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HomeMy WebLinkAboutParallel 35 N, LLC c/o Chris JonesCAMA / F DREDGE & FILL NO. 73965 A B C D GENERAL PERMIT Previous permit# WMPNew ❑Modification ❑Complete Reissue ❑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 I � , / LRRules attached. Applicant Name - ! Project Location: County i Address `' � i ". _. � r I Street Address/ State Road/ Lot #(s) ' -.. / �' f%(State ZIP Phone # (_)(.' - - / /'_ E-Mail Authorized Agent \ t /' l r (. 'r t Affected 0CW ❑EW FPTA EJES ,;:�4$TS'- AEC(s): ❑OEA ❑HHF FIH ❑UBA ❑N/A ❑ PWS: ORW: yes / no PNA yes / no Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" r-,/ - Application Feels) Check# Subdivision City r / i ZIP Phone# O River Basin Adj. Wtr. Body (41., r- nat man unkn Closest Maj. Wtr. Body c C ! ' PermitOfficer's Printed Name Signatu e Issuing Date Expiration Date Q�� NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date Name of Property Owner Applying for Permit: Pn,mll e l 15 /V LLG / G k o) J elne,5 Mailing Address: t-lm L)'Y1 Lem kyurahoc k1/6' zgslo I certify that I have authorized (agent) I rrY l f�SGyto act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) c�V i ✓V �L u m'< ec-4 , at (my property located at) U �tAW Y%1 %/l ' t�U'� ��� f� !/ G• This certification is valid thru (date) q Z / q `1 Property Oler Signature Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.necoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to P&6 I11� ( 35 /V LLG 's (Name of Property Owner) property located at L� t'„1,nd J-1( (Lot, Block, Road, etc.) on N&V66 /2'Vr/ in 0Kj,&410L I ,N.C. (Waterbody) (Town and/or County) Applicant's phone #: Z$Z- G UG Mailing Address: N 3 (1/ D6n Lei /ZD l+va�jojldG NC 2-1(6)0 He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To billed in by property owner proposing development) 2 1 0, U ,�i i5 -�Z J V ------------------------------------------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Own nformation) for Permit) '-1391 Dov1 GC-E Mailing Address Signature V& And►Yty 5 City/State/Zip Print or Type Name 2SZ-G70-&1?&6 Telephone N mber Signature Date Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ,�i I hereby certify that I own property adjacent to P(wel-HG' 35 /V 1_G6, is (Name of Property Owner) property located at 11 � w'� a +,n; (( PU-h {- (Lot, Block, Road, etc.) on 1�4 v� , bye,-- in 0✓1'64�^/ , N.C. (Waterbody) (Town and/or County) Applicant's phone #: ZSZ` 7U G�3a Mailing Address: �(391 DC4 G Z�c 1Z) Af�p�h�e ✓VG Z�fSlo He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: be filled in by property owner proposing development) bvl avr Ac JS� �. (Information for Property Owner Applying (Riparian for Permit) `-139( e6 )­�-P Mailing Address �-�paho� ✓1/G Z�S�y City/State/Zip Z 6Z-- G ZU _ L13(,-6 Telephone Number yy/9 Signature Date Information) 1/ &, Signature Print or Type Name Telephone Number Date