40448D - Rivenbark

''LAMA I DREDGE & FILL lr? 4
;ENERAL 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
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC /H . I Z.�o
f Rules attached.
:Name - 1afiiii t4 ./ Q':av'�NJ Fjtq�1L Project Location: County ,,�a�a
b 'I r3 L Iry L t 43...)51 Q-t1 Street Address/State Road/Lot#(s)
R. F 6-1.1 1 State C ZIP 189y5- 6L10 LIT1Lt KT►.4STo. le.--c(
(9! )Z.-A- 38'3 Fax#( ) Subdivision
Bd Agent City ka..c (�rr-( ZIP 23 qt./
❑CW LW TA ❑ES ❑PTS Phone# ( ) River Basin Ca P E r
❑OEA /❑`HHF /❑I`H ❑UBA ❑N/A Adj.Wtr. Body )0PS AZ L. S .N i) a /r
❑PWS: ❑FC: /
yes /® PNA / no Crit. Hab. yes / �iUo Closest Maj.Wtr. Body �_ Y1/
Project/Activity yw))TA LL L i fl gpar-I4�i.,%t r E.c A'T 1.--sF.1
(Scale: Ill'; L(
:k)length 1, x I CI
(s)
er(s) Z)( 2-8
igth ,
nber
If Riprap length
distance offshore
K distance offshore
annel r l
f
is yards • ••
p I 1. Pt
,eC6 8 n Ze
t3 — I ' 7
13
)$ .-
c.
illdozing
(7\
Length 1 SC/d %
not sure yes no
: not sure yes no 77.01r..
Eum: n/a yes �ryes op
ttached: yes CD
ig permit may be required by: S U Q r G= I 1 . See note on back regarding River Basin ru

ADJACENT PROPERTY OWNER STATEMENT
r
I hereby certify that I own property adjacent to kt6e Fin (bye tt u& ,S
(Name Of Property owner)
property located at klib Lr H -.. Wj h, 4d hklockci
(Lot, Block, Road, etc.)
on M6in -i e - h64-1 , in A"dc l? lc/ ,N.C.
1
They have described to me as shown below, the development they are proposing at that
location, and , I have no objections to this proposal.
DESCRIPTION AND/OR DRAWING i)F PROPOSED
DEVELOPMENT
(To be filled in by individual proposing; development)
0064ettel acieu- hoc__ I --4 vt%'(i f h , DO �
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U.S. Postal ServiceTMep1L ‘
CERTIFIED MAILTM RECEIPT Signature of Adjacent Owner
(Domestic Mail Only;No Insurance Coverage Provided)
For delivery information visit our website at www.usps.com
OFFICIAL USE _ 4. C. Lq.,Jer
Postage hizaara7<;/� sZ Print or Type Name
Certified Fee ,

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete Received Cu
(Please 1Print Clearly) B. Dabitem 4 if Restricted Delivery is desired. (
l
III Print your name and address on the reverse
(,Q
so that we can return the card to you. C. Signature
• Attach this card to the back of the mailpiece, X SURF C
or on the front if space permits. r CST
1. Article Addressed to: D. Is delivery add dill nt from item 1
If YES,enter livery r below:
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3. Service Type
�2 IiiKertified Mail ❑ Express Mail
4 X � 0 Registered 0 Return Receipt for
v+`� 0 Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑
2. Article Number(Copy f----- ' -
7002 3150 0000 1848 8717
PS Form 3811,July 1999 Domestic Return Receipt 102595
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ADJACENT PROPERTY OWNER STATEMENT
n.
I hereby certify that I own property adjacent to Hnse°phi
_f (Name;Of Property owner)
property located at 4,41 L-� 77 f� �l h .S.ib ih Rcci.cI
(Lot,Block, Road, etc.)
on man -niaci - hce-1( , in 1:16.C'c de. (,LUJ' 1tj ,N.C.
They have described to me as shown below, the developmt 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 proposing development)
isJc (A 1-ton
/ be:5Q_ - e
006 ei C! o
44 di cf •
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U.S. Postal Service,. -14A/uLei1
CERTIFIED MAILTm RECEIPT Signature of Adjacent Owner
(Domestic Mall Only;No Insurance Coverage Provided)
For delivery information visit our website at www.usps com®
Postage $ ( p Print or Type Name
Certified eet`" '
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
•'Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly B.B. Date of
item 4 if Restricted Delivery is desired. il•,<1 t -v'ri gr--
■ Print your name and address on the reverse
so that we can return the card to you. C. Signatur'S�
• Attach this card to the back of the mailpiece, Yg
or on the front if space permits. ^•mil ...-4sf tit
1. Article Addressed to: D. Is delivery address different om item 1? 0 Ye;
If YES,enter delivery add ess below: 0 No
j1ce # Pb4it ey
Ag a,; /444.0 ns 12( .
`/� 3. Se�rviceType
bl&p.e(
// �L L7Certified Mail ElExpress Mail
��, 0 Registered 0 Return Receipt for Mercti
`__j\- 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number(Copy frc 7002 3150 0000 1848 8724
PS Form 3811,July 1999 Domestic Return Receipt 102595-99-I
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Pay
Orde�ofe �(�' " yL /` t 6J( � $ /� IC)
r�\
ors
Bank ofAmerica
ACH R/T 053000 90
For ror
1:053000 00069 L 29769 La' 3, 775
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