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HomeMy WebLinkAboutFishhunt LLC�2�AMA / G]'DREDGE & FILL No. 74431 -+ A B D OtNERAL PERMIT Previous permit# fNeW' ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As autho''1Ij<ized by the State of North Carolina, Department of Environmental Quality —'] / / rj /i� '�i t/�,t/ ) and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / /` C Grt C. ( % / ❑ Ru es attached. Applicant Name(( { i f n GG �- Project Location: County ( V r Yy Address ` rl �% r': (r y J �^ J �� i ;f Street Address/ State Road/ Lot #(s) State ZIP Phone # („�'�)�I I' "1 E-Mail Subdivision f (? Authorized Agent �j1 trr f�., 4 ry, / Cityi I/ ZIP �( Affected ❑CW ❑EW -[PTA —rjES ❑PTS Phone# ( ) River Basin AEC(s): ❑ OEA rl HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body - 1 / / / (date/man /unkn) ❑ PWS: ORW: (yes �] no PNA yes / no Closest Maj. Wtr. Body i ■■E■EA� ■■■■■■■■■■■■■►■■■■■■�a■NEW ■ 11REEM■!%A22 ME �Jw■■ENT4 MEN NEE■■■�■ 1� ■■■■ ■ .■■■■��9!■►.�iMIANN■RIVEM NNW END �i]■■■■■ ■■■E■iiEM-I w■■NAMMIUJ■■■ I�7MEi■■�■■■■■■ ■■■■■■M!"/�L =110■IMUEEM■■■■► IAWINE ■■■■■■■ ■■■■■■filM■■L+■[i■■■■■�■E■■■■I+■■■■■■■■■■■■■ ■■■■■■■■■■■■. ■■i■■■■■■1�■■■■■■!■011 ■� ■■■■■ ■■■■II■■■■■■■.■%■■■■■■■■■■■■■■■■,■ ■ MEMO■ CCM:::: ISEEMS 110SEEMEMEN MEEMBEEMEEMEM (IM■■■E■a■E■■ IM■■'I.EILMSM■E■■■■E■■■■■■■■■■ ■N ■■�j■■■N■■%%■■■■■■I■■■■■■■■■M■■■■■■E■■■■ G::::::::�:�■MMEMIEMM■■■■�C.■ME ■■■■iHEEMEMEMEEM ■■■■■■E■■ ■■■ ■■■■■■■■■■ MEN 1111ME 110101,1111NEEM MEiiiioiiiii�iiiiiiOMN awimmmmm!mllllmm MEN MENEEM ME n/aMoratorium: yes n. .■.NONNI ■■ \�InRNME■■ ■ O■■■■■■■ E■■E■■■ Photos; yes n : MEN M:'CENEM ME: M Waiver Attached: yes ME -won ItI-I Agent or Applicant Printed Name Signature **Please read compliance statement on back of permit" �) .. Permit Officer's Pr�tecl Name Si nat re Issuing Date E*lration Date Application Fee(s) Check # CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: k— (Lot or Street #, Street or Road, City & Applicant phone #: nt d' L I tPs 1 Mailing Address: T O K� S VJ f 1 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.1 desomp`tiort or drawimti Stith 7mensre h"rr usfbe`iroVewitl�tfiis lbw. have no objections to this proposal. I have objections to this proposal. If you have objections to what Is being proposed, you must notify the Division of Coastal Management (DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices Is available at www.nccoastalmangement.nettcontact dcm.htm or by calling 1-888-4RCOAST. No response Is considered the same as no objection If you have been notified by Certified Mall. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of 15' 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 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Informa Signature Print or Type Name ailing A'ddre . OtMA2- �"300 City/StateMp � a Telephone Numbelr�/� , (� may) "� " O p r�Y! Date (Riparian Property Owner Information) II 1( Signature It 1I Print or Type Name Mailing Address �t ll City/State2lp Telephone Number Date INS �Ic�s �- fizsi�uNr �a�p ,6. . CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION(WAIVER FORM Name of Property Owner: is L jjv�J (�� ( ' ✓l Address of Property: ad -r,�Uv I(I K-(� i �,(r��fi✓ �� ( y `' (Lot or Street #, Street or Road, City & Co - Applicant phone#: )� ZI� A6IMailingAddress: 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 drawin the development they are proposing. A 3esent Sion or diraw�na anti -dimensM mustcb provtdedNult i€C4ifs 60 (./ I have no objections to this proposal. I have objections to this proposal. ffyou have objections to whatis being proposed, you mustnotify the Division of Coastal Management (DCM) In writing within 10 days of receipt of this notice. Contact Information for DCM offices Is available at www.nccoastalmangement.net/contact dcm.hlm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) L�l do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Prope y Owner Inform o ) ignatur rant or t ype rvame 10 &3 (g�60 Me 111n (,9" 6 r<<u�►�{ N� �14y,O,n,n.41N OAp C IZ( ) Telephone Number ( O J Date (Riparla Property Ow r I formation) Szgnature Print or Type Name Mailing Address City/State2lp Telephone Number ,t b r � { }aiIitj ht�ri r.F3�5�6 �,��s�J hRi �Oi'r£Sr .V. •yr, +tom. i iAbr is„?dt r�} �.Y`Q� (6F Ks ly CD sw- It ir i I •Y �`} j l d 1 N ai d /,i} 1 '1 ,'.: i �� V �� � � mot•,"i.� t sp1 ". S �. � t t ,��� +"Y� � � `:`i q 1a '}'� ; ie72� R r v1)I'•q`'�^' s :d: I e ), k r Iry « i It ql aj ;9 0' � :1r o-;�� tlr rr }:e „# •3C. I o� °., F I s i ,.✓ ti. � �.4. t.15 �5. day v vr