HomeMy WebLinkAbout53170D - Masons .CAMA / {DREDGE & FILL ��
;ENERAL PERMIT Previous permit#
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!New Modification DComplete Reissue ❑Partial Reissue Date previous permit issued _.q
•ized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1 . 1 I 0
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t'jVIM Rules attached.
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t Name f 1aSaYK/t44n/►a C p 11'h fVitr4 Project Location: County N(ltijt (,�l'10Vt1'
4511 m o mY+ 11I11Si K Y Street Address/State Road/Lot#(s) LQ - a Q
I A(11 OY1 State NC ZIP 2$y) I -3•519 Mtur ritaSavti- Drive_
(_I i Am-cis+g Fax# ( ) Subdivision t•VA
:ed Agent City 1jU I I ill r1C h►1 ZIP 2 8Li( I
❑CW .1<EW - PTA - ES ❑PTS Phone# ( ) j4 wl , River Basin C,k
❑OEA J HHF E IH UBA E N/A Adj.Wtr. Body Pin S C VI //i
❑ PWS: ❑FC: n
`�—,_ Closest Maj.Wtr. Body AckWIN!
yes / no PNA yes / no Crit.Hab. yes 1 no ;
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umber -� -- 1
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g distance
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ax distance offshore - �.. .
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ibic yards I __IT - ! ,
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ne length (, I --F
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gs: not sure yes r, ' I I I le.A,4t�_
irium: n/a ) yes no I _
✓ yes no Vito
Attached: 0 (�
ling permit may be required by: N1W IAA h p1 V Of,ifh-iL
I i 1 1 See note on back regarding River Basin
/Special Conditions Si rru1-P 4N . Itt:D , No 11\1( 1-ax A 41( i a_w1 t-y-1?'ct �1, -tG,,5 re,
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to raTZ. _27 4 D 's
,ICJ (Name of Property Owner)
property located at 7 l 7 / 0/1/7— iBivr,D2/2l-E
(Lot, Block,Road,etc.)
on P4,6E-(56,eme...., , in , /&), 4/tf if" , N.C.
(Waterbody) (Town and/or County) ��
Applicant's phone#:9/a 93.?9 'Mailing Address:75/1/,k�)284 - j//C.
X //lat XV Ak
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 be filled in by property owner proposing development)
.ie607/-67?2-"C-77,1^-)s CrIC-FX/.; beweirA
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
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ttatto 1-44/C
� Addresses /� !�// Signature
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City/State/Zip Print or Type Name
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT •
I hereby certify that I own property adjacent to •LTG', _1T argo D 's
�I�J (Name of Property Owner)
property located at 751 9 /�!�/ �� A��lrE
(Lot,Block,Road,etc.)
on PAber. erzr-c_v-, ,in j/. v/1,/vV ,N.C.
(Waterbody) (Town and/or County))I ;��
Applicant's phone#:9/1P39 '.? Mailing Address:7529*//4' 1 7Th
0%/11/; 6 7ZFAj/ie Z ,
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 be filled in by property owner Priming development)
Rea9"/26712-14,C,71/7"..) er,C. P7/:)6 /ge:iii241Z1914. heileif-94
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)/��}}
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Mailing Address Signature
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A. I. C., INC. 752
7515 MOUNT PLEASANT DR.
WILMINGTON, NC 28411
Z ZOO 66-19/630 IBC
1859
Pay to the
Or r of < Dote
BankofAmerica Dollars
ACH H/i0553000198
For t i Aid
1:0 5 3000 19 E4 000 18 11 3 2 6 6 3060 7