)required for the property listed below. The authorization is limited to the
Icific activities described in the attached sketch.
CATION OF PROJECT:
0 6-1(1x1VsSo.fo
'LOtiN1 ()it►4C1,1 am- :)-
DPERTY OWNER MAILING ADDRESS:
-Paws S. i-k c&S
�4 0(3i4
0W0,4 4t-yka}f Nt 3S+(63- PHONE NO. 611D- '4443 -c1 1. 1A.
THORIZED AGENT MAILING ADDRESS:
goy
)c 60n 1q
P ENO, 910- 4-4 3.- 11 ldcrUhl
nature of Property Owner
lature of Authorized Agent

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signatu e
item 4 if Restricted Delivery is desired. 0 Agent
• Print your name and address on the reverse X
so that we can return the card to you. 0 Addressee
■ Attach this card to the back of the mailpiece, B Received by(Printed Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: ❑ No
ftaaioni v-.Toad 0-,)-"-(4.ro
yo bct y%O , CT.
H14-44 1o,.vrr /Y 13 G C"
3. Service Type
Certified Mail 0 Express Mail
❑ Registered ❑Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
A
2. (Trans Number 7002 2030 0006 7451,
(Transfer from service label 9640
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540