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Home My WebLink About53965D - BoesCAMA / DREDGE & FILL r, E N E RAL PERMIT Previous permit # ]New ' ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued sized by the State of North Carolina, Department of Environment and Natural Resources _ Zoastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Rules attached. it Name-iaaES Project Location: County Street Address/ State Road/ Lot #(s) i K G j7 cam- S 1 State 0 L ZIP R 1A V L'' Fax # O Subdivision ed Agent - \ L,� S c %> CW ❑EW DPTA ❑ ES El PTS OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: yes / no PNA yes /Q Crit.Hab. yes / no city f 9f-St,-s ZIP z-oq Phone # ( ) River Basi ;?r' Adj. Wtr. Body ytA �s G►►aN�� (�`�` �nat i Closest Maj. Wtr. Body - Project/ Activity 0S A LL ��,K �� 1�,�T r AIL r--- Z -7 .a i (Scale: I ' k) length s) 8x 3 J >A I pier(s) length number ead/ Riprap length ivg distance offshore nax distance offshore channel :ubic yards amp Ouse/ Boatlik-- I Bulldozing ine Length _ not sure yes no igs: not sure yes )rwm: n/a yes yes no'-> - Attached: yes no ling permit may be required by: PS,- Z / Special Conditions ❑ See note on back regarding River Basin i (rjqpv�e,,,( dmk- F(ei -1) i� lql-e,Aal�a /a 3 7-(-o North Carolina Department of Environment and Natural Resources Division of Coastal Management Uverty Eaves Perdue, Governor James H. Gregson, director Dee Freeman, Secretary Date � 3 0 9 Name of Property Owner Applying for Permit: i A � Mailing Address: 11_a % rt^PumrL r,.,> 1 certify that I save authorized (agent) L — ,��.�,,, ,j to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) 12 3 TRa„ct- h,ar �-,� Sar� -.bw u� This certification is valid thru (date) 1 Z " 31 - c `i A 9 UPCE ly wwner mraa[ure DIYISiori OF COASTAL MANACII4 ENT IJAc� F ARLAN PROPERTY oWN-ER NOTEFICA-HO14141i•AIVER FORM Individual ,?applying For Pert - g!AA or Street #, Shed ar Road) (City and copy) t•w .I "' ll 1'.. 1 I! 1 " tilt lY,w 1 :��M { �1 II U ' .w I 1 •' I 1�! ll.' lY. ! "wl ll it ' t! 1 "� 1'T72 ill 1! ' .�' Y+ !mil i;l 1' /1 " II ' 1] tllll :•! 1'1 `�] 1'I 1 )' f' / l•:l Ili. it i f •F1+1 1.1� it Ill )r i 1•{v give objections to what is being proposed, please wKi t$e DivAi on of (Coastl uent ,127 Cardinal Drive Ebensi W, '@Viiudagton, NC. 28405 or mH 910-3'95-39 C 1 dAYs of meeipt of fib aofim No responses considered the same 2s no obiec6oi if been notEilled by CAriified Mail. RRd that 21 pier, dock, moors pig, breakwater, boat house or boat M must be tuinimum distance of 15' from mp;area of riparian access - mess waived by line ., ta waive t1 a setback, You ffiust initial the appropriate blank below.) C 1.1 `!.i 1 •' ll - `:�•II :, C'._t1111[�I1�:If I do not wish to waive tiie 15` seflxu* Date GhU�Lh r2rr��'� �s 123 N r• ?r"I Laev(6 Bank of America ACH R/T 053000196 ALLIED MARINE CONTRACTORS, LLC 08-03 910-367-2159 92 HAROLD CT. HAMPSTEAD, INC 28443 37( 66-19 PAY TO THE j/'vFl ORDER OF % i Doi MEMO �C%�- 5 C) AUTHORIZED SIGNATURE 11200376411' 1:0530001961: 00068474373IB"I ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ 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. 1. Article Addressed to. L� by (Printed Nam J I C. D. is deliveryaddress different from item 1? If YES, enter delivery address below: ❑ Agent at of Delivery T-161 ❑ Yes ❑ No 5'-K73.Sce N e a pZ�7 / VLrtifi �7gistered t'�7 1ured Type' Mail Mail ❑Express Mail ❑ Retum Receipt for Merchandise ❑ C.O.D. t 2. Article Number c Delivery? (&tra Fee) ❑Y 7008 1140 0000 4156 2746 � (Tra11 n11 sfer fro 11 m service late PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ■ CompldteWMk4— t., Arid k J item 4 if Restricted Delivery is desireqq C � 83 ■ Print your name and address on the reverse" so that we can return the dlfit4&P 21()f�ct ■ 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 1?1 3 Yes If YES, enter delivery address below: -SaAfio °w C 3 GT 3 3. Service Type ITCertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise Z &' �-1 ❑ Insured Mail ❑ C.O.D. I 4. Restoctwi na i—o — �_9J ❑ Yes 2. Article Number 7008 1140 0000 4156 2753 (Transfer from service PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540