HomeMy WebLinkAbout18222D - Hughes rI
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CAMA AND DREDGE AND FILL
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GENERAL 018222 71)
PERMIT
as authorized by the State of North Carolina
1N�� Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
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in an area of environmental concern pursuant to 15A NCAC I Al, 0.-10v
Applicant Name go MO n o /�f u ie.j Phone Number 9 I U a ?v-3a00
Address as 0 WASAtnifon Metes FUF1d
City i i psi 1d State N /U Zip a6 4413
d Clou n as lcJii h; to Acre
Project Location (County, State Road, Water Bo'dy�, et`c.) / n
Tory] i ►''(i1-rn 5 fi id , l�J� 1 t )
Type of Project Activity f tkAy pi feed-t c.ot1e-ry d c;i0c- ; T-/o A T l Aci d QC ic-, 61d
(4 n co ue-re d OA Ir(1s
NI 5-t-ric �e &si- loe, C) It S4 6O OK or AI-„.)1Vedge�c
c M1 O(4\ cs or -11-‘e StrtAchres ►Aus* bee (a) (ass 1ST arf of C etfs r\ C fr':doe lie
PROJECT DESCRIPTION SKETCH #c=(Au) (ScLE: /Jur — )
Pier(dock)length Al
)( &+ aside.) floor 1 •
•
Groin length
CO�Q�P 0 � 'I 11.n '- ) I�
number `0 0 A Qc'Q/f)
<"��Bulkhead length \ y ® ' tf f
max.distance offshore
Basin,channel dimensions
cubic yards
Boat ramp dimensions -
Other I(or X it0 `
Cor d cl cock.
a CL n w UQ re d >
PFS IA( 131 t t,'1' , -- : U
This permit is subject to compliance with this application, site /
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- applicant's signature
come null and voider
This permit must be on the project site and accessible to the permit o icer s signature
permit officer when the project is inspected for compliance. I s- ( Iu i 5 'qq
The applicant certifies by signing this permit that 1) this pro- j j
ject is consistent with the local land use plan and all local V issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no rt/�-r , /0-00
objections to the proposed work. attachments
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GENERAL PERMIT COMPUTER FORM
APPLICANT NAM": A y M 0 (\CJI -+\ucj k e3
ADDITIONAL NAMES:
AEC DESIG: T ' E (A) DEVELOP AREA: .Ol PROJ DESC: f —
(will only take
(WM only take 1)
WORD: TE I(.O` X. I (tot - I I 'X I(o
(Will onl3'takc 4) 16
l i' X I G/ '
MAIN T:
.)1)(Will only take 4)
IMP: n toJ o 17 CO
(will o tA1 O (A) ! '1
ACTION EXPIRATION
DREDGE&FILL REQUIRED: Z—1 14 9.g 8 1 I 1 1v
CAMA MAJOR DEVEL REQUIRED: 11
SENDER:
o •Complete items 1 and/or 2 for additional services. I also wish to receive the •
rn •Complete items 3,4a,and 4b. following services(for an
H •Print your name and address on the reverse of this form so that we can return this extra fee):
h card to you. <
■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
E permit. 1
a.) ■Write'Refurn Receipt Requested'on the mailpiece below the article number. 2. El Restricted Delivery G
E •The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee. !
o i
o 3.Article Addressed to: 4a.Article Number92 o
co c
a C{CNf/-',C 4b.Service Type
u �f.�%�S �/' V-§ 0 Registered 0 Certified o
r
gl
u ). D �� 0 Express Mail 0 Insured
CiHAM/w r` ❑ Return Receipt for Merchandise 0 COD
n f{AMcisT /►Ps
2 _ 7. Date of Delivery
g` -ref-5 C
o 5. Received By: (Print Name).N "J f. 8.Addressee's Address(Only if requested i
- and fee is paid)
r 1
5 6.Signature: (Addressee or \t). Est v
o
w PS Form 3811, December 1994 Domestic Return Receipt
CAMA PERMIT REQUEST FORM
APP IC S NAME j 4 ��� i PHONE
NUMBE22- � D 1
ADDRESS- -f_t/E� L - -t
CITY—,07-24" STATE- 12C ZIPal5e
PROJECT LOCATION (CITY,STATE ROAD,WATER BODY,ETC )-- --e 2
TYPE OF PROJECT- 2-r--4
SKETCH—
_rob.) 1,,t
300' sY��
► o if/
it )
a► • i•ant's signature
•
rip. 'an wave weer adjacent
riparian waver owner adjacent
—_ r
_ 997
—=�� CONSTRUCTION ss-so�365 J , `
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CLEMEN 10 MARINE j--J�
g10_77NC HI NCDL 210 W9 Date
577 NC HIGHWAY 210 W CM
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' HAMPSTEAD,NC 28443 �j U �i
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`� Pay tothe Dollars El-...—::-..
Order of
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FIRST CITIZENS rc
i �_�T First�CIlizemN�2B443st ComPaDy
K Nsmpsload, 1:7' � F
For ii0Ogq ? � ,
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L �—�—— . .... —m � GUARDIAN®BAFET'i BLUE WDBL
�:053 L00300�: 353 20
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