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
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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
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CAMA / _ DREDGE & FILL
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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
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