38485D - Burns

'CAMA/ 'A/DREDGE & FILL
;EN ERAL PERMIT Previous permit#
Blew Modification L JComplete Reissue -Partial Reissue Date previous permit issued
sized by the State of North Carolina,Department of Environment and Natural ources
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC -7 Li . f i Uo 7 N./,s '")A-1. I;
f
11,Rules atta&hed. 7,
t Name TA'E I) 7 jj V S Project Location: County 6/VS/0 W
f(c, C `) /v et,.. RI kio .. (d-e'f ari Street Address/State Road/Lot#(s) /4 4 9' N ,
(d d 1 fi 6011l &k State At ZIP atil6U J,vle 7 i('loAc
(9/0)3y34,300 3 Fax#( ) Subdivision /(/, 64 ii{sti' ]?i y
ed Agent N'114' City //k/2)-/ -71/i 4;/ i' 6(t/1 ZIP D j y(�
CW CAE ITV EiJoll61A [4$ ❑PTS Phone# ( ) River Basin b/A 1'ti
_-OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body C A tilt ( (nat
PWS: E FC:
yes / p.p. PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body NevAl iii Wit
'Project/Activity £lrtL k 4 30A-71 ,ASi^'f _ ti 1 ,Q,I<r,1P
(Scale: / _
ck)length
ier(s) r f
ngth _ J b x.�
03,tr 3(')R f
d/'Fciprap length $„
distance offshore ,'
a distance offshore 7
cannel f 10 X.) _ --- - .
)ic yards I <
np /5 'Y.Ai * 4,
Sap X/Gf w( v{rt17 6,,,kigM igAD
sill 11
Peg II
ulldozing .2' r. o--)
Or 4if
e Length ) P
is '>tit(
not sure yes no
s: not sure yes no `/ '•
ium: n/a yes no
yes no
4ttached: yes no
ng permit may be required by: 77Lt/A- pi- /I/j,PP• TA if.95k/ I !See note on back regarding River Basin r

ADJACENT R.113.'1•_,RIAN PROPERTY OWI',TER STATEMENT
I hereby certify that I own property adjacent to r
(Name of Pr perty Owner)
property located at /6 6 q Au) i tie r Th/e f �vad Lot 4/3
. (Lot, Block, Road, etc.)
on A a/l&o,2 �-7yy , in. / 1 ar�� , N:C.
(Waterbo6y) ( own and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
1 .4
Signature
• 'zit—1977.1 /m,3»T7 v
Piint or Type Name

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Fred vlu,a ' r j s 's
(Name f Property Owner)
property located at /d 69 /l/4uo R;se r le f food Lot 4/3 ,
. (Lot, Block, Road, etc.)
on ///, („a//eur-L Say , in. Md4 7v1 a1/ g , N:C.
(Waterbod'y) (Town and/or County) •.
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. • e'r-'
PP-0 Pe,
O ii
- f
I
v
a t
III le
iiI ! as-4
k-ac
I
i '—' 7 l//
:-,... _ 7,3 7 , z/A/ i/C/(1_
gignature
7 86 7 C<J/ -4-ii /14,4xn,3 .
� z -> � 3
Print or Type Name ,

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Ftel BUtn5
ADDITIONAL NAMES:
AEC DESIG: DEVELOP AREA: - PROJ DESC:
(Will only take 6) (Will only take 1)
WORK: g f 5, /V 8,8 (G, 28, -G
(Will only take 4)
MAINT:
(Will only take 4)
IMP: OW 2 5‘ C Mee/
(will only take 6) 5'6 f 6
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED:

-
• 7..
- 4417°1*
wrY,i...44014
I S7.:IN
. •
•, '• - 1 ..L Ar'
Aid VV
; •

-1=a11IikTT72ta ;{L r.gn,98 ,s1 S+TJ •AC'i1+. O3 r,ls-GM iou Ott r
;u�tu xz d: -s{oaglekr iqvir'; np )
[~: ]_vT 7rIrm noit
7414TM nr-A T) 'aux Aq p:.nram Fs.)Tun Jtja0 T1 m4- .z,1(5T.x v gala ,tts 4acia
, gf ?7 " --lsw ur9ux-utu K' .k __a 373 aq awrru .yf;-.a-17,r 3 % j. '. t °d1drtor4
JOS7 [i.d ,.`u F,AoOUI 'xaop °J.61.-1 _ii"e .5.-,F4pUT1 t
ALLIZS
- �.�.....,...,_......-.�. .w.
..........�..rw....,.._ .�....�._._ ....�. — -.....mmelawnWEINw.1.•..,.g - l.. r
7T_W .rdr3 a f.%) .1 pa- -T .;c�1i'uaWq 24n21.� P rtUcTgDt;i v uu 1#
-,RIT 1 G=r177;pubo F i AffTedga,S (3g .' .;01. S TL( 4�w-[�3:+0�� an
7-1174a Nt a3OihF '� t. lrs-- a SO17c; icfer5 U1:aor. t.: 8"U7W[711
tW Lstla 1'_lUTyrnirrez l!_r- 4 T:' n —T[i. Vie03 30 1U :3'L"li
F 'N vLj1e 'MO t=,;=ra �.��7-Ticff 11D1�--,77
• ":e30u'o St4:4 4 ci:4 0NO OTI 14A7.2"4 I , � !L)`ry N
J
/i
-T51`e•[ 0 1.43 tq: ZM av fAcw..{a pvIrric9
'3LIOZ£3r3 ur-41 'DU r 'leap To utS t a(7.Ti-Js;o- 1 ' GL1Tsodc; :f d.:13 AS 444
�rt2i1'r"Oi>?.1 � qz r GYMSi:.p p®tpv:173 3Cj2 QO 77lIt,D;[!`1 vt ow Ol LIpCTTILasdp
111214 ;r tr S id QT/1 EtI"c Tadv rE1ZpT S Tpu r ettL
r'l *S9.'Y'[4v kaa*-71,2:d u.M0 v tt; la;o ,hcl a-411 T.
�. r�.� T S':t1=�1r� :O riLY'+`I<l ii..• i"tit 1. ,!A Y fiQ �',i:eK
•
fl :1

c
ill !
'^ C j
V7 Q
F 2NJI
r
•
c
`°
a
z rfl
o [-
U
2 rfl
ti_ a D
c / I-. V ' ...,,
r, ru
iI
Yoo 3 a
Q Q N
RJ �
•Lf
O t\ gig Ng uN� \t\ Lfl .
1 a1 `•clam r,5 iv ,
43.4r0'wMr.0[11,612b0131.:tl3OH03tl O1 L.J _ ..
LN3WHO Yd••SMO3HO tl Sd0 3NOI0 _^