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HomeMy WebLinkAbout14571_WARREN, JOHNNY_19950407I g9071 CAMA AND DREDGE AND FILL GENERAL e 14571 — C 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 G%126 Applicant NaW, C/'''' Address City ", .y°¢ .e Project Location (Courrp, St�l � 6 Road, Water Body, etc.) — 11"_40 t Y_ 6Pel� , 4 ea t o Phone Number �'�'-- 5 /' ' State `) r / nJ C• Zip w 7 �.,.,s _,i 1 �+. (f{� ` ,Go.,Gr✓ J� rL fy>?� �r�'/7)<�v� G� :f � Type of Project Activity !`-< PROJECT DESCRIPTI• Pier (dock) length Groin len: M.�1■■■■ ■■■■ Ml�l■■ 'ri■M ■ ■■MEN ■■■MY■, ■NM ON MMa 0 MEN ■■■■ !!�■■ ■ Basin, channel dimensions MEN ■■■ mm-32 ■... FINE ■ ■■■■■■■■ ■■■ '!■ MOONS cubic o .. ■■M■. MEMO ■a■Ma 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 null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) this pro- 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. applicant's signature I permit officer's signature issuing date expiration date attachments In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal Management Program. application fee f P 445 784 424 RECEIPT FOR CERTIFIED MAi!_ NO INSURANCE COVERAGE PROVIDED— NOI FOR IN I ERNA T IONAL MAIL (See Reverse) - S,ar.- Me) M e )1; e, � a r�ov►l Str et and No. . 8 PA St t and ZIP Code 1 j I Postage $ '1 ovG C6rti�ied woe I f � `• —i t;'F-/ I Special Delivery Fee I t I I Restricted Dedvery Fee I 1 Return Receipt Showing to whom and Date Delivered i Return. Receipt Showing tc whom, Date, and Address of Delivery TOTAL Postawmd Fees $� L Fos or 6a"ts,_ Q C t v USPS STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE. CERTIFIED MAIL FEE; AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) 1. If you want this receipt postmarked,.stickthe gummed stub on the left portion of the address side of the article leaving the receipt attached and present the article at a post office service windowor hand it to your rural carrier. (no extra charge) 2. if you do not want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, date, detach and retain the receipt, and mail the article. 3. If you want a return receipt, write the certified -mail number and your name and addresson a return receipt card, Form 3811, and attach it to the front of the article by means of the gummed enjds if space permits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee. endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in tFie appropriate spaces on the front of this receipt If return receipt is requested, check the applicable blocks in Item 1 of Form 31311. B. Save this receipt and present it if you make Inquiry. MARK A. HARDEMAN�� 1895 JACK RABBIT LANE 66-711412531 NEW BERN, NC 28562 0514 fYfA=ww O'VIWIFIf rvLjtyw Mortgage & More \%T SAVINGS BANK u12 NEW BERN. NC 7 1 14 21: -`�- L H�HlANO 19BB _. w T Part VI Postal Customer: In response to your inquiry regarding the article described below, the following information is furnished. ❑ The article was received by the addressee. ar,We were unable to locate the article. If later found, you will be advised. This information has been referred to the Postal Inspection Service for review and if additional information is needed, you will be contacted. ❑ We did not locate the article and the addressee failed to reply to our inquiry. You may wish to contact the addressee, requesting cooperation in this matter. Date of Reply Office Postmaster' rJ �. .. nn Kim nm—k -J rVlll] IV, spill IJV7 Part II-C U.S. Postal Service Mail Loss/Rifling Report 1. Complaint Date 2. Office Accepting Complaint (City and State) 3. Complaint El Loss ❑Rifling 4. Article Was Mailed By 5. Article Was Addressed To a. Name a. Name b. Return Address As On Article Mailed b: Address As On Article Mailed 1 t C. City d. State e. ZIP+4 C. City r d. State e. ZIP+4 I. Day Telephone Number (Include Area Code) I. Day Telephone Number (Include Area Code) 6. Article Was Mailed 7..,A�rticle Was Sent E 1st -Class El Parcel Post 8. T pe of Mail Letter ❑ Parcel a. Date b. Time ❑ AM Month Day Year (Hour) PM ❑ Other (Specify) ❑ Other (Specify) 9. Special Services ❑ Special Handling ❑ Special Delivery OCertified , i ❑ Return Receipt for Merchandise L-) (k j % �% No. No. 10. Place of Mailing Name and/or Address of Location Checked ❑ Main Post Office ❑ Station or Branch ❑ Contract Station ❑ Collection Box ----------------------------------------------- City and State of Location Checked i ZIP+4 for Location Checked ❑ Residence or Business 11. Contents of Article (Describe in detail, size, color, brand name, serial no., and amount, etc.) 12. Value PS Form 1510, April 1999 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at _ F /,)-) d lot, block, :goad, a c. on l2If in body of w ter town North Carolina in Ari «c; County. The proposal has been described to me as shown below; the development,p.. ier bulkhead/structure, and the proposed circle one location, and I have no objections to the proposal. I understand that if the development is a pier, it must be Set back a minimtun distance of 15 feet from my area of riparian access unless waived by me. I do ono wish to waive (cir one) that setback requirement. •1�i��#���as••��t•��•1F���•,�����+r�•u•9h9t•��•����3t•tt••u.. �iF���•p•�����•�•�i�••�••p-���•p•�iFi�•a•�•iE•�••t�3F#��#•p•�•u•�•�E�•a•9t•# Description and/or dr-wing of proposed developmen : Indicate the size and location o the structure and the distance betwee each property line and the water. �lh 2 V X s. � die �'� r pox J r '�'�'�'�'�"�•�•'�"�'•�'�°#'�'•�'.�..'(..�..�.•n.•�..�•�,�."�•�•�#'�'�••�..�..�..tt..�.�' �.'�•'�'�"�"#�#iE�iF#7�"'�"iF'�'#'#'#'.�'#"��.jF�..�.�#.�.�.�.j�..jF.g..�.jF.�.j�..j�..jF.j(..�.ji. (original must be retain the ins c s department) V (tignature and date) �•g- ��r - T /z-- /3 name/please print Tyr, 5-i6 3