48246D - Tchouros

'CAMA/ i
DREDGE & FILL z9
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3ENERAL PERMIT Previous permit#
New Modification Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
2oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1!--t 2._Po0 4-4- , 11 0 C
Moues attached.
t Name CO S i',-1 7 C I--0(l){(' Project Location: County 1--t�t•JQ iZ.
/ 1 E 3 k'iN&C I µ.fv0/No r(.,U14yj Street Address/State Road/Lot#(s)
7t-2,S71 71^C) State NC. ZIP 7‘Li4, sAAc\E
( tf l ) ' 7t)-21 Cf Fax# ( ) Subdivision
:ed Agent _ City - -{N fS.TU) ZIP Z •S t+4
❑CW SEW S1 PTA pfS J PTS Phone# ( ) River Basin ( ((-P€;
❑OEA ❑HHF ❑IH ❑UBA ,rl N/A
Adj.Wtr. Body A 1 W yV AP,
❑ PWS: ❑FC:
Closest Maj.Wtr. Body /1" w
yes / no PNA yes / rSo Crit.Hab. yes / no
I Project/Activity P I IVY I,vLV k L - INl;O
t5 �� (Scale:
,ck)length /
47 ' I • , (BOA Tt-1 Fr
)ier(s) .1. ,A(
ti
1 1
'ngth —' ! \''
' � ..
mber H�►V 1-N-111T7rr
d/Riprap length "I SUS 1 f l T ( f (-jrVTI1 1G
g distance offshore t '_ L%o Lte... ,,,.
ax distance offshore 5 —_._- I.._ CI
hannel �{1�'j
y..A A
bicyards ':. t O - P 11'(l,,`is ' N �nS I ^
12 fI1= /��VOA/
-rip — rt
it t a��' p 1 T in16
t — compi0 Keta,C Ara?
lulldozing P o n c t:N1
iv
Ya1_:V C t1Tti i i
ie Length s)Z001
6 , \
not sure) yes no
t
s: not sure yes co
rium: n/a yes fio
yes 'o _ i)C
Attached: yes no
ing permit may be required by: rw See note on back regarding River Basin r
'714 .1100j

•
8381492 6 701
67-219/539
BRANCH 01401
S�do/D7
Date
00
VIA)v Dollars L�I r°
iL558L4" L70L
•
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'carit enhanced document. ----'- - -
See back 01 d - ----_--I rta
& BOAT LIFT 7069
DR. 910-686-9700
DN,NC 28405
3 )
66-30/531
DATE � _ 365
2
$ too
7
DOLLARS 8 .. 1i
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03001:00_3 53 199 150411' — � r� �

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DELTA DOCK AND BOAT LIFT
Lf V7t NLTA �ICNK St CTON�TNC�'
Opt /MU/Ws 0 S be. Phone. [phone]
WILMtING-ON, N.C. 28411 Fax: [phone])'
H 1
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01,000
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4

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
:hael F Easley, Governor Charles S.Jones, Director William G. Ross Jr.,S.
Authorized Agent Consent Agreement
is hereby authorized to act on my bet
(Printed Name of Agent)
der to obtain any CAMA permit(s) required for the property listed below. The authorization is limited tc
;ific activities described in the attached sketch.
ATION OF PROJECT:
//8 3 kin/Gs 1...tntai.v1- /2c�
/-/pre,ps?LE'Act , /51. Gr. Fs' 3
1PERTY OWNER MAILING ADDRESS:
E3 ktKFc 2.aM vmer id'
0-r =?mps�6":Qd N e 2& e4.4 3
PHONE NO. 9l d -27o-Z1(09
HORIZED AGENT MAILING ADDRESS:
/DeCK , vim%
/iQU 35
1\4 �ti ��.� v' C -k 11
PHONE NO. q e 6
ature of Property Owner: _,e42/0-.

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Name Of individual Applying For Permit a©s`rA -3. /Cl-fov2e s
Address Of?ropertp:
/ Am s�6-A-ci // C e s 3
(Lot or Snit#, Street or Road, City & County)
I hereby certify that I own property adjacent to tiha above referenced property. The individual
applying for this permit has dumbed tole as shown on the attached drawing the development
they are proposing, A dent ption or drawing, wit dimensions, should be provided with this
letter. / SULK fa14-/
V osal. l'W I—C - %egiC-
�,_,�„ love no obi to this ptog (�UJ
it t •t.11t,aH 4 \- � . . . ,.. �.• .�1 .. . s .l. 1 •.• . . �.. � ..�.
3930 J91 K4. on - '.i.eft...;. i eut.. aistc
Wirlantrni
I =demand that s pier, da*., naming pilings, brskwatar, boo house, tit or mot be
set back a zninincum dazes of 15' tom my iae of*en aaase tmtps waived by me. (If you
wish to waive the setback, you smist the eppropriate btaaic below,)
I de Trish to waive the 15' stink rsittimett.
dram wish to waive the 15' sstbsok ssqulre!at.
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