HomeMy WebLinkAbout13835_STONE, WILLIAM_19951123CAMA AND DREDGE AND FILL
GENERAL
1135
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name f ���`' ''� Phone Number �� y� 2- ,7 3 3
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
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Groin length
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Basin channel dimensions—
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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 be-
come} applicant's signature
null and void.
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro c% ' =1 "'` )
ject 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.
attachments
issuing date
expiration date
In issuing this permit the State of North Carolina certifies that: �,
this project is consistent with the North Carolina Coastal application fee
Management Program.
WILLIAM STONE NCDL 3273405
BONNIE STONE NCDL 3273403 3729
912 GRIFFIS ST.
CARY, NC 27511 /yQ� a 2 66-1040/531
19 22002
PAY TO THE
ORDER Of
DOLLARS
First Union National Bank
j� of North Carolina
Cary, N.C.
FOR-
1:0531101,001: 106306346 20 gu• - -
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n.
b SENDER:
y • Complete items 1 and/or 2 for additional services,
d • Complete items 3, and 4a & b.
y • Print your name and address on the reverse of this form so that we can
a`f return this card to you,
d• Attach this form to the front of the mailpiece, or on the back if space
does not permit,
I also wish to receive the
following services (for an extra � f
fee): L
1. ❑ Addressee's Address y
Write "Return Receipt Requested" on the mailpiece below the article number. 2 ❑ Restricted Delivery Q''
• The Return Receipt will show to who was delivered and the date 0
j C delivered. Consult postmaster for fee. m 3
• 3. Article Addressed to: 4a. Article Number
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a Al /41 RS Ed r �a "t'� 4b. Service Type m
E 0 �� ❑ Registered ❑ Insured
Qlis� •' ��� a'. < �A-Certified ❑COD
W ElExpress Mail ❑ Return Receipt for 5 Merchandise
7. Date
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elivery
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ZVAignature (Addresse) r �. 8. Addressee's A8
' � `:�,.,2�✓� and fee is paid)
X 6. Signature (Agent)
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r4 DOMESTIC RETURN RECEIPT
PS Form 3811, December 1991 *U.S.*U.S.�Po:lesa-3s2a
UNITED STATES POSTAL SERVICE
Official Business PENALTY FOR PRIVATE
USE TO AVOID PAYMENT
OF POSTAGE, $300
1
Print your name, address and ZIP Code here
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