27354D - Boseman

CAMA and DREDGE AND FILL BPS if --_ 27354 - 0
G E N E R A L
PERMIT
as authorized by the State of North Carolina
• Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 7N . //U-) 7'/ , /Joy . )4I /3�(j
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Applicant Name -5.h.V. i► SehnA iJ Phone Number WC -
t/L/L/`).-
Address t k ‘ t,f, ti-1 (54
City c-Ape)-'t PP RA I State MC Zip k't-/b 0
Project Location (County, State Road, Water Body, etc.) \ \ 1 URAICI- '51' C N EAR ti -.t Pky
Type of Project Activity i.),t -', vsZ,ty N,p, ti-c^An.LP , -93A1 &; it t --,A1Vc1..Le..�1. k�c Q' gyp'`'
Vv 1 7 n. /�. a ,i ,,.iE 57 c/ (1. -- f) M SIX/<--e
PROJECT DESCRIPTION SKETCH (SCALE: J '-= 30 )
::L::____
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NM% 11E11
number
Bulkhead Length
max.distance offshore k * �'
♦ .... -Basin,channel dimensions � •
rii lig ,
sk:
xs,
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cubic yards /OO ' w
rip:, airi / E
Boat ramp dimensions '41 II3iIIiIIk
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This permit is subject to compliance with this application, site drawing i , 4}.`'
and attached general and specific conditions.Any violation of these terms } applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and ---_�
may cause the permit to become null and void. --
This permit must be on the project site and accessible to the permit of- permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- D _�S'_0 ! 6 '- 5-- v )
fies by signing this permit that 1)this project is consistent with the local issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they -_).t . I:. / 1!() 7 Fi,130`, ) l`7)
have no objections to the proposed work. �� attachments
In issuing this permit the State of North Carolina certifies that this project f p U °`) C K± P lQ ? -�3 3 ' /
is consistent with the North Carolina Coastal Management Program. */ m,',.cy/ application fee
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CODES FOR AEC DESIGNATIONS
"OH" - Ocean Hazard "PT" - Public Trust
"EW" - Estuarine Waters "CW'- Coastal Wetlands
"ES" - Estuarine Shoreline "FC" - Fragile Coastal Natural/Cultural
"PW'- Public Water Supply "OR" - Outstanding Resource Water
CODES FOR PROJECT
"P" - Private-usually an individual "F" - Federal
"C" - Commercial "L" - Local Government
"U" - • Utility "H" - Housing Development
"S" - State "0" - Other
# CODES FOR PROJ DESCRIPTION
"11" - Bulkheads, Riprap "16" - Utility Lines •
"12" - Piers, Docks Boathouses "17" - Emergency Repairs
"13" - Boat Ramps "18" - Beach Bulldozing
"14" - Wooden Groins "19" - Temporary Structures
"15" - Maintenance of Basins, Channels, Ditches -
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: A,Sx At Se vv / /
ADDITIONAL NAMES: P-e,4t 6 ,kA,( (ea---
AEC DESIG: �,i^ I P'ES DEVELOP AREA:Ow) Z PROJ DESC: P - I
(WM only take 6) (Will only take 1)
WORK: 4-15y (3L ) 011
2 3 /I)
(Will only take 4)6 -�r 1 �O
U( / t ( UCH
MAINT: ff.5-z)
(Wml only take 4)
IMP: Dw Iou - - 31U
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: b(, --)c —0 I O y-,)r--yl
CAMA MAJOR DEVEL REQUIRED: D
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§EJbE ,;CbMPLgtE Tf11S SkcTldhi coM11ETt Tills sEctionl on]btL)VER( - • '
, ^IllComplete items 1,2,and 3.Also complete i A, Received by(Please Print Clearly) B. Date of Delivery
item 4 if Restricted Delivery is desired. i il/ L A /1 3- a' /(—CI
4 , F, m Print your name and address on the reverse
ti;; i I so that we can return the card to you. C. Signature
1 e Attach this card to the back of the Addressee
mailpiece, X / .LP 1_ /�,l ❑Agent
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or on the front if space permits.
D. Is delivery addresedifferent from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
,; [ • • � �n)� S 1 - I_
,, �1 J r i_ i/�C. I 3. Service Type
,3 1, (, 7 j ( f I ❑Certified Mail ❑ Express Mail
;,,y ElRegistered ElReturn Receipt for Merchandise
' V-�v ) ❑Insured Mail ❑C.O.D. —
p� 4. Restricted Delivery?(Extra Fee) 0 Yes
•
' 2. Article Number(Copy from service label)
PS Form 3811,July 1999 Domestic RePirn Receipt 102595-o0-M-0952
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. lanasiaNIDE_cilisTALAsArtruE
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Name Of Individual Applying For Permit:
Address Of Property: --f-
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(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced propeit The individual
applying for this permit has described tome as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter:
I/ I have no objections to this-proposal.sff--e-r gat.e + 4;A( & -
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I UnCier.S.and that a pier, dock, mooring pilings, brt.a.1..-water, boat house, lift or sandbau must be
set back a minimum clismirce of 15' from my area of riparian access unless waived by m-. (If you
. .ti.sh to waive the st....tback you TnPqt initial the appropriate blank below.)
