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