HomeMy WebLinkAbout39874D - Groshong --cfv
SICAMA/ PREDGE & FILL
OS 'NT°✓
3ENERAL PERMIT Previous permit#
4-New _Modification Complete Reissue —Partial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ?/, /242
//'' El Rules attached.
Jeri it Name i?MI" U/A,0A,01, Project Location: County /5/di1f,...,,-z.% 6
; `I Z 5 / � �M, `/A js / Street Address/State Road/Lot#(s)
9d 1-5/4i 4/� State Ale ZIP 7'64L .4 401
(10 )'V33-'7(44c Fax#( ) Subdivision
zed Agent it)1•+M/ Are., City ZIP
i ❑CW t(EW [> TA XES ❑PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ElUBA ❑N/A Adj.Wtr. Body "luali4J (par'i
❑ PWS: ❑FC:
yes / no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body
Iff/`,Project/Activity 4fr ✓hA rrf:/ IA &�.SJ1i it j i,i/`/ 4,,/s. 4-••,y4,4/0�7‘4,-.1, .F.
fiA, el�A(,I P N1,a�fG, MeD'; f AA 1 Ali;14 J t' Z4c (Scale: 11':
ock le h ire ° .
m(s) /a u/2 /L l�� i
pier(s) fr/
ength
umber
ad/Riprap length f .
vg distance offshore O Z 0 12 o ,- E�---->I
lax distance offshore / X X/a x //
channel f Z ,,,r•.. 104 Te✓
0 a
ubic yards
imp
>use/ atli / /
Bulldozing i� '
t641ty *err ` �
150 /- '
'/ti0i#r A.,./lam.
ine Length A
not sure yes t ,
Cod'
not sure yes on 1/2 54)
orium: n/a yes 6 14* *
s: yes
r Attached: yes
ding permit may be required by: !`1 ~ ,-/ (/� IR/t . I See note
on back regarding River Basin
-- - - - -- - /_ / a, _.I-.I- /Jb Ai If Tf.-..4-/✓ ..i►.-/_ .. .d
THE AMERICAN FISH CO. 74672 h,CHARLES H. OR KAREN Z. PERRY
P.O. BOX 11046
SOUTHPORT, NC 28461
�1 66-30/531
DATE d�—1-S _ 453 la;
1 $ co .6 0
k \'‘.LOV4X1a. AOSCL.ttila 4=1\-• t%-efr CV* I;
DOLLARS 8 rz-,.. j
FIRST CITIZENS 453li
BANK agxa,nNa n2k8a6TrustCompany
www.firstcitizens.corn
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0 ?46 ? 2ii' 1:0 5 3 L003001:004 5 3 1 2099 2 2n
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74672 ,
THE AMERICAN FISH CO.
CHARLES H. OR KAREN Z. PERRY
P.O. BOX 11046
SOUTHPORT, NC 28461 66-30/531
DATE - - S 453 a
C,. Z. (N. f\. $ 5(?� .o C.
IAAAAN4 APC6••11CM1 -+A'C1111-U. DOLLARS P
IRST CITIZENS 453
'A NK First.Citimns Bank&Trust Company
�tu,l` Southpon,N.C.28461
www.firstcitizens.com
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u'0 74E, 7 211° 1:0 5 3 L00 300i:004 5 3 L 2099 2 21
GENERAL PERNEff CO PTTER FORM
. p CA TN.- _: /Ln1 eE- 'o)/iovIl
ADDITIONAL OR_?NAMES: ge r
DESSIG: DEVELOP=ram�:_� 01 PROI DISC: 7/ 1 z
(W l oniy o, (- Zl cniy -ilk:I
WORK: 7,� , /2 X /Z frs s/ l
(NM : eoL f� xl� Of sox
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• ACTION ?I.z?ION
__ D_RMGE&FILL REQ JIRM:
CA MA MAJOR Dom,--•?REQU :
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q Q. A CENT RI1' .AR• z. ;q Q' •OF. o Z'61r.IY NA gEMENT .
SRO? R' ' 0F
• : NOTII CATION/u AIVF,R FORM
Name of'Iyidividual'Applyiog For Permit.; • �'sU
-dcress of f'ro'perty: \ cs
(Lot or Street #, Street or Road)
moo- A :. co ,
(City and County)
neret y certify (hat i own prcperry.•adjacent• to ii3e above-referenced property. The ind c
applying for Ibis permit has described to inc a.3howi1•ontheattaohed.drawing the development
arc proposing, A description or draw418,,Wit} 'ditnen3ions, should be provided with this Inter
' I have no objections Hto this proposal, Prot, nGc.4
C'f Ur"
youha�e oIecti8cis' ttNlYfrat 13qCio r o%ddPc�eat whit eriFo i�' ro
P p n �� l
N(anagement, 127 Cardinal Drive Extenalou, Wilmington, NC 28405 or call 910-395-3
wichin 10 days of receipt of It'll notice, No response is considered tbe.same as,no objecnc
,rou have been notified by Certtfied Mail.
-file ex15-i713 piers
�S a.fee1 RAZ .R SECTION
. ri/orya sac.es5 5€410
kofo6ler wfhc nc.) (f+io&tv�t4 C ��
I uudersta tasa p�er, oct, o,ori "p e w $t L�,.,�"'iie'lifC m u b�
bck a minimum distanc,e,o1 from ply.are4p1ripiirian access • unless waived by roe. (Ii
wish to waive the setback, you muat'initfal':tli'C Appropriate blank below,)
• I do wish to'walve the 15' setback requirement. P('o✓io1ed coKi+i'ia,
i)e- do ,"Of frtiPc-4" My riq L,t to K
�fn �° my parI do no.t wii i"to-walve t}ie 1�' setback requir ent.
in5r cvr.�v►f Jo
•
14.114.4, 4 • 24.06'
S:( 1) Name 'bate
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete .. Signat
item 4 if Restricted Delivery is desired. Cl Agent
�,• Print your name and address on the reverse
Il`� 0 Addressee
so that we can return the card to you. B. - ed by(Printed N.me) C. Da=of D• very
• Attach this card to the back of the mailpiece, I L. / y US
or on the front if space permits. -e
D. Is delivery address different from item 0 Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
ik 061 p . -.1 (....-0( VA 1Z .
Ze oe__15
aC). IcZv-\Le D12- .
3. Service Type
Fa • -e- - U-e -�/1 2 i� A_ Certified Mail 0 Express Mail
V'� t'� istered 0 Return Receipt for Merchandise
3-a62- ✓✓✓❑ Insured"""V Mail ❑C.O.D.
4. Restricted Delivery?li (Extra Fee) 0 Yes
2. Article Number 2..jz "1j_ � L(Transfer from service label) �' ZJ ((„//
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. S' ature
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse X -)_..4._.(.------" id dressee
so that we can return the card to you. B. Received b IV 1 - C. Date o Delivery
■ Attach this card to the back of the mailpiece, C w ���
or on the front if space permits.
D. Is detiVery address different from item ? 0 Yes
1. Article Addressed to:
If Y S enter delivery address belo ❑ No
MB
(4cn ---1v c se_. l c,e CI . qq
3. Service Ty ep4r3n/.
1l F-‘151_,LNI )" ❑Certified Mail 0 Express Mail
� 0 Registered CI Return Receipt for Merchandise
7 L27 ? Z 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number -7Lo „ I 4 ( i
(Transfer from service label) (1 l�' v
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540