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I d6 Wish to waive the 15' setbac _
k reauirement- — --
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I do not wish to waive the 15" setback-requirement.
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TelePhone Number-With _Srea Code ---: N.6Frri4 CARouru.Di'4.1..4Fri;p;mar Or- .
. ENInFroNmENT AND NJ:1'MA:-FESOURDEs -
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ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, 2,and 3.Also complete A, Rec�^'ed by(Please Print Clearly) B. Date of Delivei
item 4 if Restricted Delivery is desired. ;/ ✓r A r1/23- 6-.f(_CJ
■ Print your name and address on the reverse
so that we can return the card to you. C. Signature
• Attach this card to the back of the mailpiece, ,J El Agent
or on the front if space permits. X GfX-t��l AddressE
D. Is delivery addres different from item 1? ❑ Yes
1. Article Addressed to:
If YES,enter delivery address below: ❑ No
FV-eiyiLl we sT 113 6f,,,„)-/- si .
` ' tn1 j,� r ,_ t L. 3. Service Type
V •�.y S ( f I / / 0 Certified Mail 0 Express Mail
❑ Registered ❑ Return Receipt for Merchandi=_
"L..)1 b ❑ Insured Mail ❑ C.O.D.
I�r 4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number(Copy from service label)
PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0951'

UNITED STATES POSTAL SERVICE 0 t1.../..ic
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Jun 24 01 04: 27p Koeckert 2817529577 p. 1
06/24/2001 16:46 9103276356 BEVERLYMU5IC5T PAGE 02
' _CT\i N_ r-- r iM
Name 0` Individual Applying For
'Permit: `.141ek D c)Se Y'+�At)-
• An r- ss 0� Pro art:` i) ) V r/R!J'�' s'1'(
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r.UcAd 5 r t r r- 0,2C. � ..814•Q
(Lot orStreet e, Street or Road, .t'.'..ty a County)
.
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hereby certify that own prooerty adjacent to he above-
ra_erended pray_ Lv. Th5 indiviciue2 applying `or this Derxio .hes desttibed to m2 as shown on the attached drawing the devgl.7bmor,t
t*lev a_2 P_ono ng. A description Daj Or drawing, with Cl_ner..5 should be ovid_d S*?.�..,h th`s le i— iaPS,
I ave no objections o -th s ',ppb522_ •
u have Cu1oD+i G
�L_TZ ; _ y Dr._ -.D whatis boina t7rdD.? c7 . al c 56 MTw 2^a
'_ is oh Df coast 1 !'!aneoomenr 727 C�.��r�-1 Drive
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H�Illi1y��d9Y. Ai r t� r�LLfdn53bn. Li
North GZD__Tl?, 2B4D5 or call 5 D 39S�ap�v�=,q �0
days 0_ re,ein. Da this notice. NI, resobTSe is co ; e p -
s no Deis r .f V o ee ns-'J $:+ .Q 6�.!Zllc+
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, "—, THE BACK OF THIS DOCUMENT CONTAINS AN ARTIFICIAL WATER HARK•HOLD AT AN ANGLE TO VIEW w'- r ,. ,— -
WESTERNS MONEY INTEGRATED PAYMENT SYSTEMS INC.-ISSUER
, UNIONS IORDER' Englewood,Colorado
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AGENT 314.265 1411 I: 062501 r,
TIME 0944 03v- • v 'Llis-., .,
I s 063862553571 cl:OCATIQN.Rkl 22 Fi ;v" fj
1 ' 4* PAY EXACTLY ONE 1 fUNDREI) DOLLAR,',', AND NO CENT S 4:flof t 1014 *44
PAY EXACTLY . • ... ql —
AY TO
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1 ORpER OF
PI ifiCIIAHEFi AY SigaiNi3 YOU AGtig TO PIE.; 4
P-61'1,40 RL)+04'"t§aPerISG6 P-ciel'V IERI:sA ,1:; ____,,i_ _ 11 i
— Atdirm.inicEci artviatytNIArIVE . i
1 Western Union Money Order and DIT541 Is a service man of Western Diann Holdings Inc/Payable at Wells Fargo Bank Grand Junction Downtown NA.Grand Junction Colorado
/: /0 2 /001-.001:
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