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HomeMy WebLinkAbout49176D - Broadhead I ,. ' 1CAMA/ ❑DREDGE & FILL ai V 3ENERAL PERMIT DEC 14 2007 reviouspermit# 1New ❑Modification ❑Complete Reissue ❑Parti Reissue ate previous permit issued ;rized by the State of North Carolina,Department of Environmen rces -, Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC� ' Rules attached. it Name be I E- L. -'iA-I.-, \'t E r'ib Project Location: County 0(JS L0(../J 3\c1 r)E 4.Q vv ° n5 C.--er Street Address/State Road/Lot#(s) 3/7 4 3/ 9 G L-1% J1 Stat&.J (-- ZIP Z.,36 LI i Lo i 5 \\3 a' \\L\ GNV-\lavJ'5-(-`--. ef\c>) 1.0I-1 -1.3-2-1 Fax#( ) Subdivision G►- bvJtC-)e-- s Ho tl.L 3 i:ed Agent \ r 111....) 1.. City ?tJ cApS Fi 241-1 ZIP Z 3 1-1 ❑Cw ftW >PTA ❑ES ❑PTS Phone# ( River Basin Vii\iXI ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body NALL-v.4-1 5 (r.L bti na ❑PWS: ❑FC: yes / no PNA no Crit.Hab. yes / no Closest Maj.Wtr. Body I� 0 VM/ ft.LVirL• f Project/Activity .1 'J-`S1-i:)►L-i-- 74 W O' pL C cL ‘ X 1 / U Si--, %(Scale: 11 >ck)length 5i< '11 0 n(s) 1 CD x ONt-----_ l -_;_ , _. , I __. _ __ _.._- --- r --- - angth a i }- -- i - imber i 1 1 ( 1 ad/Riprap length 'g distance offshore , ax distance offshore _ t - :hannel i __Ni � —-. thic yards" mp ; use/Boatlift I ! I , " '",,. t 3ulldozing ' • ! ii, i i I _.1 le.): 0 1 Jt ,J /5;� . . L s.:s, - - i: ,)cis ^C ,A,,:1 At 'R~•gym ,._ ne Length } 1 ' � T t I not sure yes C.Oo �I ��� ,,, f gs: not sure yes no mum: n/a yes ' Joo PI yes no ,)— -T 31 1 - Attached: yes (i:lo •.)_ ' i t I ling permit may be required by: T>I"36,L-OA> CX::tv%`/ . See note on back regarding River Basin ■■■■■ ,i --i MIIIMMIIIIIIIII ■■■■■■MEIN ■ _ ■■■■■■■■■ ■■■■■i�N■■■■ ■■■■■■■■■ ■■■■EME , I■■■■ 1 \MTZiN ■■■■■■■■■ ■■■E■! ■■■■■ 3�■■■■RR■ ■■■■EERY ! I 1 ■►■■■■■■■ 1 ■11101EN■■ ■■■■I■■■■ ■■R■■NN■■■■ ■■■■►N■■■ ■■■■■■NNE■■ ■■WIMP ■■ ■■■■■■■►MERE■■ ■11■ 11M■■■■■ ■■■■■■■R►■■■■■■■►rEI■►i■■■■ ■■■■■■■■IMMIII ■M` IRE■■ ■■■■■■■■■.MO■■■ • _ Nv;!. ■■■ ■■■■■■■■■■■MIE '\O _ ►.; EM■■■ ■■■■■■■■■■■E, i AMIE■■ ■■■■■■■■■■■■ r . PA■■■■■ ■■■■■■■■■■■■ _i ; mi \■■■% ■■■■■■■■■RR■■ ,■ ■MMOOlME■ ■■■■■■■■■■■■■■■u■EM■■■■ ■■ ■■■■■■■■■■■■■■■■M■i■■■MEMEM ■■■■■ ■■■■■■■■■EA■■■EMMEMM ■■■■■■■■■■■■■■MEMOMEM■■■■■ ■■■■■■■■■■■■■EMMIMMEMEMME■ MMEMMEMMEMMEMEMPMEMMOMMEMM ■■■■■■■■■■■■■ M%■■ ■■■■■ ■■■■■■■■■■■■■■ ■MEMMMII■R ■■■■■■■■■■■■■■■■NMEMMEM■■■ ■■■■■■■■■■■■■■■■i ■■■■■■■■■ iIiii;: iiiiurnuii:u:n `i: l iA■■■■■■ ■■■ERE■■ ' magiammummommummommemmumm j '■■■■ ■■■■■■■■■■■■o I 1 ! i l 5 VIRGINIA LANE v. •v•' )S FERRY, NC 28460 66-19/530 910)327-3475 /3 or( nl. � $ 2 cf- , cad ` /OU DOLLARS 0) 8 1 f1 L>d +.'