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HomeMy WebLinkAboutExempted_Composite Record of Site Inspections and Exemptions_19800206STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, & NATURAL RESOURCES P.O. BOX 27687, RALEIGH, N.C. 27611 NO. 030798'' :t 2NE1 IDIJRTER. PAYMENT 750. 00 . �ti 6 300.00 TOTAL NET AMOUNT 750.00) � DETACH HERE STATE OF NORTH CAROLINA CHECK NUMBER DEPARTMENT OF ENVIRONMENT, HEALTH, & NATURAL RESOURCES 030798 RALEIGH, NORTH CAROLINA _ 0 9'r_; 66-1059 531 M0. •DAY • Y0. VOUCHER NUMBER CODE NUMBER - $ AMOUNT 3/13/rfC) 3079L, 14ii_)i $75i_),ir[):; PRESENT TO: STATE TREASURER PAYABLE AT PAR THROUGH FEDERAL RESERVE SYSTEM CARTERET;, C:OUhlTY PAY �I I i�3c 1 i To E{EA_FLF'iT IVLr THE 0�. ORDER - - OF 11803079811' 1:0531105941: 69,100081104011' COMPOSITE FORM MONITORING FOR I S E PAYMENTS �0 PERIOD �9LOCATION��"'mil File No. Name ,p / Date Application Filed -Date App. Received by Field'Office Date Public Notice Rcvd. by Field Office Date Permit Received by Field Office Date of Exemption or Permit Decision Date Exempt Letter Rcvd by Field: Office Appro for Payme' DYY-,s /p- - 01-0- k y IV-17 49 /- �'� /07t 34941 /ae0-8-9 <0'f3- k1 /0-17- k Y (0-, 7- Y !/- ! —,f y to-.;6'-1-g - op6' w oL- i T-- IF—d'a 0 7(- (J D 04 9- d 6� -gcl 4 � o =- c /y - �- 1 a U " D7 /./ .P u F= &4/-Vl COMPOSITE RECORD OF SITE INSPECTIONS AND EXEMPTIONS CdktmLl C�cu LOCALITY 0 NAME I (FILE NO. IF APPLICATION FILED) PROPOSED PROJECT: PIER, BULKHEAD, ESTUARINE RESIDENCE, DUNE ACCESSWAY, BEACH D. :------REPAIR OR REPLACEMENT .. D. •• ', LETTER . . .• PERMIT NEEDED: . . NOT IN AEC, MAJOR PERMIT, NOT DEVELOPMENT �-N- will WE I/ i• ILL/ � ` L- 1 t / / ® � '� ' I/ / /I 141 iL J[ I�i i� it I/,I i. _.R L_/_/_/_ //_/__i:r � -• i• ' '-/_/�/' Li :� / • I / - %'I m 0•/L/ /. ir L!r :� /_ / I o / • '== i . i ter. / / i ®• - :' • all t ai r � I i Few. • ®� a mf r' 1il i 'SIGNATURE -zAda,-, y✓J� PHONE NUMBER COMPOSITE RECORD FORM LOCALITY FILE NUMBER NAME DATE APPLICATION FILED — NOTICE DATE -- DECISION: _ P—PERMIT C—CONDITIONAL D—DENIED F—FINAL(DATEOF INSPECTION) DECISION DATE TYPE OF AEC: O—OCEAN ERODIBLE I —INLET H—HIGH HAZARD ES -ESTUARINE SHORELINE ----- --- —'-- TYPE OF DEVELOPMENT' R-SINGLE OR MULTI- UNIT RESIDENTIAL C—COMMERCIAL B—BEACH BULLDOZING S—SANDBAG BULKHEAD L—LAND DISTURBANCE O—OTHER (SPECIFY GAZEBO, ADDITION, STORAGE BUILDING, ETC.) (� -(v— /0-11—$qp—gyp— g pjo_jq-A9 -09 c lo- o- 9 �s - /04- 89 - 9 / l-a.-2 -89 I)-A-89 /a - s - B9 o ,7- e9 WE PhAXLA, Ia-l -89 1a-6-g C /A-4-89 FS � �I0AVU7 /a- /0-io- / - LSLLUI L ,. Id f a A i FRO 0- a- 10011 an SIGNATURE `��iC V • PHONE NUMBER %c'�S _87 7 /