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HomeMy WebLinkAboutHeath, JonathanLICAMA/ ❑DREDGE & FILL No. 74456 A B C.,` D GENERAL PERMIT Previous permit# JAIWNew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC s tt j GG � �[3Rules attached. Applicant Name �� ">s`},t f' i'FJl �1 Project Location: County f CA (VI I Gt<7 Address 10 6y o o ' crl e Street Address/ State Road/ Lot #(s) -207r City 1 ,•,t %'..y��"�/ State j� ZIP 7' Phone # (`} //T+�r7 E-Mail Subdivision Authorized Agent " City f l t /NC1LY f IG'Y ZIP Affected OCW `7EW ,XPTA ❑ES ❑PTS A Affecte ElOFA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / no Phone# (} River Basin Adj. Wtr. Body A&A t Vfkl Closest Mal. Wtr. Body- 111111197,=- 1111197MIMU MINOR Pier (dock) lengthFixed MEN ■■■■■■■■■■■■■■■■ ■■■SEES■ ■■!�■ E■E■■■ Platform(s) iiiiMEN M■■■■■■■■■■■■■■■ME ME■■��■■ Floating Platform�) ii'a ■■■w■■■■■■■■■■■■■■ SEEM■ ■■ ■Mw■■■u■■■■■■ww■M■■■■�■■■M■■ ■■■ ait■■ SEES■ w■■■■■■ MEN MEN Groin length■■11■M■■M■■■■■■■■ruIIS/fi; imm ME= SEEM number Bulkhead/ Mitrap length Emil MEN %mum Uffam NONE avg distance offshore ■■■ ■■CIE■■■MO Emil ■MOS■■MEN ■■l►lE1poww!I�M■■ �M■N■■■E■ ■■■ ■■■MYI� L91 E■■ max distance offshore■■E■■■�1■■■■■OEmil MEMO MEMO Nola ■SEMEN ■■■O■■■■■■OSEE Basin, channel ■®■■M■■■OE■11■M�O■■■EN OEM ■■S■■■OONE ■MEN ■■ ■■■■■■■ cubic yards— ■■■ ■■■■■■ HE W" OEM �MMEN ■■■■ ■■''WFAEE■■■■HE(IIO■■■ MEN ■■�■■■■OM■ Boat rampw M■■M MEN ■■MM■11■ lT4imT.�Q�li ■■■■■■■■■■ME ■ 0 OO■■OO■O■■Ii■Mli ■■■■■■E■■■■■ ■■■OEO■■MOO■O■E■■S■■ Ell If.EO�■■■■■■E■■■■■■■■■■OEM w■�■ii0�liiiiii�iii■EEE■■S■CC M■■uiM■■�ME Be �v■■■■�IRME■■■S■11■E■■■■■■■■■ SEE■ SEES ■■■ ■■ ME mom •- �Ems ■M ►1�iiy■■■M Ea■E� MEN ■�OEll O■11■■■ ■■■■MOO■■■SOME■■■O■ ■■■■■■■■O■■■off] im■■■■O■ MIME MEN O■■■■O111■■■ O■■■■■■■■■o �SEEN ■ M■■■■■116M■■■H11■■■�M■N■O■■■■w■■■■■BE ■■■■■11■■■N11■■■■ SON B■w OMEN ll■■■■■M■ ■Miiii■��■® �HOME®i�i�M��■i w PA ■ ■■1■■ ■ ■■■ ME■IIIEr� 11OIiliM■ M ■MMINIMSEE■i°io.��...r1�.II■■■ .�iui�:iii V1W (7ofille ll PermitOfOcer's Printed Si natu Issuing Date 5xpiratiofi Date A ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mallplece, or on the front if space permits. 1. Article Addressedto: 14ti,on Ask,;�s � ��(,L 1t? Z b1t, rry L.<t /.mot [— iyCu/ gr/,m/ /w Z(�5 ( IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 9590 9402 3099 7124 9922 07 2• /uncle Nt mbar �rap(erfmm sgrvisa lade PS Form 3811, July 2015 PSN 7630-02-000-9053 Complete items3,.2, and 3. - -' " ■ Print your name and address on the reverse A so that we can return the card to you. X ■ Attach this card to the back of the mallplece, B. or on the front is �r Z-�—.7ks 3d5-0 �Talfrf,s° AW 4r1111111 — /c zS,;/v IIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIII 9590� 9402 3099 7124 9921 91 PS Form 3811, JDIy 2015 PSN 7530-02.000-9053 B. ceived pynnfed le) C. pat of I �an+-b D. Is deliveryaddress different from item 11 ❑Yes If YES, enter delivery address below. ❑ No .I,- azure CI Priority Mall Express® ❑ Registered Mail+"' attire Resticted Delivery lair® 4 Re istered Mail ReaVlcted gery lair Restricted oted Delivery Delivery ev Cl Return Receipt for Merchandise Delivery Restricted Delivery Signature Confirmation- ill Restricted Delivery 0 Signature Confirmation Restricted Delivery Domestic Return Receipt ❑ Agent NY-fE D Is deltery address different from Rem f Yel If YES, enter delivery address below: ❑ No lure ure Restricted Delivery n Priority Mail Express® O Registered Mail*M Ha Q Rgstered Mall ResWoted De it Restricted Delivery eliyery ry eery t7 Return Receiptfor elivery Restricted Delivery ❑ Merchandise ig ature ConfirmationTM ❑ Restricted Delivery signature confirmation Restricted Delivery Domestic Return Receipt