42061D - Pfohl

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+'LAMA/ L {EDGE & FILL
, 9 4
EN ERAL PERMIT Previous permit#
New Modification _.Complete Reissue Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Resources ��� �_SOe
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
f ❑Rul attached.
t Name �/'/�-, �%' /,/ Project Location: County I// Cd .
6800 —,w/S /e" • Street Address/State Road/Lot#(s)
1/I 44//w-r 76,1 State NC ZIP 28yo9 aoO %D'v/Lf ,
9e ) lop. h"t' Fax#( ) Subdivision
ed Agent 4//i( 67-irl , City /.4I 41// i 1W7 _ ZIP 7 FA
E CW W6A S __PTS Phone# ( ) Si!~ River Basin C14pe
❑OEA ❑HHF ❑IH ❑UBA N/A
Adj.Wtr. Body �w� (nat N
❑ PWS: ❑FC: /��,
Ps / no PNA ye / no Crit.Hab. yes / no Closest Maj.Wtr. Body c e,-,0 ,We' . Xii�
Project/Activity /1Z4"i 4-,..„,j', Q/,,4, q rv/% .�ti �l�f 7 'l��2
i n Sib7,//:n a e7 �J/ 7 ,\/Gt-/Sri GLts ,,i"/...?4 J.�. (Scale: /ii
ck)length
ier(s) ,,�Y/
ngth \ 'r/4
tuber . f eye5PG
3/Riprap length tippA.. < Air//J�A'z®JrC
distance offshore / . I��/ /cC /
x distance
43 i
offshore
om, X 7 x'40 ----- �' n
cannel
M ---� 60i7//j-// /
)icyards See
S.
/ /...6.
se/Bft /2 ,t/3 /
ulldozing 4111
` '
1.vvs f/.;
/p/Lr/ i
e Length "$2
not sure yes a 4-/
s: not sure yes 4 G_ //
cum: n/a yes 61,
��. � „t _. 1 I / �
//t
yes Qt adeV Yawns Pet 4.d � p L
>ttached: yes a
ng permit may be required by: I 9' ,/, ifrih/�Z#' U See note on back regarding River Basin r
V r s 1

JUL. 8. 2005 2: 31PM ASPEN HIGHLANDS NO. 190 P. 2
nSV CO rPIM
Name of Individual Applying
For permit: .47(��•1 � --�-
Address Of Property:
(-4-4G•.. _&)1- ir41 Oci
(Lot or Street #, street or Road, City & County)
Z hereby certify ' that I own property adjacent to the above-
referenced property. The individual applying for this permit has
dascri ad to me As shown on the attached drawing the development
a proposing. A description or drawing, with dimensions,
should provided shou p with this letter. .
„deft_ z have no objections to this proposal.
•
v b 0
7 a ve ens'
o a 5 p 5-- o w tta n o
!4 VEA
•. -=kwat:ez, boat
dock
mooring
house,, lift or tan
x usetd t a. s must best back aimin4 - m distance of 15'
If
from my area of riper - ._cc®ea un1ae wai the Yma•appropriate( youbwiel
to waive the setback, yo
below. )
1 d« - h to waive the 15' setba . equirement.
do _Dot wish to waive the 15'setback req • - nant
111 ..
• if Aid

Mr.Michael Conrad
CVOlitit Malta Constroction
1319 Military C ttfot�Suite 197
IVibaisiton,NC
SE: Store Anne Company.inc.—hand Spoil
Doer Patt. Coma:
Pursuant to ova t*cent tole .converse:1m I a cow sane. Mr.
Lomas S. Leer, dent of Shot.Acres Company,Imo has pentad you perudisioe to
deposit NM spoil on the island sloe's'to your pvo3ect whiob bet been pied and
approved for the pupae and owned by Shore Anne Company.Inc. The cost for this
!Idwhale will be$1,00 pas cubic yard of rend spou,wftb a miain n=of$5®.00. The
1etectat1on of all permits and expenses Involved will be your responsibility. Alt
Meet!Mt tart the ariterin sot fOr a try the U. S. Corp ct'
Manly,
wore': 4/i.,
Cid I4.Mathis, xt.
Allot
4161.
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Ilan
Shots Amer Coaap1 ay,inc.
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11

P ER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
)mplete items 1,2,and 3.Also complete •. Sig .ture -
im 4 if Restricted Delivery is desired. X' ' ❑ Agent
int your name and address on the reverse PAddressee
1 that we can return the card to you. Beeeivs�by(Printed Name) C. D to of Delivery
tact this card to the back of the mailpiece, ` /7, /ice,/j7', bi ��
on the front if space permits.
:icle Addressed to: D. Is delivery address different from item 1? 0 Yes
if YES,enter delivery address below: ❑ No
S Cl—i- 16c1115 Rd
ir
� II/ 3. Se eType
S�� Certified Mail 0 Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
------,--
4. Restricted Delivery?(Extra Fee) ❑ yes .of-,E„^..E-:^��,"G•E ,,,�--••
icle Number — z
tnsfer from service labe 7004 2890 0003 4009 7450 0 � _-
Ln Pt .0 —
1rm 3811,August 2001 Domestic Return Receipt 2ACPRI-03-P-4081 W
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