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Home My WebLink About67287D - Kelly�]CAMA / ❑ DREDGE & FILL GENERAL PERMIT KNew ❑Modification ❑Complete Reissue ❑Partial Reissue orized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC A B Previous permit # Date previous permit issued ❑ Rules attached. nt Name �CAYCVI La ml kt 1 I Project Location: County Street Address/ State Road/ Lot #(s) l�kt:iQ�l State (',I[_ ZIP 2�Ff^�) t E iLl� Ertl Ll'J Gf i Li # (�� ) ��' ' E-Mail /I Subdivision x t� ized Agent (� ��YLl1 010 'j1L4-i City V; 11 f S VI Ike 160 c 1 ZIP q) q � d ❑ CW %1EW $FTA ❑ ES ❑ PTs Phone # ( ) 25(6 3CA01 River Basin r ❑ OEA ❑ HHP ❑ IH ❑ URA ❑ N/A Adj. Wtr. Body -X{-(- ❑ PWS: yes / no PNA yes / o Closest Maj. Wtc Body l famf 6 akl A Project/ Activity fir.- (Scale: , �f lock) length �latform(s) g Platform(s) pier(s) / } length .. umber ! I !ad/ Riprap length vg distance offshore iax distance offshore channel r , ��ft•lit•mmmmlubic yards �fl�ft•� I♦ ■■■■■■ ■■■■■ ■ imp ■■■■■■■■■■■E MINNE 1■■ ■■■■■ ■� ■..1■..■■■■ ■■■■■■■■■■■■■■■ ne Length ■■■■■■■■■■■■yes no mom yes Attached: yes ling permit may be required by: `1 F!r'([ �,`') ❑ See note on back regarding River Basin i Local Planning jurisdiction) CERTIFIED MAL • RETURN RECEIPT REQUESTED DIVISM OF COASTAL MANAGEA"T ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAMONM1AIVER FORM Name of Property Owner n Address of Property. d lu, Ze og #'� (W or Sheet fit, or R , City d, COMM Agent's Narrre J f'� 414 _ Mailing Ad ress: Agents ptane * 10- 2J0AhJ- � � , 1 hereby certify that I own property adjacent to the above remrenced property_ The individual applying for this permit has described to me as shown on the attached drawing the development they {are _ proposing- A � or drawim amertsions must be tirnn+idesi with letter. have no ob' tiorrs to this RFOPM9. t have of jcctipns to this prbp"- you lfet eoWWisbeiogP"osed,Yotrnaatnoi YegeDivtsionofCo+starAsw w#ftV within 10 days of mceipt of d9s aaeica. CwwV wd&" sbOUN be atmeed to IV QwWW d Deese Eut. wo"09ftm NC, 2S425-3MH DM Mp+rse tM&w can also be contacted as (010) 70&M5. NO MPMSe AS riwmki ad Me as no obiscekW IfYM hope been aoBifwd by C Bait WAIVER SECTION Jf I understand that a pier, do*. mooting pits, breakwater, rift, or groin must be set hack a minimum distance of 16 tmm my area of riparian access un;M waived by me. (if you wish to waive the setback, you must ire the appropriate blank below.) I do wish to waive the 15' setback requirement I do not wish to waive the 15 setback requirement. Owner Mfonnation) Signature " e,-,, 0 - ��--- Print or Type Name Me tiro Aditss RaZ. , ,1 . t_ 7�a9 city djacettt =Ownertlanj/J ure ir1 Prix# or Type Nsrne qlr& l /W Maaing AOWS * N.& MY5 C1fyistar 0 r,: -"7trn C- !:;; , CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: ert/ Address of Property: u `4 (Lot or Street #, Street or Rok, City & County) �- Agent's Name #: �� "�n'� Mailing Address: I Agent's phone #: 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 h r roposing. A description or drawing, with dimensions. must be provided with this letter. I have no obiectio s to this proposal. I have objections to this proposal. Nyou 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. 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 objection if you have been notified by Certif!ed Mail. fn WAIVER SECTION N I understand that a pier, dock, mooring pilings, breakwater, boaY house, 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. (Prope Owner Information) Signature Print or Type Name Mailing %Address City/State2q — , djacent r rty r Sigi lure Print or Type Name Mai ing A drds,s City/ate/Zip n. , . -- D ft loogle Earth fee meters �s�1 'j ZTV IF& Cf/f&.iw' arow4n / P.O. Box 868 40. Wrightsville Beach, NC 28480 U9101 9RA-4nmet VV wf.,F/" -E, C E I VE OCT 2 6 M6