HomeMy WebLinkAbout7890_RUSSELL, ROBERT M_19910228I
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Applicant Name
i Address
i
j City i
it.
LAMA AND DREDGE AND FILL 7,990
GENERAL
PERMIT7Z,
as authorized by the State of North Carolina,/i Department of Natural Resources and Community Development and t e C al ResouyCy�C�f/ ission
in an area of environme tal concern pursuant to,_15 NCAC x/
Phone Number `Z IZ3 `lO& � 2
Proje t Location" (Count , State
60,,,V -T S1
Type of Project Activity _ -
State ��• zip.2SS%D
Water Body, etc. / �/ �/� ( %a t
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) lengthIle,
'
Groin length:
number G�
Bulkhead length
UNL
itax. distance offf-s-h-ore
, AI !,
Basin, channel dimensions.
cubic yards ,/,e 11 � / / 141
Boat ramp dimensions /
A/0
Other
� O
G�
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-
fs consistent with the local land use plan and all local
finances, 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
s-r,
2,1 permit officer's signature
issuing date e�pfration date ,
l� ::x31
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Is property located at
Name o
Property Owner)
0AAC'S�Rkye, V-Oon e e- s S.0 a e—
(Lot, Block, Road, etc.)
on
(W erbody) ( own and r County)
He has described to me, as shown below, the development he is
proposing at that location, and, I have no objections to his
proposal.
--------------------------------------------- o�Ga'--Lele__------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
U'�i y lx a 41,5-p+
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Signa ure
ALL
Print or Type Name
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Telephone Number
(, H ;
UNITED STATES P2�AL SE il1C
OFFICIAL 8 SiNESS P . r y'
SENDER
Print your
• C
EnW" NqC ,=
adjacent to umber.
RETURN
TO
l
(Name of Sender)
(Street or P.O. Box)
(City, State, and ZIP Code)
.� SENDER: Complete items 1, 2, 3, and 4.
Add your address in the "RETURN TO" space
on reverse.
(CONSULT POSTMASTER FOR FEES)
i. The following service is requested (check one).
Show to whom and date delivered .................... _0
❑ Show to whom, date, and address of delivery.. —0
2. ❑ RESTRICTED DELIVERY —0
(The restricted deliveryfee is charged in addition to
the return receipt fee.)
TOTAL $
3. ARTICLE ADDRESSED TO:
r.:k L I- 9 N rn j rvL.S
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4. TYPE OF SERVICE:
ARTICLE NUMBER
❑ GISTERED ❑ INSURED
CERTIFIED ❑ coo
� f �C� 520
❑ EXPRESS MAIL
(Always obtain signature of addressee or agent)
I have received the article described above.
SIGNA ❑ Addressee ❑ Autho " ed a ent
C
6. ATE OF DELIVERY !
~
6. ADDRESSEE'S ADDRE (Only if requested)-
7. UNABLE TO DELIVER BECAUSE:
7e. EMPLOYZEZ--
INITIA
UNITED STATES POSTAL
1 OFFICIAL BUSINEW .
SENDER INSTRUCTION J'Y
Print your name, address, and ZIP Code in the sp
1 . Complete items 1,1, 4 and 4 on the reverse.
( • Attach to front of 00If space permits,
otherwise &W to back of uticIc
Endorse arilde "Return Receipt Requested"
1 adjacent to number.
4;
Pt 5
y`
PENALTY FOR P
USE TO AVOID PAYM NT
1
OF POSTAGE:S300
i
RETURN
TO `i y
(Name of Sender)
s
,, 01
(Street or P.O. Box)
(City, 9tate, and ZIP Code) . -
N
• SENDER. Complete items 1, 2, 3, and 4.
Add your address in the "RETURN TO" space
on reverse.
(CONSULT POSTMASTER FOR FEES)
i. The following service is requested (check one).
Show to whom and date delivered .................... .___0
❑ Show to whom, date, and address of delivery.. _ Q
2. ❑ RESTRICTED DELIVERY _ d
(The restricted delivery fee is charged in addition to
the return receipt fee.)
TOTAL S
3. ARTICLE ADDRESSED TO:
Creea,5\0,3 �� ol`)�t�,�
<. TYPE OF SERVICE:
ARTICLE NUMBER
❑ EGISTERE12 ❑ INSURED
[CERTIFIED ❑COD
i%23� 125 8 Z
❑ EXPRESS MAIL
f
(Always obtain signature of addressee or agent)
I have received the article described above.
SIGNATURE ❑ Addr El Authorized agent
5.
TE OF DEUVE
6. ADDRESSEE'S ADDRESS (Only if requested)
7. UNABLE TO DELIVER BECAUSE:
7a PLOYEE'S
IN AlS