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HomeMy WebLinkAbout18742_NC DOT_19981030O �J CAMA AND DREDGE AND FILL, GENERAL � ���►������ 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 Phone Number Address City State Project Location (County, State Road, Water Body, etc.) Type of Project Activity PROJECT DESCRIPTION I SKETCH Pier (dock) length Groin length number Bulkhead length max. distance offshore Basin, channel dimensions cubic yards Boat ramp dimensions Other 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. In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal Management Program. attachments application fee Zip (SCALE: ) .r r applicant's signature permit officer's signature issuing date expiration date �yy�IF Ii UQIlMtL; I* Httl URN TO WARRANT NO. 341 8 yl�� U U DEPARTMEiNT OF TAANspoRTATroN DATE 21 b8 CONTHOLLER'S OFFICE 3;� ] A A p 1 o � - _ m 43 STATE OF NORTH CAROLINA :, r S ~o DEPARTMENT OFTIRANSPORTATION '� .. 'ftALE1GH,K.OfiTMCRROLiNA `- Warrant No. 3418 80 PAY TO M0. DAY YA, AMOUNT THE OPIDER OF: N.C. PtPT OF ENVIRONMENT 10 2398 AND NATURAL RESOURCES DIV. OF COASTAL MAAAGEME H 5IRON PLAZA I I . 1518 NT • _ _ _ ..;sue; _ _ , M0AEHEA.Q CITY'. N.0 2 a 5 n 7 - PRESENT TO: STATE TREASURER PAYMLEATPAR TK4DUONFEDERALRWRVESySTEM = = ;: ;:_ •� '•_ BlEOiiEILCFAIN6TMp POCniuEHT.I£ASE E%M![Y!ltl1A[N.[�iE N41 M1WP •.IY/i K 1M`JWf{,y[Nf MS NS 4E{1N[i�yp lyN9�f Sli.T1nl9CfMfIS[ Rs S OCO 610 iII 4 , d J. A 10/30/1998 10: 09 2527928057 t4ILLIAMSTGN BRIDGE w srrrt¢ PAGE 01 ]AmEs B. HUNT JR. GovEp NOR STATE Of NORTH CkiOLINA DEPARTMENT OF TPANSPORTATION P.O. Box 721 Williamston, NC 27892 E. Nowus ToLsom SECRETARY Dace: �9 — PLEASE DELIVER THE FOLLOWING PAGES TO - NAME: T -ER R-X- Awe., 7-7- BRANCH/UNIT/COMPAN : d6p�„r FAX NLINBER TELEPHONE NUMBER: THIS TRANSMITTAL IS BEIM SENT FROM: NAME: K t -T o H ha R s: o w - FAX NUMBERC zZ 714 - fa S -1 MEPHONE NUMBER: as z 79 z— S 9 4 x- NUMBER OF PAGES IN TFIFS TRANSMITTAL INCLUDING THIS COVER LETM IS IF ALL PAGES ARE NOT RECEIVED, PLEASE CALL ME AT THE ABOVE NUMBER. COMMENTS AND/OR INSTRUCTIONS: 0& iFy ge5 T 2Z C-• A 15! k J!�'& I. `4 - W 144 70 e--, oc-reX f — C-0-7;V1 S %X,407 / 7- ;Z s A14fd" w 7"�, ,lw4p o f 7heA.&oBI,En-1 /�4�F 10/30/1998 10:09 2527928057 WILLIAMiSTON BRIDGE PAGE 07 CI anf lm MAIL I FIrMN RECEIPT REQUESTED /O t/yJ (Date) Dear'f-- n-kyJELL fA : This correspondence is to notify you as an adjacent riparian landowner that Mr./Mrs. rlaa(s) tO%•'s�.� aC "'a 3t3 nn of _ _� on US -io - isislhex 1tiroPerty located in Carteret �—.— County. The sketch on die reverse rile accurately depicts the proposed construction. ShOjIid yott have r:tw Objections t-,� the p-nposev construction, please check the appropriate statement relew, s+.Gn, r-iatr and return_ as soon as ; OW hle 10_ N. C. Depart;aent of Trans; ortL` i•n-, Bridge Nai-iitertance. Unit Attention: Keith:- . U, Box 721 Williamsotn N. C. 27892 Should you have objections to this proposal please send your written comments to I64r. 'ferry Moore, N.C. Division of Coastal Management, 943 Washington Square Mall, Washington, N.C. 27889. Written comments must be received by the Division of Coastal Management within 10 days of receipt of this notice. of receipt of the correspondence will be Sincerely, i have no objection to the proposed project as described in this correspondence. l have objections to the project as presently proposed and have enclosed comments. (Signature) (Date) 10/30/1998 10:09 2527928057 WILLIAMSTON BRIDGE PAGE 06 CER 14F-iED MAIL RETURN RECEIPT REQ'JES'lrED 9 (Date) F� T L O.A.. 111.1 C, f M c.itl-14A4e'� DcarMs . This correspondence is to notify you as an adjacent riparian landowner that Mr./Mrsel p'✓L plz:t(s) ta;c�c :.