40478D - Rickman

CAMA / _-' DREDGE & FILL 4
3ENERAL PERMIT Previous permit#
INew 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 7ff /Z0
iLikules attached.
Name a Li;#( /4jtkt MN. Project Location: County 16414 5-4e./iCA-
/Z S 5,AA /Z ' Street Address/State Road/Lot#(s)
i WAeti, State It ZIP L11/4` ,��--e
(`11 ) 74 Z"' $ 6Fax#( ) Subdivision
ad Agent City - ZIP
❑CW LW .ETA btS ❑PTS Phone# ( ) River Basin e4r10 ,
❑OEA ❑HHF ❑IH E UBA ❑N/A
❑ PWS: ❑FC: Adj.Wtr. Body A S at,. / (nat A
yes /6., PNA yes / r� Crit.Hab. yes /�y Closest Maj.Wtr. Body /¢�liG��
Project/Activity "rprpS40d4 As/dz./b., 1of?�` 4., v-- t"/OMrl 4ae s fe aIioi�+P!
'✓ " i A S//l>4 //4 D 7 d, 4 do's " (Scale: I
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I/Riprap length
distance offshore
K distance offshore
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annel ID/iNumml . `a / • ` u, _
is yards , I L
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oatlift ,iZ X tz
ilidozing
Length gi9
not sure yes •
not sure yes /,ZO '
um: n/a yes
yes l Zi)
50 /2-4.14
ttached: yes
ig permit may be required by: 04A ,..L 4 14 N See note on back regarding River Basin ru

American Fish Company , b41t,� \1�
J "i . Box 11046
P.O.Southport, North Carolina 28461
---— Email: [e-mail]
(910) 457-548,
(910) 457-655
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2�,i.5j.4�i.OP cQ TA4 MANAQEMENT 39 S "3cto ©
ADJACENT RI PAI�'1 t`PROPERTY Q N E�N / NOT IFICAT4N/R AIvER FORM
ame ofJndiv:idual Applying For Permit:
deress of Property:
(Lot or Street ti, Street or Road)
(City and County) •
hereby certify that I own property•,adjacent to the above-referenced property. The individual
aplyung for this permit has described to me as shown on the attached.drawing the development they
'e proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coastal
fanagement, 127 Cardinal •D'i9ve Extension, Wilmington, NC 28405 or call 910-395-3900
ichin 10 days of receipt of this notice, No response is considered the.same as no objection if
au have been notified by Certified Mail.
•
WAIVER SECTION
uuderstand that a pier, dock, mooring'pilings, breakwater, boat house or boat lift must be sec
ck a minimum distance;of 15' from my area driparlan access - unless waived by me. (If you
ish to waive the setback, you must initial the appropriate blank below.)
I do wish'to:waive the 15' setback requirement, •
I do not wisfi"to waive the 1 setback requirement.
'Tfcl c rA
n Name 'Date

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OMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
items 1,2,and 3.Also complete A. Signature .
0 Agent GUARDAN SAFE], Oewke Amenran BA
Restricted Delivery is desired. r-n n-z=• _..�
r name and address on the reverse X 'I —�'� ❑Addressee
4e can return the card toyou. TI o0-p .X:
B. Received by(Printed Name) C ate of gelive� m o
lis card to the back of the mailpiece, D (�R lr t.3 E/ 0 1`0.0 m={ . y
front if space permits. l/ "m
D. Is delivery address different from item 1? CI Yes O -
tressed to: If YES,enter delivery address below:
❑ No :,,
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3. Service Type \,
Z v 0 Certified Mail 0 Express Mail I0
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a om
❑ Registered 0 Return Receipt for Merchandise a Ng i:='y
❑ Insured Mail 0 C.O.D. I 1.• &c
r (I)4. Restricted Delivery?(Extra Fee) 0 Yes • y 5 NO
ember 7005 0390 0006 6810 5769 3
from service IaL--� _ •• p
81 1,February 2004 Domestic Return Receipt 102595-02-M-1540 0 p il
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