45300D Jordan

'CAMA / DREDGE & FILL
3ENERAL 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 15A NCAC 712 /2 0 G'
Rules attached.
t Name 6)L &•x I 3-ea ' 7.✓ Project Location: County ' aiieij44,c
4 ..
2 2/ ,�G, e.✓ 4 d Street Address/State Road/Lot#(s)79 e", 2
94 k7-0/.1 State -'C ZIP 2 TY1_1
(9/0)0 6Z-93,f7 Fax#( ) Subdivision
ed Agent I/9i # - �iA/S#9.J City ci PesZ le /149 c4' ZIP 2 !7
❑CW B-EW KI-PTA ❑ES ❑PTS Phone# (- ) River Basin 14,,,6
❑OEA ❑HHF ❑IH CUBA ❑N/A Adj.Wtr. Body _f9"/9 t if(' /""'//✓ (natt
❑ PWS: LJ FC:
yes t5'__ PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body wL✓
Project/Activity it-4 i P dr/ .P, 12)0 c 4
(Scale: / "-
.k)length .5 A / A I L ,X -
(s) --- P
er(s)
Igth
nber
j 0 {
I/Riprap Pra P length
1 -- I I - - - 1- - —
distance offshore
K distance offshore t
f
annel I-I- j -
is yards
(4,9
ip
e/Boatlift
1 6.
� I
illdozing 1 i_- L - ----
Ca--
r � t
4 .
Length > U . —
not sure yes no I r
: not sure yes no jr" - - T
um: n/a yes no + [ 2
yes no - i
ttached: yes no.--i - I i / I _
g permit may be required by:i ' e#,5C h See note on back regarding River Basin ru

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ATTF.Als,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor Charles S.Jones,Director William G.Ross Jr.,
Authorized Agent Consent Agreement
£U C // ti /// t J"' he
reby is he eby authorized to act on my be
(Printed Name of
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited
iecific activities described in the attached sketch.
)CATION OF PROJECT:
2 f1(1 ieecf
(� Ceapt S / ( Nc.
tOPERTY OWNER MAILING ADDRESS:
ky -3-Or&Litt
70 f' 3-b-Carkn (z d1
CAO,X 1 Y , C - )S-VS PHONE NO. /O - g-(G7 - g35-
ITHORIZED AGENT MAILING ADDRESS:
4uic ig I
1-0 ) Ar- C. 2 s7Y2 6
PHONE NO. 1756/ — V
(A \, (A, (1

B-'20-2007 1 1 : 1:3AM FROMi SS OP RA-:ONS (MS 1;t-B9 P. 2
fkk3•-to-Vs 15:1S Frn:n: To:y3ern:4 34S P.1'1
i kzS eiO f' pA,S,TA A�t►l AC 'Cr'�f'i'
ri✓ut. op, ?Ref RTY ''str&N TIFI} P , FORM
z3 ' _4 ek t . ( JI,;� T;1C oII!1d'lYf0i7z3? ptvit; A'{)t Cc't1Z �: ��i �7�}'! it
Address or.?:open,._C✓ Z ,,.(Let Cr Cr Street P, Street Or Road) -�-�
Ocae [ j
city acci Lour„)) f'
i,crebv certify that J own property adjacent to the abo e-rcferer»ed property, The indiyidiuz
applying for this oerr:ii:hes described to me as shown on the arteche:i drawing the development tAev
_re prapesr�g, A description or crewing, with dir;ers:ons, shcr'd be pros idcd with this iet e- .
� -;v ti4c na obje:t oris to this propo ai.
If you save objections to what is being proposed, please writz the Division of Coastal
Management, 127 Cordi„a3 Drive EM!'Siuit: Wilmiqgtoo, NC 28405 or cal! 9°0-.93-39U
within 10 days of receipt of this notice, No response is considered the same as no abje:tion 1
yOt.1 have?peen notified i;y Certified Mail.
WAIVER SECTION
I understand that a pier,dock, moo rlag piling#,as•eaf.-woter,hoot:muse cr hoot lift ir,usr besot
hck: =lnim.tmtm distance of X r' from r' area ofriporintz access-unless ti'cived by rna. (Tf vthi
wish to wah a fin setback,you must ir•ifiof the app*rpriate bunk beiow.)
i do wish to waive the 15'setb,ack requirasr
er,..
(1) . n r�eisl: o waive the t.s setback recuireme :,
Sin,Name Date
4.4.41(3n-_
Print Name r

luau 08 07 11 : 1Sa ELSIE WILSON 910 792-8'159 p. 1
06/a5/3007 18:55 9187549345 MII.LIGr.NS ►x"1c*5 PAGE 02
FE9-29-2005 IS:16 Frew: TW9:07549. i I .101,
� �74 ". �.;aura? r) '4 rw E.RNQI 'UQN WA ER FOR I
Nome of Individual Applying For Permit: ....�i I h d amg .
Address of►roceny: 212 S.I.„ --�
(Lot or Street%, Street or Road)
o
coLt1 _rik .ffea(A y r 1
6
(City and Ccumyj I I
X<` I i:ereby certify that l owr properly nAisernt to the abcve•rcfe;erceC property. Dwt fnalividi ai
�' applying for this permit has described to me as shown ors the ettathea drawn tic development they
ere propesing. A description or drawing,with dimensions,should be pros ivied with this lener
CLAD I leave no objections to this proposc;.
If you Have objectiaas to what is being proposed, please write the Nvis€on of :mixed!
Manngement. 1.17 Cardinal Drive Extension. WIfmfugue, NC 2S4C c.r call 9+0-3054400
within 10 days of receipt of this dance. No response is couside,as rb6 soon al no at7jetttoa, it
you have been unrifled by Certified Tslisil.
WAIVER SECT/ON
I understand that a pier,dock,tncario:pilings,breal.-wo ter,boot house or boat lift must bo set
bck 5 miniature distaste of 15'from my area of ripurion sceess-unless waived by me. (1f you
wtsh to waive ti,e satbact:,you must irJtf.al the appropriate blank be:o►`•.)
I do wish to waive the 15'setback requirement.
_- C. u—' , i do not wish to waive the Y5'setbock requ,roment.
r ,. -
i t
�' / e [
5ittrne 1uatr
LeLL
Print Name
AMPAt
Ttt!ttphaae Number wit!" Area Code
t;a:ns'51ttlL4ipariaiprc.perty.trr.