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