38969D - Lisk

CAMA /-❑.DREDGE & FILL
Previous permit#
iENERAL PERMIT
Vew (Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued i
zed by the State of North Carolina, Department of Environment and Natural Resources
:)astal Resources Commission in an area of environmental concern pursuant to I SA NCAC Rulespttached.
Name E.
State , ZIP 2- 7-S
Bd Agent
❑ Cyy PTA ❑ Li �' ES i5
ElOEA 1-1HHF/❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
yes no PNA er no
Project/ Activity
ck)
iier(s)
:ngth
amber
t
id/ Riprap length I
g distance offshore
ax distance offshore
hannel
i
ibic yards
mp
use/ Boatlift
Bulldozing
ine Length
not sure yes §no
sgs: not sure yes
Drium: n/a yes
yes
r Attached: yes
Crit. Hab. yes / no
Project Location: County - r4c"l
Street Address/ State Road/ Lot #(s)
ivy
Subdivision
City 1::�Of nr/p'f ZIP
Phone # (9/U }376 River Basin W�
Adj. Wtr. Body nat r
Closest Maj. Wtr. Body
✓ z�/1 k-
(Scale: / //_
ding permit may be required by: '` l/D❑See note on back regarding River Basin
A n /i �, l

FULLARD CREEK
APPROXIMATE
MEAN HIGH WATER UNtE
qN84-11.5,-E
30"x¢ =5It
2w
FULLARO CREEK
577E
r
VICINITY SKETCH
NOT TO SCALE
$1 1 LOT 13941 S 96 �
I,Ft.
LOT 95 LOT 97
O_ ��, RESTRICTIVE COVENANt I W
co C>
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00
1
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ri 'c r'1
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L 75' MBL10
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00
(M)
�
W
li d
EIa S81'00'27'"W eIa
CHADWICK SHORES DRIVE
60' R/W (ASPHALT —PUBLIC)
ONSLOW COUNTY
ZONING REOULATtONS
ZONED R-IS
E 70NING SETOACK5
P. 465 FRONT 20'
. �a wcew _ .R•
S. 76 SIDE a $
? CERTIFY THAT THE SUBJECT PROPERTY
M IN FLOOD ZONE AMEL.4'4-2'1 WHICH
A SPECIAL FLOOD HAZARD AREA AS
"D BY THE DEPARTMENT OF HOUSING AND
NELOPMENT. COMMUNITY PANEL NUMBER
340 0486 O. NOVEMAFR Knee_
RESTRt MLE COVENANTS
FRONT
Cho - C .•
CHADWICK SHORES DRIVE
e FRANCS RIOGS PROFESSIONAL LAND 199•�03-•�2s
DO HCERTIFY THAT 1 MAVE
THE PROPERTY AS SHOWN HEREON IN
CE w,TH THE STANDARDS OF PRACTICE D1
SURVEYING IN NORTH CAROLINA- THAT 03-17-99
OF PRECISION AS CALCULATED BY
AND DEPARTU
,06.17• TO c/L INTERSECTION OF
. SHELL CT. h CHADWICK SHORES DR.
R,
R/
I FPFNn
OP EXISTING IRON PIPE (rouND)
5I2 = SET IRON ROD
EIR E7OSTING IRON RDO (FOUND)
ECM +'CONCRETE MONUMENT (FGUNO'
SPK SET PARKER-KALON NAIL
RAW a RIGHT OF WAY .
• CENTME
M - MINIMERIUM BUILDING LINE
D_* U-E.-DRAINAGE # UTILITY EASEMi
N/F - NOW OR FORMERLY
POWER LINES
CMA7NUNK FENCE
BOUNDARY SURVEY FOR
RONALD C. LISK & WIFE
JERLUNE P. LISK

12/2002 00:08 9103284902 E PA -GE 0
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t7i /T 'Q `` Or ' O S T 1 `;N zGEY,ENT
ADiACEI iI RIPARIAN, PROPERTY OWNER, NOWICATi©lNIWAIVER FORM
he purpose of this form is to provide proper notice to you as an adiacenr riparian property owner to the•indi
individuals listed below. The CAMA General Permit application procedures require that appiica= provide the_l
Coastal Mana`enzent confirmation that a written statement has been obtained sinned by the adjacentriparian.
indicating chat they have no objection to the proposed work or that the adjacent riparian property havii-bo
by certified mail of the proposed work. Often these foams are submitted to the adjacent rtxmn.propwxy o
consn�or or other individuals acting as an authorized a rem on behalf of the applicant -
This form was sent to you by the Mowi.3rag individual or company des4natei
authorized agent:
/1Ii�,�J t/f► �.z�
0
AfltliG iGreni's SiaTlant m
Date
',lame of Individual Appiving For Perrnit:
Address of Properr.: �y% Ciii3pwi GE J �r� 2y
ri_Gt or Sr 41. lrrear or Road
iCiry and County;
,,5ere7bv cerifY char l ov«,n propen; adjacent to the above-r_recanced property. The individual applying for this
+ descni7ed zo me a 5�?i�om Gr. the attached drawing the development they are proposing- A description ordra%2 r
d rnensions, sho id be provided with this lerter.
e ,F'ecti ns to this Proposal.
i have no v�1 o r v
kyo
u have objections to what is being proposed. please write the Division of Coastal Managenlert,_112
d al Drive rBTlsif3ii, rYilr, ington, C 28405 or call 910-796-7215 with -in 10 days of receipt ofthis no#
;jiaspgnse is considered thetame-asno objec,ion if you have been notified by Certified MaiL
WAIVER SECTIONN
t uAlierstand that a pier. dock, mooring pilings, break -water. boat house or boat lift must be set back:
: j t d tdnce taP 13' from my area of riparian access - unless waived by nle: -(If you wish to waive ti
1 .yjDu must i.tdtiffl the appropriate blank below."
ry I do v isl? to }_yaive ttie } 1' seback quirement.
i do got wish to waive `ram 15' setback requirement.

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:�{s e`` F N ar ero9a f f $i.:;�33�=may f-o an, 'obt /''ding x� � -AI. '�.t �$�s"�'u?� ?'kL'e3�4`rf"F to
K-al3t CS -'. io sue,: �
x } �4-,£�� �� �y% Ch'rS�I�C.0 �/�1'•ecy `1 f&ow
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Delte
KLt.; ar sirai DrAle Ex , fftirr���-Sion, North uardina 2�t�t-3845
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)plicant: Te�' I e-
ite: U(7//2,—
Permit #: 30-1014q
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
bitat Name
DISTURB TYPE
Choose One
Sq. Ft. FINAL Sq. Ft.
ed for. (Anticipated final
nce total disturbance.
s any Excludes anytotal
pated restoration
Fition or and/or temp
temp impacts) impact amount)
TOTAL Feet
(Applied for.
Disturbance
includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/o
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other ❑
D
0
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