59158D - Edwards

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
1'Npw CModification ❑Complete Reissue ❑Partial Reissue
Previous permit # ! Z'4
Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7 1 GyO
El
atta ed.
ant Name 1 � C . f 'Ikv' v .. t t t -Fr ject Location: County
s - 5, l j' y / S "4br� /' treet Address/ State Road/ Lot #(s)
►! State( ZIP a4 l0 / u/ C, w o lyt.4 jvdP .
# %) / - '4 Fax # ( ) Subdivision
/ r x7
ized Agent t °"`t' •y, City 7as 0 !re- ZIP 7d `%'
d - CW L] EW i -� PTA —ES —1 PTS
C OEA P HHF IH UBA N/A
PWS: ❑ FC:
yes PNA yes,/ o Crit.Hab. yes / no
Phone # ( ) v River Basin
Adj. Wtr. Body st1��f C. G. " nat
Closest Maj. Wtr. Body ''/
31 Project/ Activity�--
lock) length f.07 JC C PC'
'm(s) '/G�
pier(s)
length
,umber
:ad/ Ripraplength
vg distance offshore
-iax distance offshore
channel
ubic yards
imp
)Use/
ne Length �' a
igs: r
>rium:
All
ling permit may be required by:
'/ /1/f
❑ See note on back regarding River Basin

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ADIACEN - —PROPERTY - - R
FORhA
ie o y idual Applying F gr Peet Aze
Q�
Tess O+?s �[ k/; (Lot. or Sireet #f, Shvd or Rom)
,-
;�,. and Cam)
:ebb, c-tiff.:i rImA I mm. p- _ f adjaccut to he dye-ii-e. prc '!Y- Tile n�
yang ibr Chispamikhas s n-bedtome as shown onthe a ea drawingited , ,m th -
im ?c° i '�Is• m t!-M Ne =r ,u rti t h e iLza gz :S Ac.C9�ki & iQr d uiE
-- -FA
4��'� M1r-�'�G�`R•%�'Ir�OaJflr'iiY .� - _
Iggiess weed by me. ( Ey
=-.Cie #c._8 '�3°�4%�F; $i�r; ����� ���.�- •�'.�'E �._3ne.�'��� �"� ���.���"� �s'�l. �r �t,�`'`aT�`<eT'�
1 do wish to
a.e Dam

�__ILL -i--Ymgvt Pest WItee f�Git<b
ES?• v5`
i of or �Ted #, Stred or Road)
cy7y c• cTy -lie!otiP_pxpti 6tell alfi+L Etothei�i pjopeicW_ i in�,' e -"vro
diva �
Yiug fOrthis9mmakhas deseffb5dto me as shown m the atmched. dmawiimmg !ac
iagtmemia, -1-12 r Cardfital Drive Kxv"lim�atvn. i'qc :Imm - _ COO-
7' d _ *err ar _ . �. a- �t ,= ��q ,pp i r as :�i z obj •fiom If
�-� �� .t .�'ia d � �.....: � .�tiv�<.aa N 3"i4 9+w««^u,--,C'.c ±'- -, � .T .cR_:-� is
.p` � 9..�.>v :+� cinur:li.J�I`.'�.1'"'L^-i G^'C7t 1t6=... i
NG �dt y,•+tli `S"'9�ii:.�2 �i�' 4 e+,. j ��!' ��iL 3@Ct ='yj�.
.cm:3s'ni+'o".��.'"-` "'r2J� p aT�'+'""'ii.�- `.'� �' -, _
�y `'�. " d6: ��5.a. dd •ri. :� s'2¢. ?y3:.•`,."_ieS2ksi 2x...
np rsaa a+�+�cess- &mess Wiuv
ed OVe_ 2LF
MCy to W:�4iF".he whack. you -st ialAi _u Cpru n sbi-1.7 ba3
-- T do wish to -1111-aive dic-i 51 sdba- 1EtQ
,!a?e pte
r �,

Ail_.W-
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gr+egson, Director Dee Freeman, Secretary
Date 'J I ( 1 ZO I Z
Name of Property Owner Applying for Permit:
� ►�I re�.0 �' E du �c�s . I �us�e �-
Mailing Address:
/0i. -A
01
I certify that I have authorized (agent) 9Rt- rG�'C�11Rt1 - /rilie"4 fia-(►ne, to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) Zug CaMIIAA' -I IVG{. f�5Z.l��
This certification is valid thru (date)

)licant: �'(/1 �(� Permit #:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
6tat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
/
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
-? 7Z,