� e�1 �rF ;^i 5 i nsYni hislher r sC.Pzrty �Ordicri �n Lam_ 10 T _ ----- ;�X Carteret _ County. Tne skrtch on the reverse vide accurately Gtpi^-ts the PrrrpU ��i conmruczion. --7_ "•iL] Have ro nbjectivris v, tF^- -,lease. check he a; 1 !:,t•• �S �•e�rient �,elew, 7S:art, ija tp a;,r► r�-+lCn �r� $v]i3 .7$ ble- to' .. f,. i1. L. '�ttrlEiit O ���ILS Qit 1'+�^L �1G1X1LL!ti�:K:! iSrd Keith :I,=-rx son _ P. 0. 15ox 721 k'siianwotn. N. C. 27892 Should you ]tape objections to this proposal Please send your written comments to Mr- Mr_ Terry Move, N-C. Division of Coastal Management, 9-13 Washington Square Ntali, Washington, N.C. 27889. Written comments must be received by Ute Division of Coastal Management within 10 days of receipt of this notice. lvn W. ynnse within If1 dW of receipt of the correspondence will be ' �M- Sincerely, --` i have no objection to lice proposed project as described in this correspondence. I have objections to die project as pres=tly proposed and have enclosed comments. (Signature) C (Date) 10/30/1998 10:09 2527928057 WILLIAMSTON BRIDGE PAGE 05 CERTIFtEID MAIL RETURN RECEIPT RE+QIIRSTED �/e>/�OV — (Date) A. -04.4FL1, s t o Pox — Dear - This correspondence is to notify you as an adjacent riparian landowner that Nlf./ lrs. rjap(S) to'dMV.W==a_ r E!. uCa existti ncr n-i De W th nn r'i nP Met- Of hisiber property located on US 10 in Carteret County, The sketch on the reverse SHe accurately depicts the proposed coristruction. Shouid you have r_: abjel1ians to the proPOScd construction, plc.Ls check the appropriate statement �relow, sicn, date and return 2s soon as possible to- N. C. Department: of Transportation, Bridge l~Iaiiicenance Unit ry:eyiUon_ Keith Harr) son P . 0. Box 721 Williamsotn N. C_ 27892 — Sbould you have objections to this proposal Please send your written comments to Mr. Terry Moore, N.C. Division of Coastl Management, 943 Washington Square Mail, Washington, N.C. 27889. Written comments must be received by the Division of Coastal Management within 10 days of receipt of this notice. hlnseipnpse within 10 days of receipt of the correspondence will be i.ntemreted as.no nhjection. Sincerely, I have no objection to the proposed Project as described in this correspondence. I have objections to the project as presently proposed and have enclosed comments. --(Signature) (Date) 10/30/1998 10:09 2527928057 WILLIAMSTON BRIDGE PAGE 04 SENDER: --- I also wish to receive the ■ Complete cleats 3 and(or 2 for additional services. ■ Complete dams 3, 4a, and 4b, folloY ing services (foi an m ■ Print your name and address on Rho revorse of this form so that we can Mum this extra Etas): m card to you, ■ Attach th s fOrm W the front of the rnmllpiece, or on TO back t space does not 1. ❑ Addressee's Address '� ■ Wr`iir, t'f1Nwn Af ReotteStee an the mallplece bolow the *AIde nuff"r, 2. ❑ Restricted felivery N Y ■ The Return Receipt rri¢ show to whom the articfe was detivdrod and this date Consult pasttnaster for fee, o derrwvod. a 3. Article Addressed to. 4a- Article fV gib /jl {� 1C � M 14 L 0A fa r- iF i4,4 flf fy 4b. Service Type ❑Registered ettified E 3 fr a Q �. �•�iJl� ^' %. `a �?