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HomeMy WebLinkAbout44806D - Herring • :;,CAMA/ DREDGE & FILL (4(. 6 . 3ENERAL PERMIT Previous permit# i<New Modification Complete Reissue Partial Reissue Date previous permit issued ,rized by the State of North Carolina, Department of Environment and Natural Resources 7oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1_ 1Z, � (.., Rules attached. it Name }��,�� �� 4.,2 j,�Lr Project Location: County 1 -. 7-'L S--c)H' i 1{"1 HZ L �,, r2--. . Street Address/State Road/Lot#(s) E. L L t•)L f N State s) C- ZIP 1..--1 1.410 `O 1 J 0- A►s, C 2S 3 -1 ( ) Fax# ( ) Subdivision :edAgent AEI-4_1 1V1'AQ�.t) Citylo PSA 1%-- '- ')6K e'\ ZIP2 i- ❑CW `b4W eTA ❑ES ❑PTS Phone# ( ) River BasirO C �DP� ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 0145 av✓'--` . ❑ PWS: ❑FC: �,,� yes PNA yes no Crit. Hab. yes / no Closest Maj.Wtr. Body "�5 a I ��� F Project/Activity (Scale: 1 " - ck)length(X toL • I• _ 1(s) 14 x ly 4Lo,aT r,t, ..... . ier(s) • ngth mber d/Riprap length NE distance offshore ix distance offshore - iannel i bic yards np y L oatlift X1LI ulidozing v e Length I X not sure yes no' j s: not sure yes no •ium: n/a yes no yes o 4ttached: yes o ng permit may be required by: �O PS tat L 13 L aLx See note on back regarding River Basin r • = —' -'r—,.... . B 5rcu r •z enhanced docu mr nt. See back for details.Q A Ci MERRITT MARINE CONSTRUCTION, INC. `I DAIL MERRITT-NCDL 3481068 5974 PH. (910)329-6651 ,7 i P.O. BOX 528 8931 WILMINGTON HWY HOLLY RIDGE,N 28445 DATE r+ — �l 66-30/57 ...•••••••""i ) PAY TO THE Ael -D Wit. ORDER OF c'Dt-; \ I $ /��// , i C i il f e (� " DD'tLARS 8 , il FIRST CITIZENS 457 t BANK Ar V FirstLitizens Bank 8 Trust Company 7.. yi,jBA ,K SnoadsForry,N.C.28460 `1 • yw. www.firstcitizens.comapp 9i FORC����fR%� �/-+C/r/i its, J =iK 11'005974►I' 1:053L003001:00t, 5713i523111' la _.------f 1 Freparad By Ap roved By 1 D WILSON JONES G7506 CoNmnWnte 5t'i 1 It iO V'' t'-j- I ; I I ' • I plir 1i II -H..11111=111111 — I I I 1 1 : , , , I j , , , . J I I, , 1 , ,------ , , , kill Q -I j f II FXI`� ' 1 - 4- • Q UI I ; + A,I *St I 1 '4:j il .t I ' �' j I h I i/ '4 ' I i I74 I ' � 1. ' I . i 1 I 11 ill i I I • .c I1 , I ! ! C it O• I i I I --- v ! ! I ! ! I i II i "; i � 'JLJH.: T 1 CERTIFIED MAIL -RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of individual applying for the permit: .A/id ite,212/, Address of property: 10 /V ort-71 ANCl/60X/ (Lot or street#,street of road) / /J /C> //Q '/ NCIf N, 1 . �^/�1�2 C�Oun/ (City&County) I hereby certify the I own property adjacent to the above referenced property. The Individual applying for this permit has described to me (as shown on the attached drawing) the development they are proposing. A description or drawing,with dimensions, should be provided whit this letter. v I have no objections to this proposal If you have objections to what is being proposed,please write the Division of Coastal Management, 400 Commerce Ave., Morehead City,NC 28557 or call (252) 808-2808 within 10 days of receipt of the notice. No response is considered the same as no objection if you have been notified by Certified Mail. Waiver Section I understand that a pier, dock, mooring pilings, breakwater,boathouse, lift or sandbags must be set back a minimum distance of 15' From my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement I do not wish to waive the 15" setback requirements SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Si ture item 4 if Restricted Delivery is desired. X El Agent III Print your name and address on the reverseDF f.: ( 61( . l Z 0 Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date off Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. ' I ' D. Is delivery address different from item 1? ■'Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No Aa/C4I/2C/ r E e 74-livve gI', ,20A/, ,/ kr,!y 3. See 44 4ff Certified Mail El Express Mail / 0/y',/t J T f 0 Registered El Return Receipt for Merchandise �f` ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7004 1160 0003 1744 5740 (Transfer from service label) PS Form 3811,August 2001 Domestic Return Receipt 102595.01•M-2509 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY IN Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. .a ❑Agent II Print Print your name and address on the reverse r.�',.. ‘..- _' ❑Addressee so that we can return the card to you. B. Received by(Printed Nam>, C. Date of Delivery • Attach this card to the back of the mailpiece, or on the front if space permits. _.--•� ' ' • I 4 IA `3 q.. O. Is delivery address dill-•-nt from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: /*o ake/cleA., a/rthl 4t2.43 sifi_l;7 A + Z/ cc )I,,_ CaegilJc5Lto 1 A C' 3. Servi pe 74//08- �G Certified Mail 0 Express Mail !/ yr ❑ Registered ❑ Retum Receipt for Merchandise rn 1.........A 11A.,1 ri r`n n