49245D - Taylor

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KCAMA j ikDREDGE & FILL i
4ENERAL PERMIT Previous permit #
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC -1 . ,\ J t •'5 J�
,Rules attached.
nt Name .of' t 1LT 1 Va�I LoL( Project Location: County t i!.l,\' i, tt-
s t�,0 . � 3 .e,`3- Street Address/State Road/ Lot #(s)
o?Sr^Lt't:-4.2 cf''.Ct- ' State ii3(- ZIP Z%Lig5 ‘ 5 9 o(1-1 K
# -_4) 3 t8 5 4k7(oFax#(' ) Subdivision
lzedAgent f\t_i_.L�.�j City_ t 'o PS s'ri L 13 e C.11 zip Z.:`?s-I t
d ❑Cw w (ETAS C PTS Phone# ( ) River Basin C-,e t.
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body iDPS i✓ v.,.n.) (1040-'40(nat
❑ PWS: ❑FC
/,fio PNAyes / nd� Crit.Hab, yes / no Closest Maj.Wtr. Body 1 zs�s-IAIt `-`" 4' '
yes -
(n`:a
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vg distance offshore Z. i_- i ` i-'- --� a :-u-- -f--- --- -- - -----
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orium: n/a yes i• T- , I. 11v r3. i , �_ '
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IrAttached: yes ® , I -._i. __. _._• .. _ _.-- i -_ - i..
(ding permit may be required by: I PSA:.L. 3 f-AC of P See note on back regarding River Basir

CAMA/ DREDGE & FILL
;ENERAL 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 u
;oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC r 1. \` 3 f •1.S0
Rules attached.
t Name or3y>t 1 1 % ..1 t,o It... - Project Location: County 1 E,3 a G- (L
V.O . JX - 4 g 3 Street Address/State Road/Lot#(s)
>I's+- t.. I-jc C.a _State ti)(-- ZIP ZS34t3 105 �fl(-'I K. ----- __--
a) 3 ZA - 5 4-)c.Fax# ( ) Subdivision
edAgent t-1t_t-it:l..) City j ,ps L 1?,eIct\ ZIP Z-644
❑CW i W [) TA ES ❑PTS Phone# ( ) River Basin C-ai'1.
❑OEA rIHHF ❑IH ❑UBA ❑N/A -----
Adj.Wtr. Body IDr164.4iL So...,..,) CLAN'A0(nat 4
❑PWS: ❑FC:
yes / fio PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body I oP S�1St. �i.� a��
Project/Activity rl.11 ) _N f 4 Al i_vs/ 12%5>1-14-H£A'D L' VIA-fr n_rvia of
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- C
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x distance offshore Z-
t - _ i. ;_ -- - �_
rJLw r"IWRY tT r f !
annel Cc X 3 J X -
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se/Boatlift r
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f itAetil "ro g'
Length i E'xfSr/N t, nbit r.. tXCA✓pTt)
not sure yes no V '
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[urn: n/a no I i
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l
-ig permit may be required by: , ct'SAI . eAc- ❑See note on back regarding River Basin ri

- ,�= 2"LTnrA®5 '! S e c u r it y i-rthertred d o c n men t. 5 r r 6 a c k_Lo r d e t n i I s.fir__ =-
ALLIED MARINE CONTRACTORS, LLC 08-03 2863
910-367-2159
92 HAROLD CT. q ss t9/530 NC
HAMPSTEAD,NC 28443 DATE L ` (a — 0702 �
1
r PAY nd
OF i
TO THE b, I / Y � $ /' 0 V
ORDER
e�1' r( }I
ta/
(uZj `� DOLLARS 8 "°
O i!
J- Bank of America ,
P4 ACH R/T 053000196 11
6/11'..." 1
1
A FOR I �or &f k,r 51ki-rj jIi PA. 31
II.00 286 30 1:053000 L961: 00068' ?Ls 3 ? 38ii' S1

1 : ROBERT TAYLOR ASSOCIATES FAX ND. : 9103295476 Sep. 06 2007 11:16AM P1
arp Ub Ui 1Ut1bb Hal Fogleman 910-2703374 p. 1
Tw
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michoel F.Easley,Govemcr Chules S.Jones,Oiiregor William G.Ross Jo..$ecretscy
Authorized Agent Consent Agreement
jf Ii PJ / rt‘tl e. is hereby authorized to ad on my behalf
(P'i*d Mane alAg,,,r)
n order to obtain any CAMA permits)required for the property listed below. The authorization is limited to the
ipeeific activities described in the attached sketch.
,OCATION OF PROJECT:
JLK I Alter
•
10.1 Pj ryk
1()F s etc.( &e. c(
PROPERTY OWNER MAILING ADDRESS:
Qv1364T` f/ Reg_ .
, 0, ,6o .3 t-f o
P5 al L 13 54 , Iva o1 S r4 y5 PHONE NO,•a i o - 33 S- 54/6
W THORIZED AGENT MAILING ADDRESS:
f1`e n 4//4 6M
62 a (2 ice,Gf-
PHONE NO. �l i o 3 `7 a ► J'—`1
signature of Property Owner. [ ��Z -6-o
signature of Authorized Agent % Y't-
Date; 1 '.—o 1
iv cads Clive sit,Wilmington.Nod!,Confine 2e4135-3Ms
Phone. [phone]%FAX: 910-3E6-3964 t!filmier Irwirr nPrna IwYnenr....v.ena.d

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