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HomeMy WebLinkAbout69294D - WalkerCAMA / DREDGE & FILLW31$ ,� A B EN ERAL PERMIT Previous permit # New Modification r Complete Reissue Partial Reissue Date previous permit issued___ rized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC o CK i f ( { ❑ Rules attached. nt Name L-y� �0=fib; f �j 1'iN Project Location: County �. s _ - y'-- '? Street Address/ State Road/ Lot #(s) 1 State �." T: E-Mail ized Agent (.-'c, t t KWA... � Alt f'4 d ❑CW _7EW *A DES ❑PTS ❑ OEA HHF ❑ IH ❑ URA ❑ N/A ❑ PWS: yes / no PNA yes / no Subdivision ZIP t Phone # (`") `{r'`�" o' River Basin Adj. Wtr. Body f" r'1. (nat Closest Maj. Wtr. Body ,41 {, ZI A Project/ Activity � kr r✓_ � � p€ �J't , Aykj �-f (Scale: t - length ad/ Riprap length vg distance offshore iax distance offshore -hannel I A■■■■■■■�■�■■■■■■■■■■ M■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ NEEMEMENOM FAMMIWAM1111MMINEMEEMMENU ■■■■■■■■■■■iliii■■■■■■■■■■■■■ ii�iilORE r�i i a--- - �ilr ■■1 �,��A��rr:r:.i�iiliui■■iiiiliilli"ill■I '.. ■■■■■W■ ■1�R�1■■!�i'il�f!■■'ail'■t�■■■■■■■■■I ONE ■l■■�■lei�■■ ■■■■■i MEN 0 ■■■■■■■■■■■■■■■■■14 i■Ii■■Ei�■■■■MUM06 ■�jlli■!l�■i■■■■■ail■l ■■■■Cps�Cp=�■■■■ ■■■■irll■IMMEME t■■■�■■■■■■I ■■■■--ONES �091M.!NME E■MM ■■■■■■/.,...... c am�■■■■��t �■■■■■■l� rr�l��■ram■■� ■ii■■.■r■■■■■■■■■■■■ ■■■■■■■■i■■■■■■■■'■■■■■■!�■■■■A�■■■l ■■■�il�■■■■■■■■■I .. ■ ■■■■■■r■ii■■■■■■mil R■■■■■■ffiiiultilir-i=W Mi ne Length notsure yes■■!ff■i■■■■■ ,� yes Attached: yes y ■■■!I■7■■■■■■■iitffl■■■'I��■■■■!l■■■■■■■■I ■■■■■■■■■■■■■■■■H■■■■■■■I ■■■■■■■■■■■!■■!!1■■■■■■■■■■■llili/CL■■■■I ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■����I ling permit may be required by: f t'imt�J%' f j'� y Lew Local Planning jurisdiction) -I A t See note on back regarding River Basin f / 9 CAMA / _ DREDGE & FILL Y`p �1k� \ 7 ,� �— 3ENERAL PERMIT A B Previous permit # ,''New Modification .-'Complete Reissue —Partial Reissue Date previous permit issued rized 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 r Rules attached. it Name Project Location: County Street Address/ State Road/ Lot #(s) State ZIP (_ —) E-Mail _ .— -- Subdivision :ed Agent City, _ - CW D EW -; PTA - ES _ PTS Phone # ( _ ) River Basin OEA - HHF IH =, UBA - N/A _ Adj. Wtr. Body— PWS: yes / no PNA yes / no Closest Maj. Wtr. Body f Project/ Activity (Scale: ck) length i n atform(s) -- Platform(s) ier(s)-- ngth mber d/ Riprap length distance offshore x distance offshore iannel - )ic yards - 1p----- --- - - ---- se/ Boatlift .jlldozing _ __ Length li not sure yes DO ium: n/a yes ho yes no attached: yes no ig permit may be required by: __ See note on back regarding River Basin r ocal Planning jurisdiction) ■ Complete items 1, 2, and 3. ■ 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: PeA 0rIwo aoY� Z� (/CPT1i� Ts �2 IIIIII'I tlll IIIIIIIIII I IIIII I II III I I I 9590 4402 2021 6123 2956 87 2. Article Number (Transfer from service label) 7016 0910 0002 COMPLETE• ON DELIVERY CD A. Sign ure j ❑ Agent ?� J� ❑ Addressee 5 b� ranted Name) C. Date of Delivery KReceived e-f s LlG( Cori ky -50 -/7 D. Is deliv4 address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No o CD C) 3. Service Type ❑ Adult Signature ❑ Priority Mail Express® ❑ Registered MaiIT" Adult Signature Restricted Delivery ❑ Registered Mail Restricted 00 Certified Mail® Delivery W Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Coilecton Delivery Merchandise . ] ❑ Collect on Delivery Restricted Delivery 11 Signature ConfirmatlonT r1 In.--ri Mail ❑ Signature Confirmation 1223 0965 -livery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt °a. McCrory .;c�efnor ^"'A North Carolina Departmert of -Enviroriment and Natural Resources N.0 Divisior of Coastai Management John E AGENT AUTHORIZATION FORM Date Name of Property Owner Applyingr for Permit Name of Authorized Agent for this prole ne Owner's Mailing Address j �sY-7 —452 Email Phone Agent's Mailing Address. i9n Email dnc V S �S G YI-W, 4 Phone l cerWy that i have authorized the agent listed above to act on my behalf. for the purpose of applyn for and obtaining all CAMA Permits necessary to install or construct the following (activity) For my property located at CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORN Name of Property Owner /— 1Nd4 -t (;aCEE WQ ( A-k✓ Address of Property 17 CoNLod S L-, c2isZ, kC (Lot or Street 9 street or moat t,,(y a County) Agent's Name /&S Mailing Address /j lJ Agent's phone it yq Liz 1 .� I hereby certify that I own property adjacent to the above referenced property. The indi applying for this permit has described to me as shown on the attached drawing_the dewelo� they are proposing A description or drawing with dimensions must be provided with this it I164 Ij� �. I have no objcctiom to this prufx)sai. I have objections to this proposal. N you have objections to whwt is being pforwsed. you must notify the Division of Coastal Management (1 wddng within 10 days of receipt of this notice. Correspondence should be ►Waited to 127 Cardona! Drh WNmington, NC, 28405-3845. DCAt represenattvas con also be contacted at (910) 7%-7213. No respi considered the same as no objecdon d you have been no~ by Cert/Iled Mail. WAIVER SECTION I understand that a pier, dock, mooning pilings, breakwater, boathouse, tiff, or groin must be back a minimum distance of 15' from my area of ripanan access unless waived by me. (If y wish to waive the setback. you must initial the appropriate blank below ) I do wnsh to waive the 15' setback requirement ?�-ep I do not wish to ware the 15' setback requirement. (Property Own 1� Signature (Adjacent Prop Owngr Informal Signal ure e0&::�4 bau �s Ro rL "c7p,dep- IT I /"e't Oj a- I A ei'? / 7 6 /Vc-- 0 1- S, in aeJ �l a?�J