HomeMy WebLinkAboutMorris, James❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT.
FINew ❑Modification ]Complete Reissue ElPartial Reissue
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
J
No. 76313 A B (c , D
Previous permit #
Date previous permit issued
15A NCAC � oo
❑ Rules attached.
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Applicant Name F /t ICY / Project Location: County
Address 'O� �/' G Street Address/ State Road/ Lot #(s)
L e State't/e ZIP r 7� ' 5 J /` r� w /Vrrl
City 7/�
Phone # jN )->'/ L 4�S/ E-Mail Subdivision
Authorized Agent
Affected OCW 12EW DPTA El ES ❑PTS
AEC(s): oOEA ❑HHF ❑IH OUBA ON/A
❑ PWS:
ORW: yes /lino PNA yes /1fro'.
City fJCr 21 C"� ZIP J4J
Phone # O / River Basin �J
Adj. Wtr. Body C tI/ U ,at man unkn
Closest Maj. Wtr. Body
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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner. J ow es M e Yr S
Address of Property: 5 b O y (<GI Ndk& ► 1 eW.- T--a
(Lot or Street #. Street or Road, City 3 County)
Applicant phone #: _P62-34Z'7gQ Mailing Address: P-3 Of
5M leer ft Ale,
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 drwMng_the development
they are proposing. A description or drawing with dimensions, must be provided with this letter.
Per I have no objections to this proposal. I have objections to this proposal.
Myou have objections to what Is being proposed, you must nod& the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact Information for DCM oA7ces Is
available at www.nccoostalmongementneNcontact dcm.htm or by calling 148884RCOAST. No
response Is considered dw sanw as no objection M you have been no@Bed by Car~ 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.)
I do wish to waive the 15' setback requirement.
l!s I do not wish to waive the 15' setback requirement
Owner
or Tvne Name
as),-3l42 -?4
Telephone Number
-?'Ijr1.71,
(Riparian Property Owner InfamuMon)
Signature
Print or Type Name
6 41 41akoK V
MaNtng Address
,1JG
/SYatemp
Telephone N
�lIS 2p
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
Name of Property Owner: i� H'/1�e5 M 0-rL. S
Address of Property: Sao ►1 ekovi N%�Q
ec4e- '
(Lot or Street #, Street or Road, City & County)
Applicant phone #: od's d� — 3Lt z - 14 5 Z
pr+o-,� a5a,723 - 3iP35
Mailing Address: ••72?0eI/nn��&T r`-�/
(�c14 A/c oW f 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 drawino with dimensions must be provided with this letter.
V I have no objections to this proposal. I have objections to this proposal.
If you have objections to what Is being proposed, you must notlfy the Division of Coastal Management
(DCM) In wilting within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.neticonfact dcm.htm 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Wt nature
Print or Type Name
aa� sill lh1(
Mailing Address
�C6t u6 Pts'??
Citylstarelzip asp 3
aka.-3c(2--?lgv �/ -�-713s
Telephone Number
Date
(Riparian Property Ovyner Information)
Signature
(wry -Ai (11c
Print or Tyjbe Name
139
Mailing Address
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2�a - XT-
Telephone Number
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