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Home My WebLink About44229_WARREN, RONALD_20060123 (2)i =�EIFX� DGE & FILL NY 4 4 2 29� PERMIT Previous permit # Ylew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources -7 1 /00 and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC [jgOtules attached. Applicant Name Foeyfuf ( riej Project Location: County ��-t�✓-{� Address �s�`� `�/dwf G i �'► ,, IV/ Street Address/ State Road/ Lot #(s) City— � State 1v/ C- ZIP -0-1r) c7 �� -� �1 `Y 11)06t1 C �` 1 Phone # �Fax # O Subdivision Authorized Agent City_ _ _ ZIPr �7 Affected ❑ CW ❑ EW ❑ PTA S ❑ PTS AEC(s): ElOEA ElHHF ❑ IH UBA ❑ N/A ❑ PWS: ❑ FC: ORW: ye / no PNA yes / no Crit. Hab. yes / no Type of Project/ Activity D r �(, c ,0'/ Phone # () River Basin • t- LI"''/ Adj. Wtr. Body X��u ✓ G�" J a man Lunkin Closest Maj. Wtr. Body (Scale: /X"/J ) Pier dock length Platform(s) cubic yards Boat ramp Boathouse/ Boatlift _} Beach Bulldozing -- --- Other--I `✓r - �r �Uo C,� Shoreline Length S 8t I + SAV: not sure yes no —_ - Sandbags: not sure yes Moratorium: n/a yes - r Photos: yes 1 - ll Waiver Attached: yes - A building permit may be required by: / ❑ /See note on back regarding River Basin rules. Notes/ Special Conditions �i�`C c �c.-. I LG IA, G-1Jvt , 1� k-e-j C,I c S ✓i r`?,, Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** /C) v ' ' Lii6Z A11P10fa61 n FA.(0 (-k. L 9 Perm cer"sSignature 7I R3 vi Y a3 vr- Issuing Date Ex iration Date Local Planning Jurisdiction Rover File Name IMPORTANT MESSAGE FOR o1,,�'ro DATE Z�3 TIME G 1 M. M 4, S I144Cg OF PHONE AREA CODE ❑ FAX ❑ MOBILE AREA CODE NUMBER EXTENSION NUMBER TIME TO CALL TELEPHONED PLEASE CALL I 7� __ .CAME TOSEE YOUWILL CALL AGAIN TO SEE YOU RUSHRETURNED YOUR CALL SPECIAL 3002P MADE IN U.S.A. RONALD P. WARREN ^^ NCDL 5451177 STEPHANIE P. WARREN NCDL 3320825 8514 WOODCLIFF PH. 91"543745 P.O. BOX 4546 EMERALD ISLE, NI; 28594 701 4262 66-19/530 NC.. It 2002 IC Bank ofAmerica Dollars 8 at ACH R/T 053000196 MemoC�l�' itS300 L �: 000 6 5080 7 20 9n' �—� 62 JUl-lb-20H WED 04:21 PM NO DIV OF COASTAL MGMNT FAX N0, 4 P. 12 T` x�r ,�iT (�y; �('�j�j�j �'(, /-��'pr�. D�"(��'��7''1 � irk DOM l c Cil. r1 i1LlL tLrLr1L]1 !_RE-+.-iG-Lll]_,RD '' 1F1��L.LEST D DIVISION 01" COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM f-e�e-- N,-1111c of Individual applying for Permit: Address of Property:—... (Lot or Street H, Street or RoRd, City & cooncy) I hereby certify that I own property adjacent to the above referenced property. The indivi(lual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. _ •__ I have no objections to this proposal. 1f you have objections to what is being proposed, please weile the Division of Coastal Management, 11e,aron Plaza H, 151-B, fltvy. 24, Morehead City, NC) 28557 or call (252) 808- 2808 within 10 clays of receipt of this notice. No response is coltsidercd the same as rzo objection if yosj have been nolifted by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 1 S' from my area of riparian access unless waived by me. (If you °` wish to waive the setback, you must initial the appropriate blank below.) _ „__ I cat, wish to waive the IS' setback requirement. I eta ,tot wish to waive the 15' setback requirement, 1W. /,�, l e Signature Date Print Name Telephone Number With Area Code 9OT-15-2003 WED 04:21 PM NO DIV OF COASTAL MGMNT FAX NO. 4 P. 12 , �^'(�� '(; (�� j�`��"' .I N, 1 '' ItJub [11[11L1111_i�1iC PT .RD G �==S �y DIVISION OF COASTAL MANAGEMENT IVI®t`ehe 9- ri C-,Ity [)C ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Frame of Individuai applying for Permit:- -- Address of Property: --- —� -- (Lot or Street #. Stieot or ROW, City & County) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. f 1 have; no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Manageinent, flesiron I'La 11, 151-B, fltvy. 24, Morehead City, NC, 28557 or call (252) 808- 2808 within 10 clays of receipt of this notice. No response is considered the same as no objection if yotj have been notifced by Certified Mail. WAIVER SECTION I understand that a trier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a mininntm distance of 1 S' from my area of riparian access unless waived by roe. (If you �. wish to waive the setback, you roust initial the appropriate blank below.) l (to wish to waive the 15' setback requirement. —_ I do not wish to waive the 15' setback requirement. Sipnatur ll Print Name ✓��S Telephone Number With Area Code