69122D - Dittmar

(LAMA / ❑ DREDGE & FILL
;ENERAL PERMIT
New ❑Modification ❑Complete Reissue ❑Partial Reissue
•ized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
: Name t' M �)i" d
n-7�GG Statey ZIP
�- Sj4 E-Mail
ad Agent SGtM M\ j\ A V VIA M
❑CW 7\ A DES ❑PTS
❑ OEA ❑ HHF IH ❑ UBA ❑ N/A
❑ PWS:
yes / C) PNA yes / (01
Project/ Activity
7Yt V
:k) length
itform(s)
Platform(s)
igth
nber
1/ Riprap
;distance
x distance
cannel ;
)ic yafds
rp
se/ oatli )lam
J
0
0
A B
Previous permit #
Date previous permit issued
f4. Iaob
❑ Rules attached.
Project Location: County (AsyA (
Street Address/ State Road/ Lot #(s)
Subdivision -
City Gt ZIP
hone (1 10) q J . Lf S River Basin
Adj. Wtr. Body a 0 (A (nat /r
Closest Maj. Wtr. Body
not sure yes re) i (I i '`I I I I I — f ` I V
i
ium: n/a yes f
yes
kttached: s p no
ig permit may be required by: T0b1JA 6 Q� A IA �� u
l
❑ See note on back regarding River Basin r
1 11 rl

NC Division of Coastal Mgt. Habitat Impact Comi
Applicant: �rv�p1,V 7T q
Date:
Describe below the HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FII
(Applied for.
(Anticipated final
(Applied for.
(Ar
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
dis
Habitat Name
Choose One
includes any
Excludes any
total includes
Exi
anticipated
restoration
any anticipated
res
restoration or
and/or temp
restoration or
ten
temp impacts)
impact amount)
temp impacts)
am
C V V
Dredge El Fill Both Other
V�A/
( � l
1� q
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

Print
Page 1 of
Subject: [No Subject]
From: [e-mail] ([e-mail])
To: [e-mail];
Date: Friday, March 31, 2017 10:36 AM
5
Sent from Yahoo Mail on Android
Attachments
• 0331171034.jpg (3.15MB)

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Ktr lc-�, n1'.A -omr
Address of Property: FQ1 rrnon ��-
(Lot or Street #, Street or Road)
C�
(City and County)
I hereby certify that I own property adjacent to the above -referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development thi
are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
osal.
If you have objections to what is being proposed, please write the Division of Coast;
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39C
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
[ understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s(
)ck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ifyo
wish to waive the setback, you must initial the appropriate blank below.)
t�
sign N
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Date
0
AWKWA

Page 1 of
Back to Message New Document(1).pdf 1 / 1
DWISION OF COASTAL MANAGEVF.NT
ADJACENT RIPARIAN PROPERTY Q% NER NOTIFIC.ATION.'WAI«R FORNI
Name of Individual Applying For Permit:
Address of Property: " +ilo) ,,- <+ C) _IS
(Lot or Street #, Street or Road)
SI ll'c k (7
(City and 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.
L/ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 23405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
You have been notified by Certified Mail.
WABTR SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set
bek 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 bunk below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
2 91
Date
t.l�kyl.-4/
Pnnt Name
/ A /A / 11M

Brunswick County GIS Data Viewer
Page 2 of
JOA