39887D - Smith

i
CAMA/ n DREDGE & FILL
iEN E_ RAL PERMIT Previous permit#
ew 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 11-k • 1 1.-..
Rules attached.
:Name 6 s it i,1 3 r•IT 4 Project Location: County°p•S LJ v✓
13 11 6s,yT vJT L Street Address/State Road/Lot#(s)
0 ,11.1 \I,Ag.akiiN, State ZIP Z.,1�L 5 Z .S A l+- v z t
(°I�) Lt 2,,1.` N t t Fax#( ) Subdivision G A PE? L 0.iJ t)
edAgent 13'LL-T0 6S S YAof1.x City A• .roPSA1L -61_+Ar.-0t ZIP Z LI b
jcw JEW IOTA ❑ES ❑PTS Phone# ( ) River Basin‘Alvivri.
❑OEA ❑HHF ❑IH LI UBA LI N/A i
Adj.Wtr. Body 51 U r',p 4..%�> 1�
❑PWS: ❑FC:
/ no PNA / no Crit. Hab. yes / no Closest Maj.Wtr. Body IT
Project/Activity Z hr.,r o,,.L 3 L ' T1 c_ tt. „-) / Zs',x 12' H E A 0 �
X 1 Z' C.J v E 2 e i) (Scale: +'�z
:k)length 3 Z.� X 6 ��,�/
i(s) Z.� X I Z �'''� v�N ; } r
ier(s)
ngth WAIF, , -�-----_-t-- -
st t_5� 5
--
-Tiber „-T _ 3••r } l
3/Riprap length S of[Me7,,, _...___
j - t 1.
distance offshore I ..
x distance offshore - i--- }
iannel I
Sic yards l
f 1!.
Ise/Boatlift
ulidozing • i j
-I.S
InAX i
33z' I-
e Length / 4:-!
notsur yes no
s: not sure yes no
-Wm: n/a yes no ►1
yes no
4ttached: yes oo� P — s P 1
ng permit may be required by: 0 oirrik I O QS O'S L E ALlk. See note on back regarding River Basin
— . ——- -- - -- - _ - _ .._— —-

tib/F13/2064 18:22 6617511 PRECISION PAGE 01
6&/84i2894 10:28 91032'119e' .... .. •
—_._ ... •--
MARK PADG6TT SURvErs PAGE 02
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cZRTVICATt or wheat
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w wo Mwy nrab v.. n,.. /
ae raa of empver.w r
none eN we lb. 21 wee Ma .vyb r '
Now
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WOWam S l- / /
May 21, 2001 1
The properly. ___d to nal Scale: 1•.M'
in a,110 O arti cone w detenwten
Ref. M.B. 36, Pg. by ,Ae O.vv+r.wt of Sowing one
Proiact No,: toetor3l.d,p alto p.y.yrnant. w, �.
SIAvcy row •
Danny Marco Padgett
David Tay,or Sc Others
g t 5 rveying
mot 32 Cops leront Section I, Holly9 Village Drive
Town of North otonl l cooneech Ridge. NC 284+5
`Or.elow County, Nor Carotins Office: (910)327-19Q7

73!VW G17tl 11:37. (14-000-G Jc0 rrt��rin�� 111..1 1,w1,-1,I-, —
Mar 00 OS 02: 24p John Cassidy 910-327-6353 p.2
Naas Of Individ 1 Applying For Permit:: fiy/L_4je Jam/
/r'. c. o?8Y
Address of i+ropa ,tY
(Lots or Street *, Street or Road, C ty is County)
I hereby certi that I own property adjacent to the above-
referenced proplsid
Y. The individual applying for this permit has
shown on the attached drawing the development
ttheyribed to ateA description or drawing, with dimensions,
ethio�ti wre p5 with this letter.
V- I ha'e no objections to this gal .
i
. . - as, ad. olea trite thy
`., ` .• r P. A. ...1 • '. • •
-
• _ • r �_
QanSi62Sd the same
as __t$iS_tien f you have been notified
MhaiRANSIMI
ilf 1 understand tba a pier, dock, mooring pilings breakwater, boat
house, lift or a wet be set back a minimum distance of 15'
from my area of parian access unless waived by me- (If you wish
to waive the ack, you mutt initial the appropriate blank
below. )
i
•
V fr I ¢o wish to waive the 15' setback requirement.
()IiF I __ wi.h to waive the 15'setback requirement .
aL pi//',,, Lvtuclvii,ce Vim, -
rri lt Z - ?aa ,��aG Ow+M•�County
Telephone dumber th a Co e
Ora low County F1n+za9 Aar
804 Co0octo 8ba+t
Jaokaoe villa. NC 1854 0

COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
to items 1,2,and 3.Also complete A. Signature
'Restricted Delivery is desired. I / ❑Agent
ur name and address on the reverse X ❑Addressee
we can return the card to you. B. R- ved by(Print-: ••ame) C. Date of Delivery
his card to the back of the mailpiece, ���w , i `� ��
e front if space permits. Zf,n
D. Is delivery address different from item 1? 0 Yes
idressed to: If YES,enter delivery address below: ❑ No
'.11� -V A i.) .-
Po.,N-n►
cry c. ,c._ - - -,
_ 3. Servic pe _ ❑ = J :
( U 11_�—I -- ertified Mail ❑Express Mail ; 11%
to ? —.
2 0' ❑ Registered ❑ Retum Receipt for Merchandise u., C,
N
❑ Insured Mail C] -'C.O.D. . "�
4. Restricted Delivery?(Extra Fee) El Yes D I� 71.'^ NJ =
W o_� .�
umber 7004 2510 0001__ 9987 2229 0 u�
from service label) an c
811, February 2004 Domestic Return Receipt 102595-02-M-1540; .❑-. Izt -»V
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