43361D - James

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kCAMA/ K DREDGE & FILL r-0
3ENERAL PERMIT Previouspermit#
New _ Modification Complete Reissue Partial Reissue Date previous permit issued
irized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 18• I) , .1S , O Q
®Rules attached.
it Name J r.f 1 ,►arr e S Project Location: County ��► NE A-
R 0 - &x z 3 9/ Street Address/State Road/Lot#(s)
u g.e' G�7�� State NC ZIP L/0c' ) 35' pY)c Lc o n *av*;
( ) Fax#( ) Subdivision
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:ed Agent City —+�+�a��K •
ZIP Laytj
C cw T W L,eTA ❑PTS Phone# ( ) River BasirC41PG
❑OEA -HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body&knee[- Soo ,,4) (nat0
❑PWS: ❑FC: 1 IA/ '
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yes PNA yes (3) Crit.Hab. yes / no Closest Maj.Wtr. Body )'1 V
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s: not sure yes Qg
ium: n/a yes
yes (®
\ttached: yes
ng permit may be required by j sP5* See note on back regarding River Basin ri
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IFS r

DORIcIN
ADJACENT PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �- ;A{ s _
(Name Of Property owner)
property located at 1 3 5
(Lot, Block,Road, etc,)
or, MC loop --�4ov� , in "fig C .Ae4-1 r.c
They have described to me as shown below,the development they are proposing at that
location, and,I have no objections to this proposal,
DESCRIPTION AND/OR DRAWING OF PROPOSED
DEVELOPMENT
(To be filled in by individual proposing development)
12€M o ve. t,JA-A.c.- .An.11) 1441
to rlN A vl N Li „,A. t l w N,c,N w(LL_ 1 N cA LA-else..
At MAIN 4 - . ce L o° 6 4-L- Skits 571NGl
r—eter
{ Jackie James 1E. , �
rTv9 Broker In Charge Signature of Adjacent Owner
Sweyer&Associates —
13775 Ocean Hwy 50 F+ k414e4 l�. I,INi
Surf City,North Carolina 28445 Print or Type Name
Business(910)329-0105
Cellular(910)470-1478
Fax[phone] `V -Secs- '9 Z,
Toll- Freeilh (888ruescentu 329-0105 Telephone Number
E-Mail [e-mail]
Each Office Is Independently Owned And Operated Q

03/17,'04 18:01 FAX [phone] THOMPSON SURVEY
____,—
SURVEY rK :
c
LOT 5 — BLOCK` 49 � .�'
NEV' TOP IL BEi'CH `" `� r�� `
5 T.H EE1710N
ti .e.' s 1AP B. !U. P. 25 �
�� VICINITY MAF
NOT TO SC4LE
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"'JAW.. SHULIERT
-

ORIGINAL
ADJACENT PROPERTY OWNER R STATEMENT
I hereby certify that I own property adjacent to ?Agri!. SC c4bei r 'S
(Name Of-Property owner)
property located at ( 3 5
(Lot, Block,Road, etc)
on f�11 C Leoj AVE : 1-c e,c- te.•e N.C.
They have described to me as shown below, the development they are proposing at that
location; and I have no objections to this proposal,
DESCRIPTION AND/OR DRAWING OF PROPOSED
DEVELOPMENT
(To be filled in by individual proposing development)
e..,..A ►4.19 6ea J A CwooDam)
AND 12eelQ,ce ut "Ail 6cobtAlpril
wt-k-tct-E Wtc.L. 1 NCtuc e A MA t 4eh► t NcE 1'�'IZ D6E 4
014 bo+“, Stotts of ec-ts7t 162_ ce?
Signature of ace,nt Owner
, S 77�Je9,5,
Print or Type Name
3s'6.- 377
20 y7
Telephone Number

•
1311n4 BANK OF AMERICA 1852
" ''6dQii SURF CITY,NC 28445
e` VV( QS 66-19/530
V P.O.BOX 2391 // / Q5-
SURF CITY,NC 28445
[phone]
PAY TO THE W J\ A / I $ 0- DO
ORDER OF ( rUGT,�[ J`
Tayo �j�Q� p 0��� Q.�� "'o DOLLARS 2 :a
MEMO/3 A l 42 4:2-9 (J��
'� `�33&/ II'00 L85 211' 1:053000 L961: 00069 L 29 ? ? LIB'