HomeMy WebLinkAboutKraft, James B.®bCAMA / ❑ DREDGE & FILL N. O
78417 q g c D
ENERAL PERMIT Previous permit#
New ❑Modification ❑Complete f eissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolinap Department of Environmental Quality /
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules attached. U
Applicant Name ( County t i ProLocation: Coun
City_
Phone # ('
Authorized Agent
E-Mail
❑ CW
O EW y PTA
❑ Es ❑ PTs
Affected
AEC(s):
❑ OEA
❑ HHF ❑ IH
❑ UBA ❑ N/A
❑ PWS:
ORW:
yes / no
PNA yes / 'no
Street Address/ State Road/ Lot #(s)
4z
Subdivision
City ZIP
Phone # — River Bas'n l ('C'� (t
Adj. Wtr. Body' ��:i {% ' ,�(nat /m n /Jnkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
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Agent or Applicant Printed Name
Signature "" Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Printed Name
Signature --.- ,
Issuing Date Expiration Date
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to ---7m tz/G2/f14r' 's
(Name of Property Owner)
property located at E101 ?t4D 6,"- !Air fia vPe� N �
Address, Lot, Block, Road, etc.)
on Ju—mP-c,v( 241,v C12et-,t in C./fKZAr&-'V-CIvlv(—Y N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
L o P rrA 6
Print or Type Name
AN-r7a� -1( 9/)
Telephone Number
I h dada
Date
RECEIVED
JAN 0 8 2020
DCM-MHD CITY
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to _77T:m « �— 6' 's
(Name of Property Owner)
property located at 3/9 2�1� o /L G,ONt^ ,u c, N Rtj 2T n � c
r' ,
Address, Lot, Block, Road, etc.)
on e � v' Zv.V C EL- , in C�Frt�ti[c-� cc) ix N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
Print or Type Name
a531 U5-73r a --
Telephone Number
f--7-0-vay
Date
RECEIVED
JAN 0 8 2020
DCM-MHD CITY