HomeMy WebLinkAbout35174D - Bennett ;CAMIA/ DREDGE & FILL Wr'
aENERAL PERMIT Previous permit#
1,New Li Modification L iComplete 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 7 14 I l U0
[Rules attached.
t Name 13e r-)r c-f-± f I'-'pc n c E5 Project Location: County Br L I n Sw l C_!c.
• 1-5oX 2-7"7 Street Address/State Road/Lot#(s) (-0{-5
her'Gty State >G ZIP a,1520 bran�I eJ C rc(
(5;43)539- 7873 Fax#( ) Subdivision bra r'f(e. Po I r1 te-
ed Agent jc,,,� sY,� VcL r r ck City 5(-Ld(v1 t L ZIP dt 8
❑CW ❑EW ❑PTA XES ❑PTS Phone# ( ) River Basin Lit,fir"
❑OEA ❑HHF IH UBA ❑N/A Adj.Wtr. Body 5 kGa((cx+Tt. I1 (e I /r
❑PWS: ❑FC:
yes / no PNA yes / io Crit.Hab. yes / no Closest Maj.Wtr. Body 5Iu ((of I n e , d
(
Project/Activity Gvi,-,S-f t-oc._+ ICIevJ 13LA. I Ltric-ad Cc 1471C9 el Iv 5fvor& Gir
J (Scale: (�•
:k)length
(s) a(ku 1 1 c:-t-j- c .I c f
er(s) ✓ .` (� (l.�c � a
igth �--� z•.� 10 3
,t
nber /��
Riprap length I 0 3
distance offshore
K distance offshore
annel
sic yards
;e
�e/Boatlift
135' 1
illdozing r' r.
Length 103 Lc T 5
not sure yes no'
not sure yes io r> �-
urn: n/a yes L r 1 r i_ t I ( E- Pt,
yes
J
ttached: yes Cl COLA permit may be required by: 13 r L(n5W I C k COLA (1'('y Li See note on back regarding River Basin rt.
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: be n 65
ADDITIONAL NAMES:
AEC DESIG: E 3 DEVELOP AREA: .C) PROJ DESC: ) -
(Will only take 6) ——
(Will only take 1)
WORK: t-I- l 03
(Will only take 4)
MAINT:
(Will only take 4)
IMP: f--1,6 t 030
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: / / /O(l/O4
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COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
to items 1,2,and 3.Also complete A.Signature .
Restricted Delivery is desired. CC ❑Agent
Jr name and address on the reverse _ Addressee
we can return the card to you. B. Receive.by(Printed Name) C. Dat f Delivery
his card to the back of the mailpiece, L 1 .1
a front if space permits.
D. Is delivery address different from item 1? ❑Yes
'dressed to: If YES,enter delivery address below: ❑ No
EckJ rot 1%DI
Pose
Ack, - , 2c-150 I 3. Se ceType
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
Amber 7002 0860 0003 5682 4382
from service label)
811,August 2001 Domestic Return Receipt 102595-02-M-1540
-• • ervlce
TIFIED MAIL RECEIPT
,estic Mail Only; No Insurance Coverage Provided)
(PENCE SC Ina ,
Postage $ $0.60
aim 0462
Certified Fee 06
Receipt Fee NM Postmark
rent Required) Here
ent�R�iFee 0.I'I
tags a Fees CUM 12/29/2003
.N., _ .............
.
ZIP+4
:00,April 2002
See Reverse for Instructions
P1a(�os �u1 hrad
V ��� PKaPECTX s oF- SC. LP.
Po ii3c5?( a`77
art. C. Epwqka F
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Sib fRos mr) Drt . ($`f 3) 537 -
7873
Ft�r��-�c�-� Sc_ a9Soi
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
--- - • Complete items 1,2,and 3.Also complete A. Signature (�
--^. item 4 if Restricted Delivery is desired. , i 1 --e,
• Print your name and address on the reverse G�1—t
iiii
so that we can return the card to you. B. •ec:ived by(-rinted Name) C. DI
N ;la ■ Attach this card to the back of the mailpiece,
i' LC) 7 or on the front if space permits. A U
,� Q] D. Is delivery address different from item 1?
1,1 N
In 1. Article Addressed to: If YES,enter delivery address below:
o a -Mr. l as_k. P i,u1/is
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I oIl05 ri €, Pic°ce- Si")
rce Type
4 o I a 1 ?V G ✓ q D9 3. Se Certified Mail ❑Express Mail
i ❑ Registered ❑ Return Receipt fo
! • 0 Insured Mail 0 C.O.D.
t 4. Restricted Delivery?(Extra Fee)
l
9 2. Article Number 7002 3150 0004 031,9 691,3
t (transfer from service label)
.. "..... ` PS Form 3811,August 2001 Domestic Return Receipt t
III
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a Er '; #. U.S. Postal Service,.
�I to i. rn• CERTIFIED MAILTM RECEIPT
yl V r+ D- (Domestic Mail Only;No Insurance Coverage Provip
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V I �A �\\�� � For deny t L..;i�:..„ R our website at www.usps.co
of —a OCEAN ISLE BEACH NC 28469`
NW m
a Q " ?' Postage t
IE
W~ f' `' -+ Certified Fee $2.30 0462
• =ma _� m l^ ❑ J D (t6 Postmark
Y N _ .-. D Return Reciept Fee 11.75 Here
J Y ip (Endorsement Required)
• m' v � .
N 7O Restricted Delivery Fee $(�.Q4
- m Z u�i —r tr>0 O 117 (Endorsement Required)
.I Cl)CC J ' l,'° r.r 4n V kr—40 O h' m Total Postage&Fees $ $4.65 12/29/2003
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0 0 v, �`' u 7 1 l �` Street,Apt.No.;
�\.N 7�' r g or PO Box No.
Crc rl i
_ tf/ U r ti City,State,ZIP+4
Z ?) ; oO 0 '1 PS Form 3800,June 2002 See Reverse for I
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