46217D - Hazel

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CAMA/ .DREDGE & FILL i
3ENERAL PERMIT Previous permit#
j'lew JModification IIComplete Reissue iliPartial Reissue Date previous permit issued
rrized by the State of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to I5A NCAC H. 1 ' oc
Rules attached.
it Name VS C y IA d-6 li p L L. Project Location: County ©13510�
3 Z) G 2 AN 7 vs t r✓ Street Address/State Road/Lot#(s)
IJE Ab S V e 2.11,.`, State IJ C ZIP 2.54 t .=,r 6 44NUV9!G v./ a_
(CC1 )jL'? - 2.33 6 Fax#( ) Subdivision
ted Agent City 15 .)E A s5 Fc z v.z.•
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❑ 1A CW W 1 PTA )S ❑PTS Phone# ( ) River Basin VY)I'r(
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body s-rUrn r ...,t..--- nat
❑ PWS: ❑FC:
ye / no PNA yes �� Crit. Hab. yes / no Closest Maj.Wtr. Body
f Project/Activity '_ jAi►.. IJCJ/ 6Ui.arilrab v\/A7CYtaMA,2l a(--
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imber
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g distance offshore 'Z•
ax distance offshore 2 _ _
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bic yards
ise/Boatlift I •
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Attached: yes C--)
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RICHARD OR KATHY HAZEL 2646
BUILDING ACCOUNT
321 GRANDVIEW DR
SNEADS FERRY,NC 28460 cc' 6 6-1 2 2015 3 1
DATE Jt � Z Zoo
PAY TOTHE e , EN.RDER OF _ $ ((6d n h
' J l i'
nor( t r! � DOLLARS 8 «�o
aI+
BANK OF` ILMINGTON
Hampstead,NC 28443
FOR "rt' II,
11100 2646111 1:0 5 3 L 1 2 204i:00000a 3 3111
•

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAM
MINOR PERMITS
I hereby certify that I own property adjacent to ,(:)
r j n j ll , ) VS
(Name of Property Owner)
property located at t 81 er„,,,el v r ,,J At .
(Address,Lot,Block,Road, etc.)
on , in svc...�-is f-CLe rjô los [o ,N.C.
(Waterbody) (Town and/ ounty)
He has described to me as shown below,the development he is proposing at that location, and, I hav
objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
HV
V&rt'fr
40 A)12- /Old I 4.,...,J
/74' 7� ---0os4,72.4-/
Print or Type Name
33 c ci ( q?7—
Telephone Number
Date: ./1/(j. g----

!
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAM
MINOR PERMITS
I hereby certify that I own property adjacent to ',LA,/ /-14 , 's
(Name of Property Owner)
property located at sT 8 I t r,,-,.),. v r .) Gat . ,
(Address,Lot,Block,Road,etc.)
on T C_ 7 in `S-Auc..�-Ls hX ycjoi.Ls I. N.C.
(Waterbody) (Town and/ ounty) ,
He has described to me as shown below,the development he is proposing at that location, and, I hav
objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
1 I.. 4,-
_,,,,,,,,,,L
Liei,„,,
,,,,,:),../
fr, ,
...., 62...., ,,
, , , ,
: ,,,„
yot-in7 -4 10 0 0/
Print or Type Nam
Telephone Number
Date: 47/ P-ers/60 '