49214D - Soucy

CAMA / _ DREDGE & FILL
3ENERAL PERMIT Previous permit#
New Modification Complete Reissue ❑Partial Reissue Date previous permit issued
rued by the State of North Carolina, Department of Environment and Natural Resources /
2oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC fjr.//7 a
CSABles attached.
it Name -90, 1//)LI Joy C Project Location: County 7,Q41y1L,//C
L- 9 G s G✓r s.Sr/ Co1,, I Street Address/State Road/Lot#(s) "/2 2 •5;9i
,jYe o//-e State/Y C ZIP 2 r306
`(24)) 4,21-0 T6 rFax#( )_ _ Subdivision
:ed Agent RONA/'C /2 i.y 7 City Sy,is FT !tre9c- i ZIP 2 7 VI
❑CW El.P % DOFA 54.ft ❑PTS Phone# ( ) River Basin L[(/), L
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body C/,,19 I f j wc.d (nat /I
❑PWS: ❑FC:
yes "--) PNA yes n o > Crit.Hab. yes / no Closest Maj.Wtr. Body 61/ 4J1✓
r Project/Activity FR, I/ / C ,eL1 L/t'/S P 9 ci
(Scale:
ck)length
I
ier s
ngth i ,— , i i ' i i
I j
mbar i
I�7 p I
rap length _ D .4 /a r0,a}Wf,, i ii 17 L. !"�+"'' ——r I
distance offshore r-' T'� 4
uc distance offshore---&". — - -= j=-l— = - ) -I--4--'—--!
cannel I j 'I i j i H ' I j 1-
f
)ic yards I f- I
rip I I
se/Boatlift j I f j
I
itOt
ulldozing t
:Length Sd
not sure yes Q ��
not sure yes
cum: n/a yes efiF2 1 j,7 58' L 7 +S'/
•
yes no7
\ttached: yes no
ig permit may be required by: •
LJ See note on back regarding River Basin ri

- - - -
• RONNIE WAYNE MINTZ 66-7143/2531 1772 '
DBA MINTZ CONSTRUCTION 60010007 �7
4739 FOUR SEASONS WAY sir�-ei /
t ASH, NC 28420 ' DATE (/
PAY TO THE AIC
/PAY TO F it i J I $ �ri r . • ii
i /44-/° 44-` /'� , —/ ,nn. ..ate g 3 / - i a..G/ter ^�J DOLLARS u -
SECURrrY '
. SAV NGS BANK 6 -�
Sunset Beach,�NG28470 �� � // „
i MEMO • 7 1 I� so(.�,/ "•�
j I: 2S317L4301: 600L0033070 1772
t

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low
or,

Al
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
4ichael F. Easley. Governor Charles S. Jones, Director William G. Ross Jr.,
Authorized Agent Consent Agreement
i' l o� � �
Z / i!1�I ! Ys is hereby authorized to act on my bE
(Printed Name of Agent)
Drder to obtain any CAMA permit(s) required for the property listed below. The authorization is limited
.cific activities described in the attached sketch.
'CATION OF PROJECT:
VG1c7 .5ctt / '-,. s 4
OPERTY OWNER MAILING ADDRESS:D&,, id .SOyc.
9 OS. w c. SSGY C.cut r -4-
C-'a d- ,w �tGe.t ty\(C . �?)3 0 c
PHONE NO 0/6) Lt23 - o8‘4
THORIZED AGENT MAILING ADDRESS:
ohr-Vi e •-ki,r1A 2 C.f)AS-Y Eck o n
v SeaSon.s \4aLi
iis\a( C . 2420 5L10 - LS5(
PHONE NO NI 0)1 S-C-IPS-C t
!nature of Property Owner

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X
• Print your name and address on the reverse _`�,,.,/j ❑Agent❑Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of 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? ❑Yes
If YES,enter delivery address below: ❑ No
CTrOfs < Tai('Yl. r
55
I arrnc1 R.d. 19�-.3/•
C 3. Service Type
E1,06rtified Mail 0 Express Mail
" _!1 C Registered 0 Return Receipt for Merchandise
.0 0 ai ❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number +-7
(transfer from service label) / O 0 `] 7).2 Q-0 U o o i 4. C, 13 a Q V
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete
A. tgn;.. - 0 Agent
item 4 if Restricted Delivery is desired. or_,..0dit,, 0 Addressee
• Print your name and address on the reverse C. D. e o -livery
so that we can return the card to you. R./Received n, ed Name)
• Attach this card to the back of the mailpiece, - ``f
or on the front if space permits.
D. Is delivery address different from item 1: ❑ es
1. Article Addressed to:
If YES,enter delivery address below: 0 No
A. c\not Mt qSe-
aaa I ( St lok Gkuvch. Rd.
3. Se ice Type
‘ /-� dt S N 1� (O Certified Mail ❑ Express Mail
�JV1 l ,_` r^ G Registered 0 Return Receipt for Merchandise
aV &("I L 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number (���� �Z r11
rhAn '"-),, 1'1 h n ) eDO ( r- 1--