HomeMy WebLinkAbout52344D - Clark ICAMA/ ❑'DREDGE & FILL
3ENERAL PERMIT Previous permit#
]New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources /`
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 2J` �/J o
®irides attached.
t Name 3—C FA C It'll A Project Location: County .}; ';,.,v S..,f, c/�
9 OF 3 t Pi ri l rs 1 i"' .7. 11Street Address/State Road/Lot#(s) 3 3 !c t.,
I ",1,5 A Stately' ( ZIP . 'f;'
(0/9')3/ -2 f(,.2 7 Fax#( ) Subdivision Si/9 J Cr -e
:ed Agent 3, L t 140ei7/9-5 City r SNee,(/ ZIP L 7/
❑CW ❑EW IA PTA D-ES E PTS Phone# ( ) v River Basin Ztire.
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body / &' ' OH/
❑ PWS: ❑FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body /ww
f Project/Activity ,4I _✓ '1k4 ro.e,c)
(Scale:/ ''-
ick)length
--w
'ier(s) =—�
ber / I � 4 + IMIIWIIIIIIIIIIIIIIIIN
rd/.Riprap length __ �r— a I
g distance offshore was
_ �— +� ........,.,.. --,_
ax distance offshore —&-- LIM 2�� - i '""'t
i i
hannel MEI ---/
! MEM I MIIIIIIIIIIINiW '
ibic yards --' EMIMMIIIIIE=Ill=h;
mp
use/Boatlift ! _ I
i
bulldozing � - y=�1=
=I ,
out,somm .
ie Length it' * � wisiEll—=MEM
not sure yes no '
_—
;s: not sure yes no - /�
Ill
rium: n/a yes no 1
■� � 11111111111E
��es. no MEM=
Attached: yes no
ing permit may be required by: Al w S 4-1,/,e-% (0,f- / U See note on back regarding River Basin r
It^ -, Ii ii - . ..
Bank of America Cashier's Check No. 1
v tic to,Shin haw.r"In thr er nt thin hC A loss rn Fla ted or stolen.a.swam - 30 1/1140
telfl tan,w, t,�an,nn� iod �uaeren1uiedhry�k*r,r,pi. e,uenl.Thin _ SEPTEMBER 03, 2008 NTx
tlr ksh�•eIi��n nnn iaAe ihh 5 I,�S '(VII-
I i;117kinY;
center SOUTHPORT
6230600 00002 001429154 BILL THOUS
Remitter t Purchased By)
$**200.00
ranPa¢*TWO HUIDRBD DOLLARS AID 00 CBITStt
To .4.4;
r•-) Of"!
-t The
Order **ICBM**
�utln rite 1 Signature
Rank of America,N.A. VOID A VEER R 90 DAYS `,,(,..,P � +
San Antonio.Texas
II' L429L59 LL40000L91: 00L64L000678Ii•
• THE ORIGINAL.DOCUMENT HAS REFI I CTIVE WATERMARK ON THE BACK THE ORIGINAL DOCUMENT HAS REFLECTIVE WATERMAR
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6(PteX910115 " 4fl1 / 047 46
ATAt
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Vficttae!F Easley,Governor Charles S.Jones, Director William G.Ross Jr.,
Authorized Agent Consent Agreement
// TAd/na S is herebyauthorized
(Printed Name ofAgent) pr>zed to act on my be
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited t
?cific activities described in the attached sketch_
CATION OF PROJECT:
C. f-' 11)/1/7 4/C g V.‘c
DPERTY OWNER MAILING ADDRESS:
.3-C , f Ct 1C
n�2r h.
2/e AX-- 1Q 7 / PHONE No. /// - ,78
PHORIZED AGENT MAILING ADDRESS:
74,/, r
AK- 2
�_ _ PHONE NO. 7/0- S ! ` 36d c
•SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete • Signature item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse , _ ��.s, J gent
so that we can return the card to you. r 4'4 "'.�' ...� 0 Addressee
■ Attach this card to the back of the mailpiece, Re. i�e ;y(Pr ted Nam /
or on the front if space permits. F .) �• ate of Deli
1. Article Addressed to: . delivery address different f- item ? 0 Yes
If YES,enter delivery address below: 0 No
L .,L
.�0 I c�aw.441-1 L - L/ /
Ci' CZ/t 011C /t/ 2S.2_0,/ 3. Service Type
`� 0 Certified Mail 0 Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number ❑Yes
(Trans for from service label) 7006 3450 0001 3576 4032
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-154o
SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
• 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
so that we can return the card to you. X • Agent
■ Attach this card to the back of the mailpiece, e/ /� e Z Date Addressee
or on the front if space B. Received by(Printed Nam
permits. ) C. of Delivery
1. Article Addressed to: \
D. Is delivery address di'er•nt
Ahee/7
�e, / If YES,enter . ? Yes
/ 1 delivery• dress below: 0 No
IC
3g Ste/
� '✓C_ Z 9y 3. Service Type
(� ❑Certified Mail ❑Express Mail
❑Registered 0 Return Receipt for Merchandise
❑Insured Mail 0 C.O.D.
CI 2. Article Number 4. Restricted Delivery?(Extra Fee)
(Transferlromservicelabel) 7006 3450 0001, 3576 3967 Yes
Form 3811