HomeMy WebLinkAbout43165_JORDAN, HAROLD_20051003AMA / ❑DREDGE & FILL lr ? 4 316 5,-
NERAL PERMIT
us permit #
LJN8ew ❑Modification ❑Com fete Reissue ❑Parti I
P �ID revious permit issued
As authorized by the State of North Carolina, Department of Environme n Natural Resources
the Coastal Resources Commission in an area of environmental concern pursuaiEtk I1A V 7/
/ Rules attached.
nt Name l4 o(d Tor Project Locatio • County_
Ica n.
k pl 1 C�r� -�-
AP
Address S�J 0)— `7e B, 191r y_ /Uf' �re40PA� 0t�e d/ Lot #(s)
` Cif, rt-�46C'k State we -ZIP �-�GUb '��It� � �_'a.
Phone # (�{� 303 Fax # ()
Authorized Agent
Affected
W IfV -.6;,PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s)' ❑ PWS: ❑FC:
ORW: es / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s) --
Finger pier(s)
Groin length
number
d
Bulkhead/ Ripraplength avg distance offshore
max distance offshore !_ �,
,sin, channel �(?�V / i� 1 45
cubic yards
Boat ramp —I _-- y- i
Boathouse/ Boatlift
i I 1�1
Beach Bulldozing
Other -
I
Subdivision
City ZIP O/�, 7 U
Phone # ( ) River Basin v f
Adj. Wtr. Body 0 i.-e at man unkn
Closest Maj. Wtr. Body
(Scale:VI�/V )
i- -I--- -
I i `
I I
i
--f--
Shoreline Length
SAV: notsure yes no
Sandbags: not sure Yes no
poratorium: n/a yes no T ! r r -
Photos: yes no
aiver Attached: yes no
i
A building permit may be required by:
;;Notes/ Special Conditions
o-r Applicant Printed
i
r- - -- - -- ---'--
T-1
❑ See note on back regarding River Basin rules.
—P
Per ffic 's Si natur
compliance statement on back of permit
Fee(s) Check #
IssuingD)atteeF ' ExpiratiorfDate
G�
Local Planning jurisdiction Rover File Name
r W4
n T DEC_ 1 7 2007
17 T. �i t �' r- y ; ppr- i L 'may(' i (,, '•' .y
(FOR A
I hereby c ruly that I own property adiactnt to
-,.;tee o, rroperty Owner;
property located at Z -4— LetmcClrvc,c4-
^� (Lot, Block, Road,
on Cjpvy� S�(� N.C.
(Wa ✓body) (Town aD 'or!County)
He has desc_-ibed to me, as shown belo,,v, clue developr',nem he is proposing at tl at
location, and, I have no obj,--ctions to his proposal. I understand gnat a pier/uncovered 'boat liz=
must be sec backa minimum distant✓ or riitern rat (l5') ✓turn my a:ea of riparian amass unless
waive;i by me.
I do not wish to waive the seiback recuiremenc.
I do wish to waive that setback requLrement.
---------------------------------------------------------
DESCRI (D-f i A-ND/OR DRA�Z;'v G OF PROPOSED: DEVELOPMENT:
(To be jWed in bv indiv&zzcd proposing deve4vrnent)
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Si�r,ature
Print or Type Nane --
Tt-iephone Numb(rr
Date: 2
75-53
HAS AMICRO-PRINT AMOUNT BOX AND THERMOCHROMIC. ABSENCE OF THESE FEATURES WILL INDICATE A COPY.
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THE FRONT OF TVI[ DOCUMENT
ISSUING AGENT
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Money Orders
INTERNATIONAL MONEY ORDER
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PAGAR AA
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IMPORTANT • SEE BACK BEFORE CASHING
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DEL LI.RADOR
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PURC
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gffE CHARGE AND OTHER TERMS ON THE REVERSE SIDE I .
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Pa able Through ISSUER/DRAWER: INC,OTO AUTHENTICATE RUB CIRCLE
W F National Bank MONEYGRAM PAYMENT SYSTEMS, PARA AUTENTICAR RESTREGAR EL CiRCULO
South Central
Fa�ribault, MN
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