27492D - Lee

CAMA and DREDGE AND FILL �� - ��� r� ►'! 27492_i
GENERAL
11::
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 /� •
Applicant Name F"1 ,44* 16E. Phone Number CI i ' ) L1 .. 1' V13 )
1.-1-v -
Address '- r �,L� i'`I
City SYl fL.c1 State AI0 Zip
Project Location (County, State Road, Water Body, etc.) /o t.ly C e ►-E t 4/
-h) 4S4,/ RP k , rbl J G/�-1 'icep5A- 1 S OvAt..� r Pf�,�t P CD .
Type of Project Activity 1A-7Drflot tr.:- ;• 64-1 (-r "t L.). &S-1-;j K
PROJECT DESCRIPTION SKETCH t, %k �--- (SCALE: J
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number »_
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Bulkhead Length p..._..
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max.distance offshore �t . ....
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Basin,channel dimensions III
cubic yards 4 t >
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Boat ramp dimensions1111
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This permit is subject to compliance with this application, site drawing /p ,7 /,. ,,l,•y, /�,
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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. �"^1."'-
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- Obi —)6—'` ' 01 - d(,- 01
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 7N •
/�
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project /u(1'��J ( 1/A3
is consistent with the North Carolina Coastal Management Program. 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 "OK" - 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: Fie 4NIe- L
•
ADDITIONAL NAMES: I' 1 I11 V S l e l
AEC DESIG: c (� p1 DEVELOP AREA: Q.G 1 PROJ DESC: 1 2
(Will only take 6) (Will only take 1)
WORK: 6 L 13 , r 3 -
(Will only take 4) c(j
MAINT:
(WiI only take 4)
IMP: (j L✓
(will only take 6)
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ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: 0(0-c �� ' 1�+% (j �,-O
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CERTIFIED MAIL RECEIPT U.S. Postal Service
CERTIFIED MAIL RECEIPT
(Domestic Mail Only;No Insurance Coverage Provided)
(Domestic Mail Only;No Insurance Coverage Provided)
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. Article Sent To:
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Certified Mail Provides: Certified Mail Provides:
• A mailing receipt II
mailing receipt
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• A signature upon delivery • A signature upon delivery
II record of delivery kept by the Postal Service for two years ■ A record of delivery kept by the Postal Service for two years
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■ Certified Mail is not available for any class of international mail. ■ Certified Mail is not available for any class of international mail.
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valuables,please consider Insured or Registered Mail. valuables,please consider Insured or Registered Mail.
For an additional fee,a Return Receipt maybe requested to rovide roof of • For an additional fee,a Return Receipt may be requested to provide proof i
delivery.To obtain Return Receipt service, p p delivery.To obtain Return Receipt service,please complete and attach a Retui
p please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover tt
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fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt
a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required.
required. q .
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endorsement"Restricted Delivery". endorsement"Restricted Delivery'.
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receipt is not needed,detach and affix label with postage and mail. receipt is not needed,detach and affix label with postage and mail.
! PORTANT:Save this receipt and present it when making an inquiry. IMPORTANT:Save this receipt and present it when making an inquiry.
S Form 3800.July1999(Reverse) PS Form 3800.July 1999(Reverse)
102595-99-M-20
102595-99-M-2087

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CERTIFIED MAIL
RETURN RECEIPT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to akiLi I:56 ,s
(Name of Property Owner)
Property located at /0 C) ekagn Qd e
(Lot,Block,Road,Etc)
on bag ellaftne( in ` .5 ( l £&CL'
,N.C.
(Waterbody) (Town and/or County)
I have reviewed the survey or drawing on the project he is proposing at that location,
and, I have no objections to his proposal.
d -
CURRENT SURVEY OR DRAWING OF PROPOSED PROJECT AND
COPY OF PERMIT APPLICATION
(ATTACHED)
Signature
'00- Pk. Z • otaDka1K
Print or Type Name
111
/D`�.2 Cl/'i .€-/am-6
Address
a �J
Telephone Number
Date: it/IJ/a (
i5 (31(0)4-e-t W 111 no} b'e.6°5 t°
c. -1;(i_ 16! f ina:�!' �"` ,,.

•
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CERTIFIED MAIL
RETURN RECEIPT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to E(Z&PJ (. LEG 's
(Name of Property Owner)
Property located at jO.TO OKaiot€1 dei
(Lot,Block,Road,Etc)
on 1\A. Cksexcm.e-t. , in f ef5ai/ jeac4 ,N.C.
(Waterbody) (Town and/or County)
I have reviewed the survey or drawing on the project he is proposing at that location,
and, I have no objections to his proposal.
CURRENT SURVEY OR DRAWING OF PROPOSED PROJECT AND
COPY OF PERMIT APPLICATION
(ATTACHED)
Add Signature
bc.., l;fT1 ��. f. -Lls
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RANDALL B. MOSLEY DBA: 04-01
RANDY MOSLEY MARINE CONSTRUCTION 1013
910-616-3316
P.O.BOX 3463 Date '.p',i�f ) 66-19/530 2C
TOPSAIL BEACH,NC 28445-9831 /'�
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