% f _ ❑ ExpreSS Meil ❑ Insured C ❑ Retumneoeiptfor Mcrchandi5e ❑ COD a 7- Oafe of elivery 5. Fteceived By (Print Name) 8- Ad re ea's Address (Only if requesfad ac and fee is paid) a w P14 teceipt ® ? ENDER: 5 Comp�tetQ corns 1 and/or 2 for adtatWnaf services. I also wish to receive the � m ■ Ca ■ens 3, 4a, and ab, ■ Pont your namo and address on the reverse of this forth so thst we tan return ftS ichowing services (for an r3XYTa fee)' card ■o yea r Attach this form to ft front of thO mailplece. Or on the Wo if space does hat d 7 , ❑ AddressWS Address a i r pe Riot. ■ Zte •R— rReespr aequesrea-on the mailpieco below the article numbor, ■ The mecum tacos M will show to wham the article was deliverad and she date } 2- ❑ Restricte6 Delivery D ( deWered. Consult postmaster for fee. Q 0 3- A,tidJe Addressed to: 4a, Article Numb w m E �z rjE ,�A#rreL 5 Coff' fIr a 4b. Service Type ❑ Registered Certified Express Mail ❑ Insured SM WA14 J9 07 91 ❑ Retum Receipt IT Merchandise ❑ COO 7. Date of 0efive /� n (' 2 5. Aeceived By' (print Name) f o S- Addressee's Address (Only irrt?quesrsd ? and fee ;S paid) W 6. Sig tire; (Addressee. or Agent) 1� a PS Form 3811, December 1994 1 oz5vyy8-B-ozze SENDER: ,or,W services. b ■ Gon Plate items t andror 8 tar addit a'n ■ Co trplote itCms 3. 4a, an4 ab. m ■ Pflrrt yoyuar name and address on the sever$C of lttis Form so that we can return 5 Eq� this Form +o the Front of Ina mallpicce, or on me b9,k a space m pe. ecoi R uosted' on the nailpie oe bettrN ereeddaA6 ■ wnDE 91 m Receipt will a4vw to whom tho aracie wda dM ■The erred aa. AMICR deri+rered- 0 3- Aticle Addressed to: Domestic Return Receipt 1 also wish to receive the toltowing services (for an extra fee)-. v 1. [3 Addressee's Addre:* PZ 2_ ❑ ReSMCted Delivery Consult postmaster for 10e- 1� LE W JU 4b. Servive Type d E jot, )L � � � ❑Registered �] Express Mail " {' L- � �' �%� ❑ Flewrn Receipt for Merthandse 7 date of Delive 8. Addressee's Ad 5- Received Fay: (Print Name) and fee is paid) A, Sign tt}Ce'�pddressea orAgBnr) / 0 X ! ! f0E596-eaa-0229 Clot PS Form 3811 ea�mbet 1994 10 JI �ertiired � Q Insured c Q COD :5 0 �a f requested 9 Receipt 10/30/1998 10:09 2527928057 WILLIAMSTON BRIDGE d P8b"'° Ltsm.•�-j t I } .-P2 41 j 1 � 39 AGE 03 ) 10/30/1998 10:09 2527928057 WILLIAMSTON BRIDGE PAGE 02 411-04 MG��xaa>`Y { �jT► Ei id . Sh; TO gQF35'J r I US'7D � - 1-CSL- A.O/}n}iRLS; 1 ► W2 1, 1. w� �N6kLFhlR .Sw'ggAlIJ.L. �E s(� L P4uQf BE14St�ptfj n�f Oda " M A jp fAPT q,$ fop Q. 13 f 'D s}93. d' NORTH CAROI.INA DEPARTMENT OF TRANSPORTATION A COUNTY: CARTERET PRO MCT: Replace exist. Pipe on iJS7o DATE- 101JZ '98 SUBJECT: Pfau&X- SCALE: SHEET: Of to' V at I T. NOV 8 3 1998 STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION JAMEs B. HUNT JR. P.O. BOX25201. RALEIGH. N.C- 27611-5201 E. NORRIs TOLSON GOVERNOR SECRETARY October 23, 1998 Memorandum to: C. Wayne Stallings Controller From: Jimmy D. Lee State Bridge Maintenance Engineer Subject: Request for Warrant for CAMA Permits Please issue a warrant in the amount of $50.00 for a CAMA Permit. This is required by Carteret County because CAMA claimed jurisdiction. Please issue the check to: N.C. DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES HESTRON PLAZA II 151B HWY24 MOREHEAD CITY, N.C. 28557 :�am: I t Y F'olze� 1 and charge to the