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HomeMy WebLinkAbout18476_KEBEL, HARLAN_19971010r -- O CAMA AND DREDGE AND FILL Ira GENERALPERMIT 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 ,jay ��' " Phone Number Address Cityy. State Zip %i S� 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 �t7 c t 3r'?c,P(?r * 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. (SCALE: %uD111e_ ) f y applicant's signature permit officer's signature /6- /U- Q / issuing date expiration date attachments .) , , In issuing this permit the State of North Carolina certifies that f� J this project is consistent with the North Carolina Coastal application fee .r e Management Program. MEDFORD CONSTRUCTION NAME: 802-B NEUSE DRIVE NEW 131 R , 919-635-5242 Account No. c^ ^ a+O PAY THE n ORDERER OF [ 4a— 0 Jo 0 1024 W BIANK LE MEMO l #o1S;,q7G-[ F yJ) C 1:0531LL85Zi: Date / 0 - /a - 9 7 10© 66-68/531 DOLLARS POSTAL SERVICE OF THE UNITED STATES OF AIMERICA Administration des Postes des Etats-Unis d'Amrsrique PAR A YION POSTAL SERVICE Service des posies RETURN RECEIPT To be returned by the quickest route (air or surface mail), 3 dfcouvert and postage free. A renvoyer par la voie la plus rapide 0,16enne ou de surface), d d&ouverl et an franchise de port. PS Form 2866 i Mar. 1985 Avis de r6ception Postmark 0f he office returning the receipt Timbre du bureau renvoyanr Pavis 0 To be filled out by the sender, who will indicate his address for the return of this receipt. A remptir par 1'expediteur, qui indiquera son adresse pour le renvoi du present avis. Name firm ....................... ,yNeom ou raisoon soclale ................................................ Street and No. Rue et no. City, State and ZIP Code -Lrr 9C- Lieu et Pays -2}}RS-6 c tt tt- 111 �6�4 SY/C 616 vLghl& 1!! i i t t t t t! I f I! t IP)at�-Ulis d'Amerique Registered article etter printed Matter Other Express Mail Envoirecommand& Le[tre a lmprittfL, r Other Express ❑ InternationalI El . ° Insured parcel Insured Value Valeur Colis avec valeur }\ cc declar6e V Office of mailing Bureau of depot b o � v T a Addressee (Name or firm) Nc a a, 0 v c Street and No. Rue et No. d 4 0 ti E°. Place and country Lieu et Pays I R11(&03Jff13 Date of posting Date de depot ou raison sociale du destinataire This receipt must be signed by the addressee or by a person authorized to do so by virtue d of the regulations of the country of destination, or, if those regulations so provide, by the ° employee of the office of destination, and returned by the first mail directly to the sender. m 5 c 0 Cet ours dolt etre signd par le destinataire ou par une personne y autorisife en vertu des 'o a reglements du pays de destination, ou, si ces reglements le comportent, par /'agent du bbureau de destination, at renvoye par le premier courrier directement d t'ezpediteur. t The article mentioned above was duly delivered. Date 6 v L'envoi mentionn4f ci-dessus a 616 dament /turd. u 4 .`o Signature of the addressee Signature of the employee of the office of E0- Q Si nature du destin ire estination. Signal a de t'a nt du burea: de desrrnation. yj�jo Postmark of the office of destination Timbre du'bureaa. de destigation . 4 O�"C/ Yl 191 i _ 1 * y I ... ... ...... AL i r , �rcq of 0 ---------- ------- Z4 SENDER: -Completes items 1 and/or 2 for additional services. I also wish to receive the w ■Complt:, items 3, 4a, and 41b. following services for an H ■ Print your name and address on the reverse of this form so that we can return this extra fee): S { `1 card to you. ■ Attach this form to the front of the mailpiece, or on the back if space does not permit. 1. ❑ Addressee's Address d ■ Write'Return Receipt Requested' on the mailpiece below the article number. 2. ❑ Restricted Delivery ■The Return Receipt will show to whom the article was delivered and the date ,, J s delivered. Consult postmaster for fee. p 3. Article Addressed to: 4a. Article Number lye r E v q `�" m 4 4b. Service Type ❑ Registered 9- Certified UJI// (/ �_ C� ❑Express Mail ❑Insured S .I y G 1 ❑ Return Receipt Merchandise El COD °, _ 7. Date of Deliv Gi w z t p 5. Received By: (Print are _ . Addressee' Address (Only if requested and fee is paid) r CC t— g . Slgnatu Addresse , nV y PS Form 3811 ecember 1994 Domestic Return Rece UNITED STATES POSTAL SERVICE First -Class Mail 1 Postage & Fees Paid LISPS Permit No. G-10 0 Print your name, address, and ZIP Code in this box • 7___SS-07"'v