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CAMA/ ❑DREDGE & FILL
I N E RAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources
Dastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 'I ./Zefe
��� �� ❑Rules attac ed.
/v/�Name 57ree•t Project Location: County /(fGti.' , i,i y*
614 I ems-p' / /./
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/4 /Ph j!, An State j(1L'ZIP 2 8 yoj .-.�, -
(9/D) 11 6410 Fax#( ) Subdivision
,d Agent /Clei,/ ( %fl,4#// ' City 54,sii, ZIP .5G24
'KCW Pt [B(ITA ❑ES ❑PTS Phone# ( ) 54141 eRiver Basin (4,
❑OEA ❑HHF ElIH ❑UBA ElN/A Adj.Wtr. Body 0 ,45 ( ye 0/
❑PWS: III FC:
'es / no PNA ,/ no Crit. Hab. yes / no Closest Maj.Wtr. Body 4/ /Z/
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CAROLINA MARINE CONSTRUCTION INC.
PH.910-793-4143 2243
3600 E SOUTH COLLEGE RD PMB 326
WILMINGTON,NC 28412 66-7172/2531 1+
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WILMINGTON,NC '
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THE AMERICAN FISH CO.
76510
CHARLES H. OR KAREN Z. PERRY
P.O. BOX 11046
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SOUTHPORT, NC 28461 '/1//\,12 DATE 1 2g- 4> 66-30/531 t
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•
MASONSORO BOAT 'YAP r j PAGE 01
11/17!2006 15:51 9107919777 •
7/6'727
ADIA RIPARiA2rI PI PI R'L C Q .L?YQ, 7EI�ICAMAAVER FORM
Name of Individual Applying For Permit:
Address of Property:... la t !; Ezd1;l 5 k ■ - .
(Lot or street IM,Street or Road)
LAG., , _d1 _ alit/
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the develotment they
are proposing. A description or drawinst.with dimensions.should be Provided with this letter.
I have no obiectioes to this proposal.
If you have objections to what is beta` proposed, please writs the Division of Coastal
Msasgemeit. 127 Cardinal Drive Exteasioa. Wilmington. NC 23405 or call 910395-3%
within 10 days of receipt of this notice. No rapomss is considered the same as no objection If
you have been Miffed by Certified
Y understand that a pier,dock,manias pilings,breakwater,boat house or boat III must be
sat bek a minimum dictanc*of IS'from my area cf riparien access-unless waived by nee. (if
you wish to waive the setback,yea must initial the appropriate blank below.)
,J'k I do wish to waive the 15'setback requirement.
,J 1,4- I&.pt wish to waive the IS'setback mquiremem.
Sion Nara►� 2 ) Bete
•, _ 4/44./4--- ATA6
Print Name
6 NGDE
Telephone Number with Area Code
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