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HomeMy WebLinkAbout22421D - NC w CAMA AND DREDGE AND FILL GENERAL: 22421-b PERMIT as authorized by the State of North Carolina 0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1f1 • 12Dv Applicant Name '`r \Id I. Te Q u cCf'S Phone Number 9 j V 6C0 e 5 001 Address 6 q 7p,eft)d ?eAd City FA A-k.,Jt 'I'C___ State N. CI1 Zip a8zot} Project Location (County, State Road, Wat Body, etc.) PPA�W ( OU (\trcin,,,), � O F VkPub 1 SiOC�nci 'Zorc� o. c 0( Al ,s P',-� LA trc1 , N ,f . CAPE fft / Type of Project ctivity P,t^r f'. t,i1« t PROJECT DESCRIPTION SKETCH (SCALE: IL If\J T ) Pier(dock)length D. 4-t X C.o' (,J•,c(( J N C)1*\ Ct ST C.P p C Groin length FU ` 1— L ,fir t?ve r number Bulkhead length max.distance offshore Basin,channel dimensions cubic yards C. A Boat ramp dimensions / C 16 Other 1 r0r Lvc S,2u This permit is subject to compliance with this application, site /c��i�-� C� drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine, imprisonment or civil action; and may cause the permit to be ' r — applicant's signature come null and void. �� This permit must be on the project site and accessible to '/ permit office s signature permit officer when the project is inspected for complian' ` 4J( Ocykiv•-kiollql The applicant certifies by signing this permit that 1) this pro- .a I0 ( 1959 ject is consistent with the local land use plan and all local 00 issuing date expiration date ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no 14-1 I200 objections to the proposed work. attachments pfltd bt/ pQrSo(.e,. LRAL PERMIT COMPUTER FORM A.APLICANT?SANE: IV 0r1r C ro U i I d (; iP source S ADDITIONAL NAM-PS: in O9v'S h I I t�1 A=C DESIG: P T DEVE.,OP AREA: .p03 PROJ DES C:5 - 12- (Va3 only sake 6) (VeZ crab-bike 1) --- wC�: . (` (Q� (WE•only take 4)% • (Will only lake 4) 4t-t- 6) ACTIONIRATION DRAM&FI T R QUIR.. : . 6 / I O 19 M II ) 101 l� CAMA MAJOR DEVL.REQUIRED: . . . . . ' . ' • . - 4. • . • . .. . ,. e•- C H lat N C E. Y . rr-- EE.F f;,' t g G. ;:--.1.S TAT E-. ---z_..„1.- .• .-' • COC m c C•1 I K1 L-;/.4 r-------- . . . . - • / ,-.-1,T 7,9 5. 7/ ' .... ' . / ..1' . • •'...:'(-I;•-, :.ti .-, r.:, ;t.: . c• • L r..1) (... : ti..i. / ! R 0/%1 PIP - - A • ,..r.-...------ ill c': • . ,... ,.....,.4.—r.. 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'. ."".""""*-...,.•..rm-...';....,.......,...,,,,,,....,...,,,r .... , .... \........ ..... ...: ,t. , . ._.. -- ...-..:e... c•••-•-• ....... :J.,. - - r:. z..:7) N.C. 1\10 N1. .A.-,- 11 . l'srl :<r.:, COS $.4 L2,r.z. • : . . . - , iS - ) . . • . . , ,. . . • ' ,.. ,:'.. ••-‘: "-,;,i..-• G ',...", " r:: F..7- . f--;.: NI . -r 1-1 1.(:-.. r:, --- NI r--.7,-•c-s: .1--,--\ -c- 1:,:.• • . • . : - -2..........,.. .•27:-, !.; t.,•'. •,.-1.:,'CI::i,:::* .- . re ' E. .,--C.;::..r-•"1 1 r f".4 t::-K.1,:,,- (•-•, t.7: ,-'..-p L... 11: .L:.,-.;,, • •. /'e....),-.:.> . / r . .. . t . . v SENDER: I also wish to receive the follow- _ • ❑Complete items 1 15ndtor 2 for additional services. ing services(for an extra fee): a• Complete items 34a,and 4b. cn 0 Print your name ad address on the reverse of this form so that we can return this • card to you.' 1. El Addressee's Address d 0 Attach this form to the front of the mailpiece,or on the back if space does not a, permit. 2. 0 Restricted Delivery Y 0 Write'Return Receipt Requested'on the mailpiece below the article number. • of The Return Receipt will show to whom the article was delivered and the date n delivered. n 3.Article Addressed to: 4a.Article Number r z3 �372g992 4b.Service Type 0 o J O gO C. J/t4Ji S".7 E ❑ Registered ❑Certified n n f n c �� ❑ Express Mail 0 Insured rJ .��J / $ 42 ❑ Return Receipt for Merchandise ❑COD z 7.Date of Delivery L --..3 ±_gi__ _2 5.Received By: (Print Name) 8.Addressee's Address(Only if requested and fee is paid) i i at grpssee or Agent) o— PS Form 3811,December 1994 102595-99-B-0223 Domestic Return Receipt VIVDEJR: I also wish to receive the follow omplete items 1 and/or 2 for additional services. ing services(for an extra fee): omplete items 3,4a,and 4b. rint your name and address on the reverse of this form so that we can return this ai card to you. 1. ❑ Addressee's Address 0 u ❑Attach this form to the front of the mailpiece,or on the back if space does not - perrrtit. 2. ❑ Restricted Delivery to ❑Write"Return Receipt Requested"on the mailpiece below the article number. ❑The Return Receipt will show to whom the article was delivered and the date o j delivered. .0 U 3.Article Addressed to: /f�_ 4a.Artic Number (/ / m CC 5. ,14r, r 1 'E f�,eowAi ,Z C3 0174 7�q , V n� 4b.Service Type i 5 3 WO e lJ )2;V f4 )e ❑ Registered edified 0 1 , ❑ Express Mail ❑Insured N 1 �jQCs!) . y/Z J ❑ Return Receipt for Merchandise ❑COD cn 0 C 7.Date of Delivery • 0 A (/� > f 5. Received By: (P t Name)��I �'�� 8.Addressee's A Tess (Onlyer sted and c i j �,`�`cam fee is paid) F i 6.Signature4 ( ddre�seeorAge . w A PS Form 3811,December 1994 102595-99-a-0223 Domestic Return Receipt • _ " i291 66-112/531 5211122530 MAR SHALL 8371 C. OR CHERYL L. RAY 0 /O — PH. 465-8371 �� i 4025 CHERAW NC E28306 FAYETTEVILLE, $ s D D �,� o��nns o:e e • , l'-'-----'A' to-tAe order n- /O • 53502 III'I� j Boar 9CI. ASNIC e 300 erO AN STREET 300 ROWA NC 28302 LP FAYET--te_ E, If Jig/ware1 Ca_ /:0531O11211: 5216922230 ' �' 1,.r• q srn1 m. ra„» aft ..a r .. 'Y