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HomeMy WebLinkAbout45902D - Kane `CAMA/ E DREDGE & FILL __ iEN ERAL PERMIT Previous permit# slew 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 I 5A NCAC ii' 1 2. ° VRules attached. Name p:,,,..v,, ,,.��t. Project Location: County ta.DSL..- L--✓ 9 '6 0'6 (:,Pa L- r� V (-- Street Address/State Road/Lot#(s) \ U H r)L. State ZIP Lsy `1 _ S GG\\LA G\i �{ .5 \ ( ) Fax#( ) Subdivision `?dAgent ccZ J-› 1\1` 'AN%Z..Li-- i" City5ua.t . L.r / ZIP LASH L ❑CWEW A ❑ES ❑PTS Phone# ( ) . River Basin �N�et ❑OEA ❑HHF IH ❑UBA ❑N/A Adj.Wtr. Body G ^- ,P ...-/b -- (nat Z ❑ PWS: ❑FC: `� _ / ,fes /,no_, io PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body rV-� `��/ Project/Activity .. _ , `- Li N E v 'f S LS 0 U5 Pi►.�N, t;�� o C.\L.- 'c J \ >L 25 TZ N(‘ 1.),L y_ (Scale: \"- :k)length (s) CeXg t r er(s) I Igth nber j I/Riprap length {._ ..... _.i._ distance offshore x distance offshore s —r_ ( ..- • ) : , ric yards 1p {... i se/Boatlift 0 1 AIldozing I �— _ \ _ 4 Length 5 5 � _ _ . \ _t att.. - --f not sure yes (no , s: not sure yes C _....... { 1.... 4 1— ium: n/a yes yes \ttached: yes . I I I w 5471 ANTINORI CONSTRUCTION BANK OF AMERICA 135 VIRGINIA LANE SNEADS FERRY, NC 28460 66-19/530 (910)327-3475 0 'TO THE �� )) /� I R. /-y�� DEROF Ai. C. ,D �7' p , /1 . $ is ,oc �i /'O c>�P Unl.:D,P/=,' -�- — N /r-)e) DOLLARS B • / /1- ), 2—g7 ,AUTHORIZED SIG URE MOe/ ,s t/�90//i/ 000 51, 7 LH' 1:0 5 3000 L 9 61: 000 6 50 E 2 L 9 9011' b I ii s- ler 0/ 4 41-, Balattaci Sail-vade A-7 &ft 014) 00-9110): eakA-I K 3-5-4-nn icu-1-e.- Ltsog -poi‘wt t°' • Oc. -1(posq oars - LEYf L. Ate' -DOC-Z_ ',.\, 1 [ 1,N, at' HD iti i I . ' . icill — - i Imi '. 4 ',. t 11 1 : 41 I \ *15. 1 . , or \ '„ ' 1 I T. 111 lir I : Its'4 °IN I l' ill: rj1Ir 1 it In , a ill i , I , 4' ... 141 'RI , d t , r q Ott .. .. ! r . . 14 H ' 1 is 111 :I . III i ; , • 4\ ., f '' ' 1 111 zi lit " w. . I i . tr ';'•' , 1 . I rfir, mi, ii . 4 1 c ,.. ,_ ,„ .. ,. , . pir , itl . 1 , % , ,. • I, , give authorization to An on Marine Construction to act as the contracting agent in obtaining and signing for the requested CAMA permit. Job site address is: 0111 y c 11-k 5T 602-F C,-yy , AC My permanent address is: 4806 ?oar - D �A GN NG a7Co? • SENDER: CO^IPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete ature item 4 if Restricted Delivery is desired. Alik_Atit_c:t ❑Agent ■ Print your name and address on the reverse so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Recei d by(Printed Name) JC. to of elivery or on the front if space permits. � , 1. Article Addressed to: D. Is delivery address different from ite Yes if YES,enter delivery address below: ❑ No 13E144 LCE 7g0 NEC - �{�,f� 5-V �t 1 3. ServiceS ` Type R(` "E tiCy I v C. LIk ertified Mail 0 Express Mail 0 Registered 0 Return Receipt for Merchandise IRS 4e6V CIInsured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7004 1350 0001 1023 0 414 PS Form 3811,August 2001 Domestic Return Receipt 2ACPRI-03-2-0985 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 El Agent • Print your name and address on the reverse i %/� 0 Addressee so that we can return the card to you. B. Received by(Pri zed Name) C. Date of Delivery • Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No 1(.33 u3F13 `r-1? 6C" .y� 1 3. Se�°e Type +Y 1 M Certified Mail 0 Express Mail p 1 � ❑ Registered CI Return Receipt for Merchandise E )&1)r_. 4 ' ❑ Insured Mail ❑C.O.D. ^1 c.7f 7 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number / 7004 2890 0003 1993 5882 (Transfer from service label) N, PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540