following - Department 43441 Objective 549 Work Order 5.1641 Function 475 Route US070 0.5MI EAST OF SR1353 Please return this check to Debbie Greene at Bridge Maintenance. If you have any further questions, please call Debbie Greene at 733-4362. NORTH CAROLINA DEPARTMENT OF TRANSPORTATION Division of Highways H. KEITHpHARRISON Transportation Technician V Office: (252) 792-3942 Home: (252) 796-1760 y? Cellular (252) 5319584 Box 721 Fax: (252) 792-8057 Williamston, NC 27892 Pager: (252) 792-9789 N. C. DEPARTMENT OF TRANSPORTATION TRANSMITTAL SLIP DATE TO: REF. NO. OR ROOM, BLDG. 77-2,e e l Aa fx?6T7- FROM: REF. NO. OR ROOM, BLDG. ACTION ❑ NOTE AND FILE ❑ PER OUR CONVERSATION ❑ NOTE AND RETURN TO ME ❑ PER YOUR REQUEST ❑ RETURN WITH MORE DETAILS ❑ FOR YOUR APPROVAL ❑ NOTE AND SEE ME ABOUT THIS ❑ FOR YOUR INFORMATION ❑ PLEASE ANSWER ❑ FOR YOUR COMMENTS ❑ PREPARE REPLY FOR MY SIGNATURE ❑ SIGNATURE ❑ TAKE APPROPRIATE ACTION ❑ INVESTIGATE AND REPORT COMMENTS: QA�°�,P �A,P/l o� �O� �z�✓,E l�s 7d /� s D� f�,��s,e49. You �✓��� �f�f� /fl S �f�in i 7- �S A F; I �- C,Fr fr F_L AA CIE V 633 U'e�1:K5t�^� v ` dog �o1K,►/A a3s13 1 3 i' ' 4 Sh; 'TO 5P 1353 U S 70 ' -- -- --- — LESL-:19 A.D �oSRO I I J- S M le � �I .� . � ?R� II PeoP• � 1' � AU Fo P r� Ail. Sol t i G Qos ior� L J oo� ' Lo.rtFei ssor/6 NOV 0 3 1998 OL�aAp,arY NORTH CAROLINA DEPARTMENT OF TRANSPORTATION --rpo P. DIVISION OF HIGHWAYS COUNTY: CARTERET PROJECT: Replace exist. Pipe on U57o DATE: /0/a?/98 SUBJECT: Plan&X-sec SCALE: 1 30 ' yo ,fix z. SHEET: I of " _ 10, V 9 K • 131� 319 s o a �� 57 �� �� RIMr 1319 P5 '� M1ry 0 EoFlra^ �jael \ ' 4 P86 313lq / �a p 45 • l' i / •'/ Iry Iaa3 T / 1415 P42 1373 P2 — 1 41 11 1371 39 38 33 } �. 15 t / r -1 35 37 a'f� 1234 `a35 9 �: J 133, ` ' ` 132P17 31r _ Jo W 13a .3 32'` — V A aal �1 :� 1= I ro 1232 VIS ISLAND ' 101 1339 rq ✓ O Sheik l �y„vy„ 1 Q Q O c, 1 V W UR.;R_ a s �(t TH-P STRMS ; ? GLAND Bar M n y 1998 CERTIFIED MAIL RETURN RECEIPT REQUESTED (Date) IA Z LOP rt L, F� Nf�nl�Y 330 Wg: Lt_iAlc-y0r, M c. i. HA111� V Dear1ls . - --- - - This correspondence; is to notify you as an adjacent riparian landowner that Mr./MrsI _.z C_ Lz�� plan(s) to cXztrs t ;_re 1. roe e.;i stinc, ii)i T)e wi th—L r'riP _ _ onsi dt� his/her property locair.,; on US` 10 i Carteret County. The sketch on the re�.,rse siee. accurately depicts itte propo, d construction. : ^u have r,o objections t tE :, tr ?nisi t ccostruction, -lease. check the api'rot ri: � s:ateirient rrelow, s"-n, dais ai,, r,:,trn a= sc•Dn as ;.c ;:iF•le ;o: - N. C. L,_partment of Transport.-tior_, B; ' �-e lla iir e_Tlanc�Z l?nit. t;cn: Keith Harrison P. 0. box 721 Williamsotn. N. C. 27892 Should you have objections to this proposal please send your written comments to Mr. Terry Mocre, N.C. Division of Coastal Management, 943 Washington Square Mall, Washington, N.C. 27889. Written comments must be received by the Division of Coastal Management within 10 days of receipt of this notice. Nn respnnse within 10 days of receipt of the correspondence will be interpreted as no objection. Sincerely, 7-- 1 have no objection to the proposed project as described in this correspondence. I have objections to the project as presently proposed and have enclosed comments. ��-� .��I C' .�-�%.�-ti'•�-t. (Signature) NOV 0 3 1998 r 0 U Ste_ C? (Date) CERTIFIED MAIL RETURN RECEIPT REQUESTED (Date) 0gA1F1-k 5 - _ f ao x s Dcai - / lge f�r� S Nov 0 3 1998 This correspondence is to notify you as an adjacent riparian landowner that Nir./Mrs. _ plan(s) to-d sx=m.