HomeMy WebLinkAbout26308D - Gordan CAMA and DREDGE AND FILL63(1$'
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 '1}-A . UDC) .
Applicant Name 't k % -\ t- • r 0 r d iN n Phone Number 84 2- 25 2..
Address ab-- (.D t.)P lS AAC Aa toAci 3(A) •
City VI \ State Nci_I zip or8U (r. ;-
Project Location (County, State Road, Water Body, etc.) 11 r U n s t,L)t C .--- C out n4`1 t
r- ,t 3 ( N nri -a 0e.t)c Vu iNd 'tO , M 4 r k k-'\ ?c.A S ho rc i 1)f', Jr) f\-L L.J ik)
Type of Project Activity l}kr1(' 0U6-Cr 8 10c C+' , Al) I X I2
PROJECT DESCRIPTION SKETCH --, aI.LAJ• rs(!✓ '� , (SCALE: ���TL )
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Pier(dock)Length - 1
I- : lir t� '
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• ..-4-.
Groin Length la
1 .m. ri
number
Bulkhead Length 4 I Q (73
max.distance offshore A
w
, . , I 4"913ci _ _
Basin,channel dimensionsec
• I1TL
cubic yards
LA)l
Boat ramp dimensions CA+iJ pi`-- _A' , .1_, — —LH
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Other b)rn1 ',C t j
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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 applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and ,--
may cause the permit to become null and void. /' A.,,,,Ct U" 1 U-ovJ._.
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-___ it p)`1 Q(ti 'N1 j , 4 i (. (
` fies by signing this permit that 1)this project is consistent with the local `/�v 1 issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has _ lI
, been obtained from adjacent riparian landowners certifying that they 1Tl . 1;2 0 O
have no objections to the proposed work. !� U attachments
In issuing this permit the State of North Carolina certifies that this project \I `i V0 c
is consistent with the North Carolina Coastal Management Program. application fee
GENERAL-PERMIT COMPUTER FORM
I,J; + . E E . &o or d pry,
DDITIOR:.-L A :
PT E Da:-.7V=?OP=.RSA.: .D PRO)D=SC: F - I2
(Wil3 u 1)
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(vi •t 4)
of 1L4 •
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(voll:only*-r"
ACTION P-4i1ON
L P=QUIP.: 8/24 I Uo I 00
I
C_N"A2 tJOR_Dn P,=��P. : 6 124 1Ov
I II 11111111 1I11I 111111111111111 IS SECTION ON DELIVERY
• tC 7099 3220 0 011 1284 6124 (Please Print Clearly) B. Date of Delivery
■ Print your name and address on the reverse
so that we can return the card to you. X
C. SL
ture
■ Attach this card to the back of the mailpiece, ❑ Agent
or on the front if space permits. ❑ Addressee
D. Is delivery address different from item 1? ❑ Yes
I. Article Addressed to:
If YES,enter delivery address below: ❑ No
De Oa �rL 5fl N
/
3.20 ��z,s3 e_ '_ U r )/C`' 'i
W / J ali N9 f° 3. Service Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
t. Article Number(Copy from service label)
7/2 -3�2�0 a o ' ,' gag 6 /
,S Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952
ice` ------UNITED STATES POSTAL SERVIC 'L 1111.111111111111
• Sender: Please prii'Ryour tam, address, 3h'a
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U.S.Postal Service
CERTIFIED MAIL RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
✓ Article Sent To:
U
n -_. ' =,
✓ Postage MEM
0
-R Certified Fee -E 0 ,c1 t. of C. J
Return Receipt Fee �•He d�
(Endorsement Required) �J 1N
aQ 9 , l
• Restricted Delivery Fee L
M (Endorsement Required)
in
DAN
D Total Postage&Fees MI
U N /
U Name(Please Print Clearly)(To e��b,complet by palter) 'JJ
n w r 11 lo. ril vDR' r7 Vs-)
✓ Street,=3PO Box No.
er.No.;or�Qs 5 -I-1e_n_ t) (si J c
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:cay,aty-L„,i_/Ultp 1 y (0 C ....VA./ 4
certified Mail Provides:
Is 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 Prionty 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 the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fo:
a duplicate return receipt,a USPS postmark on your Certified Mail receipt is
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 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.
IMPORTANT:Save this receipt and present it when making an inquiry..
�C Fn.m arum hav 1000 IRnvnncnt 1flscac_oo_M_1 owl
Name Of Individual Applying For Permit:
Address Of Property:
(Lot or Street#, Street or Road,
City & County)
The individual
that I own propertyadjacent to the above-referenced ch property.
drawing development
I hereby forrtofyshould inge the de with this
they are this permit A has descrn ibed or tdrawing, with dimensions,
they proposing. A descrop
• letter.
have no objections to this proposal.
breakwater, boat house, lift or sandbags must be
I understand that a pier, dock, mooring pilings,.�of riparian access unless waived by ( you
set back a minimum distance of 15' from my blank below.)
wish to waive the setback, you must initial the appropriate
I dO wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
1 • •
Signature Date
.,�
Pr
int Na
me ■�
✓ " NORTH CAROLINA DEPARTMENT OF
elephone umber ith Area Code ENVIRONMENT AND N TURAL RESOURCES