Hammer, Douglas 77146C

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F CAMA / ❑ DREDGE & FILL N9 717146 A B C D
GENERAL PERMIT Previous permit#
flew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Applicant Naiw me (_ f ���T( Project Location: County GZ4���
Add re 1 Street Address/ State Road/ Lot #(s) S
City State ZIP
Phone # c )l�3Z2 E-Mail Subdivision
Authorized Agent City ZIP
❑ CW ^>WTA ❑ ES ElPTS Phone # O River Basin
A�A&
ffected ElOEA ❑ HHF ElIH ❑ UBA El N/A l� F
AEC(s): El PWS: Adj. Wtr. Body
ORW: yes / no PNA yes / no Closest Maj. Wtr. Body
Type of Project/ Activity 0 T I (l C)G
Pier (dock) length
Fixed Platform(s) `
Floating Platform(s,l
Finger pier(s) �
Groin length
number
Bulkhead/ Riprap length ' Y
avg distance offshore
max distance offshore r—
Basin, channel
cubic yards <�._
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
i
SAV: not sure yes no..._....-____...__._.__....._.__.—t_...-- _
Moratorium: n/a yes no
Photos: yes o
Waiver Attached: yes n
A building permit may be required by: Ine Kn Q
( Note Local Planning Jurisdiction
Notes/ Special Cy111. /�onditions ui _s i a
OVA las- ffawwx
Agent oo ant Printed �N me
S
Permit Officer's
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Scale:
❑ See note on back regarding River Basin rules.
f I i.—/ n
Sig ture PJ se read compliance statement on back of permit"
Application Fee(s) Check #
Sign ure/
Iss ing D to Y�Eration Date

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Doinestic Mail Only
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CertHled Mall Fee CC
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Extra Services Fees (check o, add lee sJ L lI a(e)
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16
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❑ Return Receipt (hardeoph $
❑ Retum Receipt (electroMo) $ �k 1 I t I) t
Postmark
Date
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❑ Certgied Mall Realdcted Delivery S $9. A(4—_
❑ Adult Signature Required $ —
Here
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❑ Adult Signature Restricted Delivery $
Adjacent Property Owner
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Postage cc
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TotalPoetagean eee
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Mail�ln1� Address
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sent To
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City, State, Zip Code
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----------------------------
Dear Adjacent Property:
This letter is to inform you that 1, Do LUAU IJ koq m _ ° have applied fora CAMA Minor
ropert5r Owner
Permit on my property at 145 Luk al - In 0 Y��
P petty Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawings) as notification of nay proposed project. No action Is required from you or you may sign and return
the enclosed no objection form. It you have any questions or comments about my proposed project, please
contact me at -�L 49 3762 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
Sincerely,
'DQVA1a5 _&.-%, er-
Property Owner
Mailing Address
City, State, Zip Code
RECEIVED
'AUG 2 0 Z020
Ulf""l-M44ft, "'t?TY

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