HomeMy WebLinkAbout28237D - Gore r
CAMA and DREDGE AND FILL
G E N E R A L 28237-J
PERMIT P o8 20 v A
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 2 A-1 . la (X)
?F. ; I. S
rlt r� i
Applicant Name \{:'� atic e J Phone Number l(i'_,_ 20 r- =i i r
Address 3\h 5 c C . x.
2--1 b - 2.59
City A cr. t o-\\-r ram. State ti CJ Zip
Project Location (County, State Road, Water Body, etc.) r u n s is, c k (} C) u r I Lo -
LA i , �\„ Cyt)u r t i r,, -k1; \r\ Prf•(". `3\•-, COy , .1:)e1v't e . k u_rk.,:.t c i-- -e ,oc-,r-
Type of Project Activity 1e;1.J , G uUt:,-(e d ri cock— Frr\d cN WN,a-'t nS d(X !-
h1eQca c ,k `k e,-r\ C oc , , cioc Sk.“-�e - es}-f\LnV s\n Pc-ce-p, (Nic 8UC k--'
PROJECT DESCRIPTION SKETCH (SCALE: ii. . T- )
Pier(dock)Length h�C,C 4?' • ,
_._._ 1
si, 41111111.-11 i ii '
Groin Length �. 4--'..- -
number _ .._ _ I lie
i►- ti . ..- R. ♦.
Bulkhead Length ii II ,, .:1
I max.distance offshore ��� � '_...eaV _
el MI
II II I
Basin,channel dimensionsiga. - 4-' a
cubic yards i t
_
Boat ramp dimensions [ V LI
F t— ‘ I ill V
Other�`, 2 X 2 . •.• ill r v
,1(� i - ,1, rl OC L-- sir inn - - NI
1
r
___1 ' am: ,
_ ��
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This permit is subject to compliance with this application, site drawing
and attached general and specific conditions.Any violation of these terms , r a li5ant's signature
may subject the permittee to a fine, imprisonment or civil action; and ... ,
may cause the permit to become null and void. u-da
This permit must be on the project site and accessible to the permitrof- ) , permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- 28 2°0 j p U;l. ; ,'-,,0
fies by signing this permit that 1)this project is consistent with the local J 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 74-1. 100 0-uLU-a_Q /\QCs (Si
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project DO., bU
is consistent with the North Carolina Coastal Management Program. application fee
'COMPUTER FORM
?1.3CANT I(-O'4 (zorcJ
ADDIT)OCAi N DES:
AEC DER PT J C W DI-.71rE.OP -- 03, PROJ DES C: P (
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WORK. P 300`K y 127. 12
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L. 20 X 8
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(7w 600 01A) IOC;
4CI EON ?RATION
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C .M.M_b.JORD R.QtJIp.): 8 j 25 ` 0 1 11 12g / 0 1
CERTIFIED MAIL RECEIPT
(Domestic Mail Only: No Insurance Coverage Provided)
r1.11111.1.11.!MIMIIIIMI711
Postage $ c7 7
I Certified Fee
�/v cr\\AG TON
/5 /S� (n
Return Receipt Fee (((( 111 —1
1 (Endorsement Required) 1� D
1 Restricted Delivery Fee rj01�1
I (Endorsement Required) \ C
1
Total Postage a Fees 2 v
1 Sent To
P P P i Il A:I be' el-f)fil A111-='. ------
Street,Apt.No.;or PO Box No.Ai
°' �� a /1--4- Vte$ ---
t;erttnea mate t'roviaes:
■A mailing receipt
■A unique identifier for your mailpiece
■A signature upon delivery
■A record of delivery kept by the Postal Service for two years
important Reminders:
■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
•Certified Mail is not available for any class of international mail.
• NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fo
valuables,please consider Insured or Registered Mail.
• For an additional fee,a Return Receipt may be requested to provide proof o
delivery.To obtain Return Receipt service,please complete and attach a Returr
Receipt(PS Form 3811)to the article and add applicable postage to cover tht
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fo
a duplicate return receipt,a USPS postmark on your Certified Mail receipt it
required.
