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:
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■■■MY■,
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MMa
0
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Basin, channel dimensions
MEN
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mm-32
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FINE
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■■■ '!■ MOONS
cubic
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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 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
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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
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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:
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L H�HlANO 19BB _.
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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.
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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.
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'�'�'�'�'�"�•�•'�"�'•�'�°#'�'•�'.�..'(..�..�.•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)
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name/please print
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