HomeMy WebLinkAbout52012D - Taylor 1CAMA/ ❑DREDGE & FILL t_
GENERAL PERMIT Previous permit#
mew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natural Resources 1) // /G 7
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC //'' 0
/''''''': ules attached.
r Name fj t d.P-s' .7;f9y Li/I Project Location: County &?t.,Xea/(I(
; 2 as-7 ' / 8C'Ch 2)4 . Si../ Street Address/State Road/Lot#(s) 36 _j S`
2C "A9.- is-1-e Pa State /✓c: ZIP 2 3 1 f 12,r, et 01. S %�.
`.(9/6) 577—e273Fax#( ) Subdivision
zed Agent 042 e Li & l27/0.1 ,,v< City _S4 A (to 71/ ZIP 2-T'
i ❑CW ❑SW ❑.PTA I.ES ❑PTS Phone# ( ) River Basin G..,,M❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 5 4,9 L LO"171 f Gei v.'ti �a�.
❑ PWS: ❑FC:
� Closest Maj.Wtr. Body 62/tw Ai
yes / J C:: PNA yes Crit.Hab. yes / no
if Project/Activity (�/i ufr 1 e / /t DG C
^ /J (Scale: / _
Eck)length ,G 6, ',,e Y 'T i& �¢ ..-'--I ) /,/�I L? 1 ° 77 ei /C l/ 'e'/.. 1.- ',._.-.
pier(s) ► 4
ength 1Lf ,4 C .
imber j
ad/fZprap length 4.1117
I + _
rg distance offshore _ ► _
/1D 1
lax distance offshore
i
:hannel ____'
ibic yards
mp t
use/Boatlift f 4,� _ ► 1 J I
�t 2a 9 / LI
3ulldozing u' I
U t,71 /d ,e 7 ' V
ne Length ,t s, 1
not sure yes no I I 7► I 1
,
gs: not sure yes no 1 — , I
rium: n/a yes t1 o
i
es do ; j
Attached: Yes
ling permit may be required by: ,aattiN$,4,4 CU,,►.. // See note on back regarding River Basin
I Mild IRAN ---- •
66-112/531
BRANCH 03003 ;I
DATE
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DOLLARS ' e:�:R.••
Business Value Checking
$r6P5 iy .I i �/ Y
140000 i S008 700 SO 2 2
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor James H.Gregson, Director William G.Ross Jr.,Secretary
Date p- 5
Applicant Name ` w r ic-5'4 T�y! 6 r
Mailing Address ` 7 '/ A6_ i%4 cSot/
Oz—e stro /rVG a r n'9
I certify that I have authorized (agent) J)\pre Le /?3t- '1e Covj to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) A
at(locatio
This certific on 's valid ru
Signatu ''
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n51 I a"'t
. ;hod
I {
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Si.
item 4 if Restricted Delivery is desired. -�- ❑Agnt
• Print your name and address on the reverse x l .411 (-) [addressee
so that we can return the card to you. B. -- elver, by(P nted Na e) C. Dat:of D=ivery
IN Attach this card to the back of the mailpiece, ;
or on the front if space permits. -.S . U
D. Is delivery address different from item 1? i Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
//��
/,/c.i,E'S I-
�6 7( L,3y %f. (..0 silt)
v/Y/QGC f 1-7`6_. 44,C. 3. Service Type
❑Certified Mail 0 Express Mail
0� y�(� ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7006 0100 0004 0807 9839
(Transfer from service
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
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. ` �fi Agent
• Print your name and address on the reverse • U• Addressee
so that we can return the card to you. B. R-ceived by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
AierG out 7u,oft-A✓
It/i�Sd1U
CC `0 k D 5 6 3. Service Type
/
Ai
i r ❑Certified Mail 0 Express Mail
// " v ❑ Registered 0 Return Receipt for Merchandise
1 G���j ❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) Cl Yes
2. Article Number 7006 0100 0004 0807 9686
-(Transfer from sf
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540