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HomeMy WebLinkAbout37836D - Fahmy 1CAMA/ Ell DREDGE & FILL `Ij' 3ENERAL 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 I t+ '' Q :oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC A ❑Rules attached. t Name A b l e ( Al--; i:._ f a ii r" i Project Location: County ?e PI c 9 OS C.'-,P, ,u- k C A L e Street Add ress/State Road/Lot#(s) Ko,le ;C3 State VC- ZIP 2"1607 IZ- P, 1Sa✓ yk Dr, (V3)'78 I- 7!7 Fax#( ) Subdivision ed Agent /i'1 •'C L 4\C J M*' Il i S' City TOO al •/ KeaCk ZIP 2 8 4-t ❑CW W f PTA ES CIPTS O'f is Phone# (4)i 9 )S 15 -3 03 G1 Rt e�Basin C o f IllOEA ElHHF ❑IH III UBA El N/A G A NA Adj.Wtr. Body 5h. t a u (nat ❑ PWS: ❑FC: To S ea i .r&tit ekes( yes /,, o PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body f � 'Project/Activity N e-W 60 I k h eal1 Z ' W -1 e r ,.,,q cl a-' ¢,i 547 / ck)length J i- j , -1j- ier(s) f l f j 1 — { I ngth i j 'Tiber I A i i1 Riprap length 9 distance offshore Z11-14ftAl — x distance offshore Z + } } } iannel { I I 1 >ic yards �1J 4 eft!A ik 1 se/Boatlift i f �,- illdozing i i Aezmr.a'1rl1omprr17►� jai /0 t i I I� 1_- �L � tf �i/4 — SI,.YP Jj�] Length t'', to r..._._._ 1 . ...... ... } -... - -- { — -..... not sure yes n� j i 1 i /� { _ I i 1 not sure yes o 1.�"'-f r g, y — 1-- lum: n/a yes o j i Y� 1 . — — kttached: yes no ig permit may be required by: --I-or J' 1 tgeaC 0 See note on back regarding River Basin rt GENERAL FERMI C O M IE R FOR_ .A2puc.A2N N.= : A b d e 1 A _z rCA �e ADDITIONAL NAMES: AEC DESIG: DEVELOP OP aREA.:_0. PROJ DESC: - I I (Wll only ra::o) (Will only tak 1) • WORK: 13 H , (Vail only 4) • MANi: (Will only=I==) EVE): cJ ( Z-0 HG 1080 (will only aic 5) ACTION EXPIRATION • = DR— GE&F'LL REQUIRE): CAM-A.MAJOR DEVEL REQUIRED: 3-2004 15:56 FROM:PREFERRED MEDICPL 7045438106 TO:93276471 P.002/I 29 2004 13:48 FROM: 93276471 TO:8704`5'138106795?59944 P.3/3 DMIZIrnl.T OF ^Ati'; I'd TT LTD`At7i A 1T 71T T IM.• Name of individual4ppiying For Permit: e— /f • Address of Property ,r�/d ,if ti of or Street#, Street a i) (pity and County) 1 I hereby certify that I own property adjacent to the above-referenced property. The individual applying for this p rmjt has described tome a shown on the attached drawing the development they arre;proposing. A des l ption or drawing, with dimensions,should be provided with this letter. 1 I have no objections to this proposal. ' 4 — = i i If you have obleetitins to what is beieg propo ed, nlnaaw write the Division of Coastal Management, 127 Corrine!Drive Extension, Wilmington. NC 2940r fl Agra 39. �9 D -n------- �.�.+ ..�•4.�.�.0 , T►7HALJL�iLUi / Ly OrF J or l:t{iJ y111-J7a-�7`JUU u.nT*i�1r. 1 R days ..d� 1iT within 10 of.oe iptof this notice. No response is considered the same as no objection if you nova been noillieri by Certified Mail, I understand that a pier,dock, morning pilings,breakwater,boat house or boat lift must be set bek a minimum diktnnce of 15'from my area of riparian access-unless waived by me. (If you wish to waive the setback,von mast initial the appropriate blank helm) / [../ _ : .„o wish to waive the 15' setback requirem nt. 1 do net wish to waive the IS" setbeck requirement. I �,, _ jlam-I.: UV--� 3 / 7�`r7. Sig 1Nstne 4 / Date _ v _ ' ? .4,AU�G I A�: A Print Same = +�� X� Telephone Number withArea ode I I I I I I 1 I I L_-_I I I ' I I ! I I I I i I I I I i 1_! 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I -I, SENDER: COMPLETE THIS SECTION • Complete items 1,2,and 3.Also complete ACOMPLETE S PL t re THIS SECTION ON DELIVERY item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ��!ir1J!7 Agent ■ Attach this card to the back of the mail piece, 40 �/ L` Addressee or on the front if space permits. p ece, eived by(Prin d'(me) C. Date of Delivery 1, Article Addressed to: " &L/ ibilL` ? 1-U D,Is delivery address different from item 1? 0 Yes If YES,enter delivery address below: 0 No f2z ' 1 Pi--/c. 3. Service Type Cia,(7. /2/ 1/�� fii Certified Mail 0 Express Mail ❑Registered ❑ Return Receipt for Merchandise 0 ���� ❑Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee)2. Article Number ❑ Yes (Transfer from service label) 7003 31,1,0 0004 9720 5783 PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 O o w z `<‘"' co WI \ 0 , N 0 . 8/... , ?It% n, 6:< A. 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