■ For an additional fee, delivery may be restricted to the addressee of
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired,please present the arti•
cle at the post office for postmarking. If a postmark on the Certified Mai
receipt is not needed,detach and affix label with postage and mail.
MPORTANT:Save this receipt and present it when making an inquiry.
innn Ma,,9nnn rva,.o.ce\ 1nocac.nn_M.9nnA
CERTIFIED MAIL RECEIPT
(Domestic Mail Only: No Insurance Coverage Provided)
q
) 7M1.. .111111.171'111171.•:.
Postage $ .„.3 L/
N GT
0 Certified Fee �/ ^\ �N VL.
7
ReturnReceipt Fee `5-
i (Endorsement Required) [
Restricted Delivery Fee
3 (Endorsement Required) 26101 /
$ 39 /
Total Postage&Fees
'I Sent To
Street,Apt.No.;o►P ox No.
3 c- U°t ._i 1 'L.....Akit N V P
.._
Certified Mail Provides:
•A mailing receipt
•A unique identifier for your mailpiece
•A signature upon delivery
■A record of delivery kept by the Postal Service for two years
Important Reminders:
• Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
• Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fo
valuables,please consider Insured or Registered Mail.
• For an additional fee,a Return Receipt may be requested to provide proof c
delivery.To obtain Return Receipt service,please complete and attach a Returi
Receipt(PS Form 3811)to the article and add applicable postage to cover thi
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fo
a duplicate return receipt,a USPS postmark on your Certified Mail receipt
required.
• For an additional fee, delivery may be restricted to the addressee o
addressee's authorized agent.Advise the clerk or mark the mailpiece with thi
endorsement"Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired,please present the arti
cle at the post office for postmarking. If a postmark on the Certified Ma
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery
item 4 if Restricted Delivery is desired. 7- /$ .o`
• 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, -- - X 1,---s' O Agent
or on the front if space permits. 0 dresses
Is slivery address different from item 1? 0 Yes
1. Article Addressed to:
If YES,enter delivery address below: 0 No
6a rllJ r
,oq Zlieie, AveNoe
W 1 /11)I N N 1 NC 3. Service Type
.2Certified Mail 0 Express Mail
cc' e \G . 0 Registered 0 Return Receipt for Merchandise
"'� _. t .0 flit u.. 0 Insured Mail 0 C.O.D.
1....„ N �{ -< 4. Restricted Delivery?(Extra Fee) 0 Yes
rr
clleNu ler(Copy fro icy 1 I) ti
PS Form 3811,July 1999 Domestic Return Receipt 102595.00-M-0952
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
USPS
Permit No. G-10
• Sender: Please prirtycunaraer, address, and2.LP+4ln thin-hax • _d)() . RJ. e. Gore.
ro 60 )( 31 to
01 m ivit-6A) cQPiok
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.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also.complete A. Received by(Please Print Clearly) B. Date of 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. C. signatu
IN Attach this card to the back of the mailpiece, X ❑Agent
or on the front if space permits. 0 Addressee
D. Is deliv: address different from item 1? 0 Yes
1. Article Addressed to:
If YES,enter delivery address below: 0 No
mr5 41, 4-/hoce
/0/v £r ey Doss
e la N c/, / C a� '-J/ 3. Service Type
❑Certified Mail 0 Express Mail
❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number(Copy from service label)
c>bo i513o dVAA 8&s-3 o//
PS Form 3811,July 1999 Domestic Return Receipt 102595-o0-M-0952
UNITED STATES POSTAL SERV - 1 L z.
0
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•
• Sender: Please �nnty-delvrfe, addres and-Z4 +4 in this-box •_.
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2987
ELROY GORE PH.270-2598
JACKIE R. GORE 66-112/531
DL. 161457 1557169 �� 0/ 02504
221 OLDS PT.RD. Sato
HAMPSTEAD,NC 28443 Ce>1-1
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BB&T mue6 -
BRANCH BANKING AND TRUST COMPANY
IIAINGTON,NORTH CAROLINA eC1 „ /1 IMF
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