40450D - Rivenbark

CAMA/ bREDGE & FILL N® 4
3ENERAL PERMIT Previous permit#
1'Jew _Modification Complete Reissue __-Partial Reissue Date previous permit issued
rized 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 H , l I OO + 1 S 0..)
r n rules attached.
t Name..ot$ PN Q Q.s.v E vNA Project Location: County 1"EUb R
4 Li-rr i t 14:1asio.- (Ld Street Address/State Road/Lot#(s)
v,a-F C-3T 1 State 0 6 ZIP L-e tg ( S o S P or LA N E
1f°It 4) Z.")°I- 3'3 O) Fax#( ) Subdivision
ed Agent City S IA Lc' C1lT1 ZIP lag
❑CW %EW IXPTA As ❑PTS Phone# ( ) River Basin up-E (
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 1 15v t L 5.3 h..)D tI'
❑PWS: ❑FC:
yes 0 PNA 40/G34 Crit.Hab. yes / no Closest Maj.Wtr. Body iN Z f"./P
Project/Activity 0YrAL�. 1g6' .E l Lw N r0) t 30 X ZS So' t Y)asT
Z. hntooit1rJG Pic-ZS - (Scale: (or.yj
:k)length
(s) y 6
ler(s) VI, \ .
ngth 1 I
Tiber 1. ,
1/Riprap length 1 C(D O (2
distance offshore L: t ,
x distance offshore Li. V,�j
cannel 30 X ZS 7k.
>ic yards VI
•
,p lie./ 0 ?Asi s)
S.4. a —L "‘1
se/Boatlift I . its.,-At.
illdozing 4y
P
a Length )36 L
yes no
;: not sure yes e
ium: n/a yes
yes C,
attached: yes _^_._____.__�__.�._
-ig permit may be required by: SW R.F GTry See note on back regarding River Basin n

ADJACENT PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to oSC rl �(Lien Lc,1QL's
(Nar:it;Of Property owner)
property located at 8t) ,s/o( Lan€-
(Lot, Block, Road,Pende
etc.) +:,
on MiLA - Made - C hi I , in rr[��.�hf- 61-tR C.
They have described to me as shown below, the developn nt they are proposing at that
location, and , I have no objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED
DEVELOPMENT
(To be filled in by individual proposi rg development)
8 onrr AA / ic_ l tcL.s
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U.S. Ppstal ServiceTM . __ f
-n CERTIFIED MAILTM RECEIPT Signature of Adjacent Owner
o (Domestic Mail Only;No Insurance Coverage Provided)
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For delivery information visit our website at www.usps.coms
0- / Print or ype Name
rl Postage $ ny �/
Certified Fee 2 `/�� 9/ / '- 9'0 3 -

ADJACENT PROPERTY OWNER STATEMENT
I hereby certify that I own property J adjacent to OSCP it Oen La 12L's
(Nara';Of Property owner)
property
located at ga \-S/ ©4 L6
(Lot,Block,Road, etc.)
on �e+- - e - l�h� , in .? de4 l tAh
#j1LN.C.
A �'
They have described to me as shown below,the developn'+SIT they are proposing at that
location, and ,I have no objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED
DEVELOPMENT
(To be filled in by individual proposi r.i development)
cf
o„j-te tAx."
U.S. Postal Service,. 061 ,(laket-L
Signs e of Adjacent Owner
CERTIFIED MAIL,. RECEIPT
f- (Domestic Mail Only;No Insurance Coverage Provided)
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For delivery information visit our website at www usps.con�
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frI L - _ Print or Type Name
Postage $
Certified Fee
e,.c,..,,.� Telephone Number

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OF THE 1. CORNERS ARE MARKED AS NOTED ON MAP. NC 210/50
)N OF LOT 106 2. ALL DISTANCES ARE HORIZONTAL FIELD MEASUREMENTS.
IATTS HEIRS DIVISION3. RATIO OF PRECISION IS 1:10,000+. N ,p
TOOK 36 AT PAGE 132 4. MIN/MUM BUILDING UNE ti
FROBOOK 477 AT PAGE 152 SIDE ----7.5. v
R COUNTY REGISTRY REAR 20' z `�
9
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SITE""
ND: vl[vurr NAP (H.T.S)
EIS (EXISTING IRON STAKE)
EIP (EXISTING IRON PIPE) ` '
POINT I
RIGHT-OF-WAY
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CENTER UNE I
PROPERTY LINE 1
NON-SURVEYED LINE I
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COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
to items 1,2,and 3.Also complete A. Received by(PI e Print Clearly) B. Date of Delivery
f Restricted Delivery is desired. do �� ��Q( -3-,)3 �s
ur name and address on the reverse (�
we can return the card to you. C. Sig ture ("y--
:his card to the back of the mailpiece, X 0 Agent
le front if space permits. °slit 6 6' '_ ❑Addressee
D. Is deliv address differe't fr. .-m 1? 0 Yes
idressed to: If YES enter delivery address belo ■ No
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4. Restricted Delivery?(Extra Fee) 0 Yes O R = co C y
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7002 3150 0000 1848 8731 w o c o T
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811,July 1999 Domestic Return Receipt 102595-99-M-1789 ^ Q i . a ) ('
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OMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY �`m.l7 2
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items 1,2,and 3.Also complete A. Received by Please Pr' t Clearly B. `Date •of Delivery ■■
restricted Delivery is desired. i , - 1/44x,
•name and address on the reverse �"�� �� � � / `,'
e can return the card to you. C. Signature / ,
is card to the back of the mailpiece, X , 1 Agent 0 w �`\
front if space permits. A/,. _ _ L.[I S Addressee pp
D. Is delivery address di ere, . item 1? • es
Iressed to: If YES,enter delivery address below: 0 No F.
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4. Restricted Delivery?(Extra Fee) 0 Yes t
nber(Copy from service 7002 2410 0007 1994 8086 ,- '$,
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;11,July 1999 Domestic Return Receipt 102595-99-M-1789 LJ
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