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Home My WebLink About73547D - Carlisle/CAMA / DREDGE & FILL No. 73547 A B C �D QENERAL PERMIT Previous permit# lNew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality ^^�� f, and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC i q#. 12 00 rr ❑ Rules attached. Applicant Namef,✓ _/ /�T/� _ Project Location: County NG��I- Address_"" 07 A 'a Ile, N', ✓� Street Address/ State Road/ Lot #(s) City 9 kIQ>T State zip ^ W(50 C " Fmd Phone # (% ) 6104W E-Mail rAS(� /�!4 i(G0h Subdivision Authorized Agentc-Aed5k(t7 CitCi-tnl,C C&ttnC*M City W�J'11 T✓t�/\ 4� zip a� jro� ❑ CW Z EW UJ PTA ❑ ES ❑ PTS Phone # (%0) 539 173 � River Basin Coa Tfo Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Ot 1G„-j— AEC(s): Adj. Wtr. Body nat man unkn u PWS: I ORW: yes CO PNA Es / no Closest Maj. Wtr. Body - Type of Project/ Activity Pj eposd + rolblfjC/ a -7,-1,41c GGt!1yS` 2' P' do ! l'rF Pier (dock) length Fixed Float Finge Groin Bulk Basir Boat Boat Beat Othr I Shor SAV Mon Phoi Wain Platform(s)of r pier(s) ing PlatfAoffshore length number- read/ Rip avg distmax dis ,channel cubic yards ramp louse/ Boatlift i 1 Bulldozing HOU4 LM SP ,W:Ur60 sF .line Length A86S � not sure yes Corium: n/a yes no Ds: yes erAttached: vec A7N v A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Spegial Conditions fti Colot✓ 4�t Agent or Ag6ftc—aftfrinted Name Signature 1001pagprearicompliance state nt on back of permit" (loom #3a4 Application Fee(s) Check # (Scale: / : (50 �41vidi 414 . �'0 jor fe" . ❑ See note on back regarding River Basin rules. b-14 ?tn/al Permit Officer's Printed Nam Signature 5 0 q 7/4 Oh Issuing Date Expiration Oatef PIMA ft J North Carolina Department of Environment and Natural Resources Pat McCrory Donald R. van der Vaart Govemor Secretary AGENT AUTHORIZATION FORM Name of Property Owner Applying for Permit: Owner's Aflefiling Address: Elrlail: _� (.. %t r I' I S�P .R�AG.• ( 1''H'1 Phone Oa ) Lll Name of Authorized Agent for this project: C-ar1S�Ys[.�T b.� c, I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for, and obtaining all CAMA Permits necessary to install or construct the following (activity): l3 c�fla Project Site Address: Properly Owner Sgnetuns DOW *This certification is valid f year from date signed by property owner. N.C. DM sim of Coastal Management 127 CardJnal Ddve FAA., Mfringtw. NC 28406 Raw: 910.7W72161 FAX: 9143963964 Intemet. www.rccoaMdmArkigwienLnel An EQud Oppurlur* %Affi"v Action Eap M ■ 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 mailpiece, or on the front if space permits. i Ar+i is Aririressed to: vJ.'ll--S "10cr w �d. C), P-G4 0 (t,`( 6 Ch,, N' L A. Sign ture ❑ Agent XxAddressee B. Received b (Printed Name) C�. a e of Delivery` r D. Is delivery ddress different from item " if YES, enter delive address belr, APR 2 2 2010 Express® ervice Type ❑ Prior tyMail roAdultSignature ❑ Registered MailT11 dult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 4922 9032 9505 28 ertified Mail® Delivery ertified Mail Restricted Delivery i7 Retum Receipt for Merchandise - ollect on Delivery ^ ^-3ct on Delivery Restricted Delivery Signature Confirmation' ❑ Signature Confirmation 7 018 113 0 0002 0001 8077 red Mail red Mail Restricted Delivery Restricted Delivery (over $500) Domestic Return Receipt PS Form 3811, July 2015 PSN 7530-02-000-9053 ComPLETE THIS SECTIONDELIVERY SENDER: Co,"OPLETE THIS SECTION ■ Complete items 1, 2, and 3. A. Sign ure �r 0 Agent ■ Print your name and address on the reverse ❑ Addressee so that we can return the card to you. B. Received (Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item: _ ElYes If YES, enter delivery address be 17-1 No Ps APR 2 2 2019 C- 3. Service Type ❑ Priority Mail Express® II I tIII'I ItII I�I (III II II I'II IIIfI I I I I II I II III ❑ Adult Signature El Registered MaiIT"' ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted 9590 9402 4922 9032 9505 35 ❑ Certified Maile Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for El Col lect on Delivery Merchandise ❑ collect on Delivery Restricted Delivery Signature Confirmation- ❑ Signature Confirmation 2. Article Number (Transfer from sPrvira lahall 7 018 1130 0002 0001 8 2 7 5 ured Mail ured Mail Restricted Delivery Restricted Delivery rwer $500) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt we Received Dafe Da sited Check From Name Name of Permit Holder Vendor Check Number Check amounf Permit Number/Comments Rece/ t or Refund/Reallocated Columnl Column2 Column3 Column4 Co/umn6 Column6 Co/umn7 Column8 Column9 1 01 'Soumeast— Coastal CoesOvction Co Ma arlrsle uth State Bank 11304 S 2WOO GP073547D IP r 8