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Length (a
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yes no
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g permit may be required by: JC1
1CAM4 / LA DREDGE & FILL
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11ENERAL PERMIT
Previous permit# A B
]New ❑Modification ❑Complete Reissue ElPartial Reissue Date previous permit issued
•ized by the State of North Carolina, Department of Environment
and Natural Resources
0W
:oastal Resources Commission in an area of environmental concern
pursuant to 15A NCAC
f ��f/
�� �• l
,? ❑ Rules attached.
t Name , 4 CVO `C� U
S p,n
Project Location: County [:) ry x-. S C
3
La vN A iu 1Z oo
Street Address/ State Road/ Lot #(s)
State ZIP 2�
�01 G-
(8A13) q4 f - SgIZ E-Mail
Subdivision
ad Agent
City2 S'ctod
II
ZIP
❑ CW XEW ❑ PTA ❑ ES ❑ PTS
Phone # ( ) River Basin C f" k
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body W f ti ('J (nat /r
❑ PWS:
yes no� PNA / YeS / no
Closest Maj. Wtr. Body
Project/ Activity Cvos-Y-v c.-+ ti'x�(�.J l3 x t- ru [-be 4 l r
(Scale: I �= ;
.L S (a h d . ❑ See note on back regarding River Basin
i i n l I
ocal Planning Jurisdiction) 1-7
Co
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: LL> 1 (l kc �N qu d,)u"
Address of Property: V Lr > r y��h f- ( i V i ( mil/ �� f
(Lot or Street #, 'Street or Road, City & County)
Agent's Name #: Mailing Address:`
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
they are proposing. A description or drawing with dimensions, rnusi be provided with this letter.
I 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. 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 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.)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prop rty Owner Information)
Si a ure
1A ) ( ) < iLY)-HLJs n
Print or Type Name n
(Adjacent Property Owner Information)
Signa e ,
Print or Type Name
.. . ----
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to UdS or, s
(Name of Property Owner)
property located at LUG Z-,rs c 1, 0 ceA- P/C
(Add ess, Lot, B ock, Road, etc.)
on in Olr if li5-/g, N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above locat
V I have no objection to this proposal.
11
r I have objections to this proposal.
n
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawini
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set N
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to v
the setback, you must initial the appropriate blank below.)
S" I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner formation)
Signature
�.✓� ��i(irn 144dSr�r,l
Print or Type0`1
ame
3 - 46 01 "-- TG/,
(Adjacent Property Owner Information)
Signat e
S744-&�2
Print or Type Name
6! r_ ., i , M _ i _ /
Mailing Address
Mailing Address
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
C (,zLl-�'r#, Cr -H�,c�.-S
2�� A 5 h 6-11-1
A. Signature,
X�
B. Recei�l by (Printed Name) I C. Date of Delivery
D, Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail® ❑ Priority Mail ExpreSSTM
❑ Registered ❑ Return Receipt for Merchandise
0 Insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee)
2. Article Number IIIIIIIII IIII'I IIIIII IIII IIIIII III I IIIIIIII III
(Transfer from service i
PS Form 3811, July 2013
❑ Yes
)an, Brooks R
r Weychert, Curtis R
Wednesday, August 30, 2017 4:46 PM
Surgan, Brooks R
zct: RE: General Permit Recommendation request
red it was already issued when I saw the signature and check number. Normally, this would have been looked
torably, but seeing as though the permit has already been issued, there isn't much we can do. It further
flicates the issue because sling lifts are difficult to impose stops on. If you could just ask the applicant to ensur(
is a ROBUST system to ensure the lowest point of the keel, not necessarily the stops, prevent the boat from
ling the soft bottom PNA habitat. The good news is that the PNA in the AIWW behind OI is highly altered and
loped already. In the future just let me know if you have projects like this one because Courtney and I have rur
r of these and made some creative solutions to these kinds of issues.
: Surgan, Brooks R
Wednesday, August 30, 2017 3:37 PM
✓eychert, Curtis R <curt.weychert@ncdenr.gov>
,ct: RE: General Permit Recommendation request
Dt certain what type boat it will be, however it could be a johnboat. Regretfully, I have issued the GP already fc
ft and they owner has a building permit from the town, so they may have started work on it. I'm notifying you
I realized I had made a mistake in authorizing this without DMF approval.
ks R Surgan
Representative
on of Coastal Management
Carolina Department of Environmental Quality
'96 7270 office
,s.suraan(&ncdenr.aov
;ardinal Drive Ext.
ngton, NC 28405
�:�: Nothing Compares
urgan, Brooks R <brooks.surgan@ncdenr.gov>
?ct: RE: General Permit Recommendation request
3rooks, normally I would have objected to a lift in water that shallow. What kind of boat does he have? If he jL
small johnboat, maybe a single pile swing lift would be more permittable. Has the GP already been issued?
is Surgan, Brooks R
Wednesday, August 30, 2017 10:22 AM
Veychert, Curtis R <curt.weychert@ncdenr.gov>
act: General Permit Recommendation request
logize for not coming to you first before issuing this permit. The attached GP shows a sling boatlift in approxim
A water, I would like to know if you would approve of the lift if stops were installed 18" above the substrate? I
itioned the permit that way. I will be sure to come to you in the future for projects with minimal water depth i
,ks R Surgan
Representative
ion of Coastal Management
i Carolina Department of Environmental Quality
196 7270 office
ks.surgan ncdenr.gov
cardinal Drive Ext.
ington, NC 28405
f a �' Nothing Compares---,-,
7 correspondence to and from this address is subject to the
7 Carolina Public Records Law and may be disclosed to third parties.