HomeMy WebLinkAbout27075_JOLLY, SARAH_20001211JX. I • ff
CAMA and DREDGE AND FILL
' 707 a
G E N E K A L .-
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
State `: zip
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee
' BRANCH BANKING AND TRUST COMPANY 31234
MOREHEAD CITY, NORTH CAROLINA
66-112/531
T D EURE CONSTRUCTION, INC. 02301
PH. (252) 728-4191 12/5/2000
P O BOX 650
MOREHEAD CITY, NC 28557
m **100.00
PAY TO THE DEHNR
ORDER OF
DOLLARS
One Hundred and 00/100
****,r***************************************************************************b,****
DEHNR
151-B Hestron Plaza
Hwy 24
Morehead City, NC 28557
Jolly/Mclean 6 a?7oZ5
MEMO
11203 1 234111 1:053 10 112 0: 12 3 100 24 213P
Lei ON NI_10t 1.:\t C_•t. 1
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTYOWNERNOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:y01
Address of Property: 14 L-YL a-id—
c -') 8J1;
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached_ drawing the development
they are proposing. A description or drawing, with dimensions, shZff�F
is
letter. rr,
"
I have no objections to this proposal. II DEC 0 6 2000
If you have objections to what is being proposed, please w ' �557
'"�oa tal
Management, Hestron Pla:zt II, I51-B, Hwy. 24, Morehead City, NC, 2r ea 08-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
un ers an a a pie , ust be
ccess unless waived by me. (If you
wdsh to w ai-x the ePthac�k. you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
V I do not wish to waive the 15' setback requirement.
Signatur Date 'r
Print Name L�5
<,�� 3>' -3 2-A,,
Telephone Number With Area Code
11/28/00 12:25 FAX 2527284192 T D EURE Ca01
T. D. CUBE CUNSTRUCTION CU., INC.
T D EUIIE rpG1. vrr•IcE Dox 650
ratu�wa�r. MOREI1EAD CITY, N0I1'11I CAHOLINA 20551
NC. 1-11IONE 252-72o4191
FAX COVER SHELT
DATE:
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A-r: T. D. EURE CONSTRUCTION CO., INC.
1'1-IONE: 252-728-4191 FAX NO. 252-728-4192
TRANSMITTING PAGES WITH THIS COVER
MESSAGE:
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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
i■ Print your name and address on the reverse
j so that we can return the card to you.
i ■ Attach this card to the back of the mailpiece,
jor on the front if space permits.
1. Article Addressed to:
2 `l /D!
A. Received by (Please Print Clearly) B. Date of Deliy2 y ;
C. Signature
X ❑ AgentC44-L }
Addressee
D. Is delive d tter�n a?_ . D Yes I
If YES, r v e6: � �P
DEC 0 6 2000
3.
❑ Registered ❑ Return Recei�erch
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2, Article Number Copy from service label) i
76gq S1/OZLO
PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
■ Complete items 1, 2, and 3. Also complete A. Received by (Please
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse C. Sign
S so that we can return the card to you. re
I ■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
D. Is delivery
If YES, en
2 S 3. Service T pe`.
❑ Certifi
❑ Registered
t ❑ Insured Mail
B. D to of Delivery
❑ Agent
❑ Addre
❑ Yes
DEC 0 6 2000
❑ Return
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (Copy from service label)
�-7059
PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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