HomeMy WebLinkAbout74355D - MillerCFE
/ DREDGE &FILL
JGRALPERMIT
NModification ❑Complete Reissue El Partial Reissue
No. 74355 A
Previous permit #
Date previous permit issued
C O
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 I SA NCAC 0 714 • 1 100
—� ❑ Rules attached.
Applicant Name :5 ET-�>F gC JAAt/ MILAAr,9 Project Location: County S¢LA_,*4501 t1c,
Address 204 EC. IA/GT'otJ ST Street Address/ State Road/ Lot #(s) ( (
City .FAyrT- r-vIu - State ZIP ZY3uS 1,,1OAJ5 AW V 1Z-
Phone # (qiQ) 82¢' 44-13 E-Mail jJIA Subdivision /I
Authorized Agent ARC 0 `. City iAOxyz::^/ 15rAG-H ZIP z p+(. Z
Affected ^CW ❑ EW ❑ PTA )(ES XPTS Phone # ( to4P ( O River Basin LtA A0W_VX
AEC(s): ❑ oEA ❑ HHF ElIH ElUBA El N/A Adj. Wtr. Body C A NCI L (na ma�/unkn)
❑ PWS:
ORW: yes no PNA yes /� Closest Maj. Wtr. Body A I K% W
Type of Project/ Activity RELAtf— J ALK"V-Aln 1/d SAMr 1AuC Ai. 4rw -r
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A building permit ay be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or ,AolicOt P intkcl N e ;
UOL.P154V tkA w ❑ See note on back regarding River Basin rules.
6r"1,A--iCz.Jl' APPLY .
Signature Please read compliance statement on back of permit **
.#4PO 44 35V, 5
Application Fee(s) Check #
VLF
Permit Officer's Print Name
Signatur
3 1 cA I 20 19
Issuing Date txpiration Date
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Is ham" a r 0 m I I is act anv.w beh
bti ceder to obt- ¢fit C.ANA pew tbgEired for the pmpaft IMd bokm TM won is lildijd-ic
spy a -, described in the ZAdvad skeb#
PiifiE 'MV COMM MANAS 11MDR�S:
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER OTIFICATION/WAIVER FORM
Name of Property Owner.
Address of Property: i 1 1 L-t, a
(Lot or Street #, Street or Road, City & County)
Agent's Name #: L7 i 1 t,
Mailing Address: 5 c�imn
Agent's phone cop Iv Odle- Z j,&7
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 must be Provided with this letter.
I have no objections to this proposal. I have objections to this ro osa1.
P P
If you have objections to whatis being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
considered the same as no ob"ection ifyou have been noted by Certified Mail;
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin -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.
ope caner Inf ation) (Ad'ace rope Owner 1 mation)
G
i atur tune
ti
°Tint or T Name
Mailing Address
Nty/ ate/Zip
elephone Number
We
Jo4►� �� �r1zI
Print or Type Name
,5pzv PI2Lc
Mailing Address
141
C Zd�Zo y
ity/State _ip
7D4
Telephone Number
Date
Revised 611812012
CERTIFIED MAIL •RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACFNT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner. 7� ^1
Address of Property: L. r 0/1 S
(Lot or Street #, Street or Road, City & County)
Agent's Name*: Mailing Address: 1 SDI 5-��
Agent's phone #: �) I � S" U7 / i � r� yJ , � �
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 prop g. A description or drawing with dimensions must be Provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
ff you have objections to whatis being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
considered the same as no ob "ecdon if you have been notified b Certified Mail;
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin -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.
P
T4� V VAI 1
Print or 1-YPe Name
ufal g Address
Wy/�tateip
elephone Number
We
(Adjacent Property Owner Information)
Signature
Pnnt or Type Name
Mailing Address
City/State/Zip
Telephone Number
Date
Revised 611812012
542
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RDcd t or Rdund/RN#tu stDd
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Columns
Column➢
Column7
Column➢
Column➢
8I172019
Will Rk*wrdsonlPochardson Constn+cllon
Will Richardson _ _
BBBT
Bank
7463
3585
$ 200.00
400.00
GP #74256D
OP #743550
TP rct. 87586/l/2019
BB rct. 9134
_
Holden DocM and Bulkheads I
Jeff and Joan MillerCresCom