HomeMy WebLinkAbout44882D - Leimer -CAMA / I DREDGE & FILL `lit
IENERAL PERMIT Previouspermit#
kVew __ Modification I '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 7/4 l 2 e G
[Rites attached.
t Name.57'/v e L. P1 v" l'1 Project Location: County Q(4' .s- N/'e"-/
l/G I'V fIA� N/ rt . Street Address/State Road/Lot#(s) / /k IA), :If
i 5 i 4 c' State/V C ZIP .2 7 yt ) ' 1_-
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ed Agent % m� !!�i */1/1/ City(P/( 7-_r I/,.- ci ZIP 2 ?/d
❑CW CLbW- IA-PTA 'DES ❑PTS Phone# ( _ ) River Basin 41.,.4.4,0
❑OEA ❑HHF ❑IH ❑UBA ❑N/A (' / 4 De, , ("/? ,4
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❑PWS: ❑FC: p
Yes�rti� PNA yes /�.r,u Crit. Hab. yes / no Closest Maj.Wtr. Body # / Wit'
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not sure yes �. .___--L
urn: n/a yes
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ttached: yes n� Y I , , ,
ig permit may be required by: G,)K .sLrr d 17 See note on back regarding River Basin ri.
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IIy enhanced document. See back ,/o details.11e�.aasrs=e3ea�'_aR
THE AMERICAN FISH CO.
CHARLES H. OR KAREN Z. PERRY
P.O. BOX 11046
SOUTHPORT, NC 28461
PAY DATE S— 9 —
r
mi ORDER OF�i +�`-w C
?I `vim gLAra..
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FIRST CITIZENS 453
BANKFurt ea nk a t.0 co any
'' www.tirstcitizens.corn
FOR `f )--eint )1 l4L/C4°0-47) 1J -- —
o 11'0 7 5 7 54n- 1:0 5 3 L00 300�:004 5 3 209 9
sut7
,,r, American Fish Company
f y �, .ust P.O. Box 11046
. f.. �• . — .-` Southport, North Carolina 28461
INVOICE N0 #
— � �. Email: AFC03600®aol.com
(910) 4E
(910) 4
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Date 11 ` 2 ° 20
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.ADJACENT RIPA •
*P) Oy RT ' 0 E OT ,Y>rN �� LFICA,�I,ON/V, AIvER FORM
Lame of Irid•iw:idual Applying For Permit: S
ocress of Property: 1 i �,�, W • 1,N_ C1 10- -
(Lot or Street #, Street or Road)
• (City and County) •
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ncrcby certify that 1 own property-,adjaoert to is abo/rc-refeinoed property. The indiviaua,
)p'ywg for this permit has described to me as 3howri•on the attaehed.drawing the developmen► the.y
c proposing. A description or drawing, with.dimeosions, should be provided with this letter
�C I have no objections to this proposal,
you have objections to what is being proposed, please write the Division of Coas,..a
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anagement, 127 Cardinal .D'rive 'Extension, Wilmington, NC 28405 or call 910-395-391,C
'chin 10 days of receipt oftbls notice, No response is considered the.saroe as no objecic
have been notified by Certified Mail.
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WAIVER SECTION
,uder-staod thata pier, dock, mooring'piliugs, breakwater; boat house or boat lift must be sec
k a minimum distanceiof 15' from my area driparlan access - unless waived by me, (II yo
it l :o �'ai''e the setback, you must inldai th'e-appropriate black below,) _ _
I do wish;to,waive the 15' setback requirement.
s I do notwisfi"to.waive the 1 setback requirement.
t Name Date A14/
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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. ❑Agent
• Print your name and address on the reverse "EN X
so that we can return the card to you. ❑Addressee
III this card to the back of the mailpiece, B. Rece .�y(P nted Name) C. Date of Delivery
or on the front if space permits. f
1. Article Addressed to: D. Is delivery address different from item 1? CI Yes
If YES,enter delivery address below: ❑ No
E m -- r5 O 6PoRT
>'/AAD 3. Service Type
25a* ElYP Certified Mail CIExpress Mail
❑Registered 0 Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540