< /� C`.LidAUTHONIZE6 SIGNATU ) 706 20 1:053000 L961: 000650 5 2 1 9 9011' t 15 06 04: 30p p. 3 *IWAL NCDENR Not- Carolina Department of :nvironment and Natural Resources Division of Coastal Management Michael Easley, Oo'dernor Charles S.Jones, Cirector 41 rr;G. Ross Jr Secn Authorized Agent Consent Agreement / S-trV O D ( I l�" Or` is hereby authorized to act cn my behatl (Printed t'J n e ofAyent) :n order to obtain any CAMA permit(s) required for the property i,sted below The authorization is im ted to tt specific activities described in the attached sketch LOCATION OF PROJECT: LD IS /13 -4- H a")I S Diet S�eetzs Fern 'JC PROPERTY OWNER MAI ING/ADD �ESSS: �j +le-S a ir� 319 1 ee.� ,o s G-,—. 1-&i 1_4_,_.c. (7,___Alc Vs-I PHONE NO. 9142- (D/ 7- 7v -)--1 AUTHORIZED AGENT MAILING ADDRESS: J v,,e..Ni/9 £J _3i )'?4 3 Fi 2P 6_ Ga8 ye,o —__ PHONE O. 33'-7 3`> 7J Signature of1Properfy Owner Signature of Authorized Agent ' ,1 l _I'"' IONofCOAcr1ALMAN ausamonral fame BieocIdtbD lddte s afPloperty: '3 / 9 cxg Q c ' 6,4-69.e.L= _ - - (Lot ar Street d,Street arRoatd) ,1N -5 t=1 2!J 9),_"J _918- t� 'mada01n Iveceb7 cart ►that I apt poverty afjaceat to the ab reIyiogfortbispermithasdesabedtoineassbavaicadicattacbedde, A descaption army es,skald bepev w g : -- .. Lri 4 Ike=objection tothis proposal. - !ws base objectival to wit is being per, plow, write the Dividen 41(-f 1 isageneat 127C Oche Attiandos,Wilaingies,NC MSS ar cak I 1!days ofreoeiptefi3�sa N. 9� have-bee ebjeeticiii es bf C.artiti soon ss ao wArnat dentaad that aFpit r,deck s000rbtzpirtap, boathouse or boatlia mast be awiathavia Asia** whit t•waive tie se yea meet laid aye appropiate blank bade.) I doltish mashie IS'setback tequiresicut. 1 IALeggwaktowaivelieLi'selbsdczequicameat. - Law Date 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. , �j ❑Agent • Print your name and address on the reverse // so that we can return the card to you. • X L���� ❑Addressee • Attach this card to the back of the mailpiece, ` B�77Received by(Printed Name) I C. Date of Delivery or on the front if space permits. /Cf t , 22 1 ►. . e 5 1. Article Addressed to: "�'r= ?Is different from item 1? 0 Yes • �ES,enter•. very..dress below: ❑ No R%ssELL a•ELICp 30(.1E6 OCT 1 9 2111 t R.3 FARKER RD, Ric�u4,.yos I NC as52 `, �<-. a y . ceiti O Express Mail • R •' `• ❑ Return Receipt for Merchandise ❑ Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number _(Transfer from service label) 7004 2890 0003 7344 5846 PS Form 381 1, February 2004 Domestic Return Receipt 102595-02-M•1540