HomeMy WebLinkAbout48298D - Chapman LAMA/ 6REDGE & FILL 4
3ENERAL PERMIT Previous permit#
INew P Modification ' 'Complete Reissue Partial Reissue Date previous permit issued
-ized by the State of North Carolina, Department of Environment and Natural Resources �/ '/
;oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 2/7 �,� Sf ?�`' /2 ll
-� / [}Rules attached.
t Name✓ U')My C 4 /2 1 j 9 Al Project Location: County ,TG1 N a S c✓.c/C
/0 58L N e /410,2 0,.J L,1 r Street Address/State Road/Lot#(s) I y / 2
/61y yl71f State-5C ZIP ?71y/
(u?) a)9 -/Y'2 Fax# (-1 ) Subdivision
edAgent i Ll�/ (/ �, -' 7 City OG,//)i-�SL•467o9e4 ZIP 27v
❑Cw 3EW ❑f•TA ❑ ❑PTS Phone# ( ) River Basin L41.17,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ PWS: ❑FC: Adj.Wtr. Body Cep.)A �jo 4 /Gt/� (nag
yes PNA yes Cab Crit.Hab. yes / no Closest Maj.Wtr. Body �T/ 1'14/
Project/Activity 404 L f (' ' J 71,i7 ((SN 4/eA P/J V r a,T, j/el1 1- �-Prz o ,l�o
// (Scale:/ '',z_
:k)length)Z i X /2 _md jk '.1L V
I(s)
ier(s)
1
ngth — T - 7 —
nber ,
I'l
i/Riprap length SIQ I ■ I_._._ .l_.
;distance offshore ---,..1.—7 0 Q -
x distance offshore "'1, Mill
—
cannel I — _,._} r- —
I
,ic yards
L 1 irti,9f
I
se/Boatlift
illdozing 1111111111= L
ai 4 a J k GAS .44 1'3
Length 5 Q , f� ti V v V * y M e
not sure yes nab -
not sure yes no
um: n/a yes no 1
yes n0 1 " I POL r'� L
1ttached: yes no): I I / --�—_9 C. / I i
ig permit may be required by: Per S L� e g' See note on back regarding River Basin r
•
•
•
--
�APMAN , •
WPMAN 1786
•
IE 803-819-1402
L,Sc 29841 Date - ,•.J � 67-7t82/25 02
z
/�� o�
$ /
0
76
Dollars n `a
VALUE CHECKING
•
4,SC 29841
(..e. -' ''.----:717,1-•,• ,
) 3024 � 7 8 6
93 . "P T =
. .
FA‘ K iv7-. o
70 C - '79cr- 9 '756
FL0
1
grA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S.Jones, Director William G. Ross Jr.,
Authorized Agent Consent Agreement
EivA.A.ii h ,/ , t I Z amy
is hereby authorized to act on bE
(Printed Name of Agent)
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited
ecific activities described in the attached sketch.
)CATION OF PROJECT:
Jr/ 7i-9 /' 'D/27zc1IO
2 ,,,-..? /51/2'A9/.*' ,, ni/ 607,f 'W 7
tOPERTY OWNER MAILING ADDRESS:
7l rr7;I-$ 10/),,572
1
,_3Lq/ za I/7c'J Z/4 4'
?A7l./.c/q Sj, G , ,2 9P1/ PHONE NO. f 3- 9/9/ 7, _
)THORIZED AGENT MAILING ADDRESS:
TA) / l la-i /"7
4-) k \ -1- --w(77-7-
PHONE NO. 1, 7/-- .6 /
mature of Property Owner.
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signat =
AF
item 4 if Restricted Delivery is desired. X / 0 Addressee
❑Agent
• Print your name and address on the reverse /
so that we can return the card to you. Received by(Prf t Name) C •=t=of•-live•/
• Attach this card to the back of the mailpiece, /l�/i i g E6r2T- I _JUt
or on the front if space permits. R lC �J
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to:�p If YES,enter delivery address below: 0 No
LIRRil �OnA t� lt
3 /doss CRtEKCT
3. Service Type
/ i Certified Mail ❑Express Mail
/ > MC ❑Registered ❑Return Receipt for Merchandise
D2,0earn ^�/� 0 Insured Mail 0 C.O.D.
/ 4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7006 0810 0004 8397 7563
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
' '3N1013dO13AN3 dO d611d USNOLL53JV is
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. X 0 Agent
, • Print your name and address on the reverse �/J ❑Addressee
so that we can return the card to you.
• Attach this card to the back of the mailpiece, B. Received by(Printed Name) / C. I I. e of•=livery
or on the front if space permits. , 'OW A .-d , . 1
1. Article Addressed to: q D. Is delivery address different from item 1? 0 Ye
!_ , f\- 1
i+4 tF R If YES,enter delivery address below: ❑No
3(cR 1 4--./1/4)
110o
iv t L r; DR-
C L y ofof A C ' 3.�S.Q Type
fll-68rtified Mail 0 Express Mail
01Registered 0 Return Receipt for Merchandise
❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service la! 7006 2760 0000 9841 4989