HomeMy WebLinkAbout52489D - ClappI CAMA / ' DREDGE & FILL
GENERAL PERMIT Previous permit#
[]New .-jModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
:prized by the State of North Carolina, Department of Environment and Natural Resources 1,J
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
lesattached.
�nt Name --*3C\t3 " Project Location: County
ss '' 1 Street Address/ State Road/ Lot #(s)
- State 1—k ZIP
# i_ ) __ __ Fax #
-ized Agent
d ElCW 4 EW C PTA ❑ ES ❑ PTS
E. OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
I�
❑ PWS: ❑ FC:
yes / no PNA yes / no Crit.Hab. yes / no
of Project/ Activity
Subdivision Tc>' '3'1
City ZIP may- I
Phone # ( ) River Basin C;"PE:
Adj. Wtr. Body )r� S� ,�ai(M*
Closest Maj. Wtr. Body I zap ," f L
2� >>I.r; LIIF
(Scale:
dock)length
length
lumber
ead/ Ripraplength
ivg distance offshore
nax distance offshore
channel
:UDIC yards
amp
Bulldozing
ine Length
notsure yes no }
ags: not sure yes no '
orium: n/a yes no f
s: yes no ..._
r Attached: yes i._n�
ding permit may be required by:
❑ See note on back regarding River Basin
DIVISION OF COASTAL MANAGEMENT
QJACENT AN PROPERTY OWNER NOTIFICATiONIWAIV ER FORM
)f Individual Applying For Permit 6 C5 e 5 L L c
s of Property_ b/ , ev-n &q k 4), h f, 6✓0- V,
(Lot or Street #, Street of Road)
(City and County)
ry certify that I own property adJaceat to the above -referenced property- The individual
ig for this permit has described to me as shown on the attached drawing the development they
posing. A description or drawing with dimensions, should be provided with this letter.
have objections to what is being " ro Died, lea_ se write We Div idon of Coastal
;ement; 127. a 4 NC_ 28405 or call 910-395--3900
10 days of ra idered the same as no objection U
:oe been noti
- I W
rstand that s e -r, boat house or boat lam. must be
a minimum �'�' — d access - unless waived by me. (If
sh to waive t � rep , #, k riate blank below.)
- - �-
xnent
pane Date
DIVISION OF COASTAL MANAGEMENT
d3JACEN'r FORM
)f Individual Applying For Permit _ - Cnr�
s of Property_ l� , cm v-1 /'i�� hf 5<>b�U73
(Lot or Street #, Street of Road)
(City and County)
y certify that I own propea.-iy adjacent to the above-refe=ced property- The individual
ig for this permit has described to me as shown on the attached drawing the development they
posing. A description or drawing with dimensions, should be provided with this letter.
I have no objections to this proposal.
have objections to what is being proposed, please write the Division of Coastal
;ement, 127. Cardinal Drive Extension, VVilmington, NC.2NO or call 910-395-3900
10 days of receipt of this notice. No response is considered the same as no objection if
ve been notified by Certified Mail.
rstand that a pier, dock, mooring pilings, breakwater, boat house or boat Iifi roust be
a minimum distance of 15' from my;area of riparian access - unless waived by me_ (If
sh to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the IT sed)dck req mm ent - - -
I do not wish to waive file IS setback regeurement.
one
Frofvl;,�
rf
10
ALLIED MARINE CONTRACTORS, LLC 08-03
910-367-2159
92 HAROLD CT.
HAMPSTEAD, NC 28443
Bank of America
ACH R/T 053000196
3534
66-19/530 NC
702
m
0
/� j� ( r $ ego'
1 OFE ( ! C— 1J C— /V l�� o
11600353411' 1:053000 111961:
AUTHORIZED SIGNATURE
000684743 3811'
DOLLARSC
■ Complete items 1, 2, and 3. Also complete
A. Signature
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
,
X f% L �e m 2
❑ Agent
❑ Addressee
so that we qan return the card to you.
■ Attach this card to the back of the mailpiece,
B. Received by (Print d Name)
J
of Delivery
or on the front if space permits.
\ i
ai
JC.ate
i)
1. Article Addressed to:
D. I delivery address different from item 1?
❑ Yes
If YES, enter delivery address below:
❑ No
3. Servi ype
G
ertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail_ ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
❑ Yes
2. Article Number
(Transfer from service label) 70118 1140
0000 4303 9536
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
■ 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:
44r5,(,U)11f-
tZ
\J GtC K A,
A. Signature
❑ Agent
i ❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
o. aeryrce type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7008 1140 0000 4303 9529
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return R—inf