45808D - McLendon

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CAMA/ ❑DREDGE & FILL
BEN ERAL 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 _ 1-4 . 1 2_L])
es attached.
:Name f)f e 0t�{-tr !�y l rc 1.L .NOC/sJ Project Location: County / t J
2-2-0 VicV 5i-,6 L-C)( 12,00. Street Address/State Road/Lot#(s)
Vie(,"4-1/1/ State IV C ZIP 2.8 1tS4 2— IiC12&E Si-tV t. LOCI.) 12i).
(Q 1 Q)5"24 -C'?,1. Fax#( ) Subdivision
ed Agent ti' i E. --SZA_N( City eIJ IZC•AiA/ ZIP zS 4 S
❑CW YIW I IPLLTA tS ❑PTS Phone# ( ) SAIN\� River Basin (A?E
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body N� (A j E4•/-\L at r
❑PWS: ❑FC: Are r C/k(2 tat v F
yes no, no PNA yes / Crit.Hab. yes / no
Closest Maj.Wtr. Body c
f Project/Activity 0Ci'JSn2..JC1-- rlc.)vA-71- Pi Ere_ 1 PLAY (�tv\ DCC.IG_
(Scale: i II
ck)length'-,15/X Cj,
,(s) 1 //x 1 L' -. .- _4_
oier(s) I i
1
'nth ® � i i
imber
Ld/Riprap length : i i I TI
g distance offshore _ t...... _
ax distance offshore _-... t..._ -
hannel
,IH .6;; r;f-,A,-;
1 � i
/ y '1j f -tt
obit yards F { .... r!/ '.- t +—
. , �-
use/Boatlift ( i
3ulldozing
no--.AT 211.iX8
L..' i i 1
I
ne Length j jt;
not sure yes o ...r.... ' 4101).4‘Asa.,IMI.10=11 4_ r .-..., sr►®"1.r 7'Air...
;gs: not sure yes y. i1[cw.:®4,,rN► '+ 'r'a. ,
)rium: n/a yes �( ! • 111° ; loo '
•Attached: yes ( '

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THIS NOTE IS I2GIU.TENDER � �4.4 : A E 817 6 6 6 81 B �,,�
- POR ALL DEBTS.PUBLIC AND PRIVATE \k
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(27/2006 09: 03 9102595057 SAFEWAY CHEVROLET PAGE 01
fEW
* VRO
HWY 117SOUTH BURGAW, NC
Safeway Chevrolet Burgaw Phone: [phone]
1320 Highway 117 South Wilmington Direct Line: 910)763-8234
P.O. Box 1470 Fax: [phone]
Burgaw, N.C. •28425 Toll Free: 1-800-895-1224
42
TO:„ CA) (1-7//2-----(
FROM /F
FIRST
OF
3
PAGES
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/27/2006 09: 03 9102595057 SAFEWAY CHEVROLET PAGE 02
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
[hereby certify that I own property adjacent to U • d� Ts
(Name of Property Owner)
property located at - Gx
(Address, Lot, Block, Road, etc.)
on /0 EAt s , In /-4 0 L 0;/1// N.C.
Waterbod (Town and/or County)7
He has described to me as shown in the attached application and project drawing(s), the development he
is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
1-4761, SK p�N
Print or Type Name
(51(6 3CU _ 3O23
Telephone Number
Date: 62 - R.�.e C.a

i/27/2006 09:03 9102595057 SAFEWAY CHEVROLET PAGE 03
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I ovum property adjacentqa, �'1. ro hy 2- evd6Pis
(Name of Property Owner)
property located at llorses1),90 6 e- L a a p . C�
,,/' (Address, Lot, Block., Road,etc.)
on NU( rzih ; 45 Cp �n Pet4 C .6UIN N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s),the development he
is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
tlitt-ure
/"4 "`" Ul��
Print or Type Name
?/e> c 73
Telephone Number
Date:

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