__ Ye ',lace e-i stines ni ne wit h new n_ i nP _ _ or:;b c his/her property located on US %0 in Carteret County. The sketch on the reverse side accurately depicts the proposed construction. Should you have ro objections to the proposed construction, please check the appropriate statement �)elow, sign, date and return as soon as possible to: IT. C. Departnent of Transportation, Bri_d8e 1Iaiiic,2nance Ur-7t rt}.enrion: Keith Harrison P. 0. Box 721 Williarisotn, N. C. 27892 Should you have objections to this proposal please send your written comments to Mr. Terry Moore, N.C. Division of Coastal Management, 943 Washington Square Mall, Washington, N.C. 27889. Written comments must be received by the Division of Coastal Management within 10 days of receipt of this notice. No response within 10 days of receipt of the correspondence will be interpreted as no objection. Sincerely, I have no objection to the proposed project as described in this correspondence. I have objections to the project as presently proposed and have enclosed comments. (Signature) (Date) CE,-ILTIFIED MAIL RETURN RECEIPT REQUESTED /9 X (Date) tn1�l L AM �. v, L-r,}Rg cTe, - _ _Pci Go k 3Z I Dear'- M NOV 0 3 199-8 This correspondence is to notify you as an adjacent riparian landowner that Mr./Mrs. Flan(s) to=c�zr t ;_ replace existing Ln _ w; h new - i nP _cite of his/her property located or. U� 7u in Carteret County. The sketch on the reverse side accurately depicts the proposed construction. S„G ;i6 you have r_o objections to use proposed construction, please check the appropriate staternent �,,elow, sign, date and return as soon as possible to: N. C. Departnent of Trans ri�`ion, Bridne Maiiii_enance Unit ). C. Box 721 INilliarasotn, N. C. 27892 Slould you have objections to this proposal please send your written comments to Mr. Terry Moore, N.C. Division of Coastal Management, 943 Washington Square Mall, Washington, N.C. 27939. Written comments must be received by the Division of Coastal Management within 10 days of receipt of this notice. hn respn se within 10 days of receipt of the correspondence will be intecpreted as no o jection. Sincerely, I have no objection to the proposed project as described in this correspondence. I have objections to the project as presently proposed and have enclosed comments. (Signature) (Date) m SENDER - :a ■ Complete items 1 and/or 2 for additional services. 0 a Complete items 3, 4a, and 4b. ( m ■ Print your name and address on the reverse of this form so that we can return this card to you. ■ Attach this form to the front of the mailpiece, or on the back if space does not permit. ■ Write "Return Receipt Requested" on the mai(piece below the article number. _ ■ The Return Receipt will show to whom the article was delivered and the date delivered. I also wish to receive the following services (for an extra fee): 1. ❑ Addressee's Address 2. ❑ Restricted Delivery Consult postmaster for fee. 3. Article Addressed to: 14a. Article Nu m er fin/ Z).LIRM Fj W fa,4d Fmer,3e )00l3aX 32) jy,'WK fce r. Iv.,e 5. Received By: (Print Name) 6. Sig t e:4Addressee or Ager XAf PS Form 3811 ODecember 1994 7---tl�- loVl 1&,Z-- 4b. Service Type ❑ Registered Certified ❑ Express Mail ❑ Insured ❑ Return Receipt for Merchandise ❑ COD 7. Date