HomeMy WebLinkAbout28084_WEAVER, TOMMY_20010726CAMA and DREDGE AND FILL Al ® ��
G E N E R A L 8 4
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number
Address
City State zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
and attached general and specitic conditions. Any violation of tnese terms
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee
1114.1111
THOMAS H. WEAVER Gfl'l--2,f y 66-152/531
LOUGENIA P. WEAVER 2002
P.O. BOX 216 PH. 252-729-1043 '>_ q .— Q�
GLOUCESTER. NC 28528 Date 6
Pay to the
Order of -
WACHOVIA BANK, N.A.
HARKERS ISLAND, NC 28531
�J $
��Dollars
Security details
aeon back.
298
For M'
l:0531015291: 1925431I' 2002
01MAOC CIMCKa, laa7 E%CCUIIVC i-aoo-sax-e�ao
Fu Postage I $
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Certified Fee
Return Receipt Fee
R!
(Endorsement Required)
d
Restricted Delivery Fee
C3
(Endorsement Required)
M
d
Total Postage & Fees
Name (Please Print Clearly)
/Postmark i 3
------------- ---------------------------------------- ---------- --- ----------------
Street, Apt. No.; or PO Box No.
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delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt'(PS Fbrm 3811� to the article and add applicable postage to cover the
fee, Endorse ma1piece 'Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPS postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement "Restricted Delivery".
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cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
PS Form 3800, July 1999 (Reverse) 102595-99-M-2087
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
PA piCsA f3IlItt
IL It Cj-
�l
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (Copy from service label)
WT5 3� o�. � � 75��5
PS Form 3811, July 1999 Domestic Return Receipt
102595-00-M-0952
UNITED STATES POSTAL SE
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Y
• Sender: Please print
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to's
(Name of Property Owner)
property located at /- 6 - f. �9 - /moo ,-7L � o-� D ,
(Lot, Block, Road, etc.) G /o u C e 5 7L <-1--/ N. C
on Zl-)'`,'�Ft Ge k , in 6;/vuC Ns7L�� , N.C.
(Waterbody) u (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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nn or Type Name
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Telephone Number
Date: 7, L l
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SCALE. I e = 6 a APPROVED BY DRAWN ay L , C.P,
-L A R R i C. Pt TTM�}N R. L, S,
DATE: JI- 2 - 96 �- 9GS
L- O T A - PA R,T LOT D- HAR• D1-E CNAD*W iC k 4-,+SIRS-RE-DN,
07L6UCEST6,�, CRRTER.E7- Ca• /V•C.
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Applicant N
Address
City
C �M and DREDGE ANn FILL
N E R A L N., 28084
Gz ( L
R M I T
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Re so rces Commission
in an area of environmental concern pursuant to 15 NCAC �� •(� U
61t L X_ Phone Number
Project Location (County, State Road, Water Body, etc.)
T pe of Project Activity
ate ' Zip
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This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
applicant's signature
' a V permit officer's signature
Issuing date expiration date
f� I VDU
f%% O�U' (1 D� attachments
application fee