of Deliverer 1- C 8. Addressees Address (Only if requested and fee is paid) !a- — 102595-98-B-0229 Domestic Return Receipt V Z� �l �S UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid, USPS Permit No. G-10 • Print your name, address, and ZIP Code in this box • Qo �©/.050X 7a> Al-e. _-2 7€ 92- d SENDER: ■ Complete items 1 and/or 2 for additional services. w ■ Complete items 3, 4a, and 4b. d ■ Print your name and address on the reverse of this form so that we can return this card to you. ■ Attach this form to the front of the mailpiece, or on the back if space does not permit. ■ Write "Return Receipt Requested" on the mailpiece below the article number. r ■ The Return Receipt will show to whom the article was delivered and the date delivered. rticle Addressed to: too go X 5. 6. Sig ure: (Addressee or Agent) X PS Form 3811, December 1994 4a. I also wish to receive the following services (for an extra fee): 1. ❑ Addressee's Address 2. ❑ Restricted Delivery Consult postmaster for fee. W01'IJ CI to ype 4b. Service T16 0 ❑ Registered Certified p ❑ Express Mail ❑ insured c ❑ Return Receipt for Merchandise ❑ COD 7. Date of)Delivery o 8. Addressee's Address (Only if requested Y and fee is paid) m H, 102595-98-e-0229 Domestic Return Receipt UNITED STATES POSTAL SERVICE i First -Class Mail Postage•& Fees Paid USPS __, 'FR No. G-10 • Print your name, address, and ZIPS de in th •T �$i?q SENDER: ■ Complete items 1 and/or 2 for additional services. N ■ Complete items 3, 4a, and 4b. y ■ Print your name and address on the reverse of this form so that we can return this card to you. m ■ Attach this form to the front of the mailpiece, or on the back if space does not permit. ■Write "Return Receipt Requested" on the mailpiece below the article number. L ■ The Return Receipt will show to whom the article was delivered and the date delivered. o 3. Article Addressed to: 4a. Article I also wish to receive the following services (for an extra fee): 1. ❑ Addressee's Address 2. ❑ Restricted Delivery Consult postmaster for fee. N'be(0 0. E 6 3 3 p %t/ & L l �' !�� S i 4b. Service Type ElRegistered ertifiei C,jIVC.P/�O�k > � a 3 .�i3 ❑ Express Mail El Insured ❑ Return Receipt for Merchandise ❑ COD (0 7. DateXofelivery jjM 5. Received By: (Print Name) 8. Ad re see's Address (Only if requested {I and fee is paid) UJI IZI 6. S- 1 0 'I rn F leceipt I I� I UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Faid USPS Permit No. G-10 • Print your name, address, and ZIP Code in this box • IV 6 /) c, T l 0 a e A 7a % IF INCORRECT RETURN TO WARRANT NO. 341880 DEPARTMENT OF TRANSPORTATION DATE ? ? F CONTROLLER'S OFFICE 341880 10 * INVOICE DATE PURCHASE ORDER AMOUNT DISCOUNT NET AMOUNT CODE NUMBER NUMBER 1u-uq-9P i i 54 00 Col TOTAL 5 4 REMARKS: rnnu nr�noC nC�(IC ITIAI(_ *SEE REVERSE SIDE OF STUB FOR CODES- Location: Fie Rep. ,J• Phone: - �J� `{a Date of Renort: v Description of Project: Date Project Reportedly Cornp?'ete: (1) Do the measured dimensions of the development differ frori those indicated in the permit .and workplat?. Yes / No Have all pernit conditions been satisfied? Yes / No Coln=NT : — S SOncD M���w M10 MIZIMIN -- (2) or ot e _sc sta�.il%zE^Y� 11 G15t rL�E� a Ems: Y-- / NO � ^ COi�'_NL D o 12 (3) Flltllre_Mcnitcrinc and „nforcement Action: Is'further investiaation or enforcement a tion needed? Yes / No CO � �NT : � �(1 �.• � (�/ ,P i� D nl / n n / �7 � QS,