The URL can be used to link to this page

Home My WebLink About59238D - PlaceAMA / ❑ DREDGE & FILL V j F% PERMIT Previous permit # !��ERAL ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued prized by the State of North Carolina, Department of Environment and Natural Resources A Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ules attached. It Name Q_ { C PL Project Location: County 6LAhgan/ j I K.. ,ZI- � W. DpL-qt+1 tj 0? • Street Address/ State Road/ Lot #(s) I Si-t°�i�1� State. ZIPL s I � (C irV x4rI U (17 . Fax # ( ed Agent _ CW � EW IPTA ES ❑ PTS ❑ OEA ❑ HHF E- IH _ UBA -I N/A ❑ PWS: FC: yes /� PNA yes / no Crit.Hab. yes / no Subdivision City L SL..../1'N 13 ZIP Phone # River Basin L_ U, Adj. Wtr. Body'( (t1( Closest Mal. Wtr. Body �wW bf Project/ Activity IW—TAtA, bC ftl f-f V L-Xi SP O (9 XC4 K (Scale:' iock)length rm(s) pier(s) length camber aad/ Ripraplength :vg distance offshore_ nax distance offshore channel :ubic yards amp ms oatli i X I Bulldozing ine Length _7,, not sure yes igs: not sure yes xium: n/a yes yes Attached: yes Jing permit may be required by: 07 JK 1,LtW Q ❑ See note on back regarding River Basin •i e..e,:�i r,...a:«:,...� b1L r 1 n,.� -L , r a '7L1 1 7 n n / .- d.. C-r-*-vr- _ xs�nw Division of Coastal Mgt. Habitat Impact Computer Sheet licant: R\Chlj� 7LOMC Permit #: 5qj Z3K Bribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. itat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated fina disturbance. Excludes any restoration and/c temp impact amount) 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 32 --T—: 7 Proper-hy g84 X -D:?,v44) PC T CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: > 11C%Iarop 4 &eAdC 1 Address of Property: 5-/26 %f)CST L )0k, Drl le l/Ak' Sb9A16 9i,411,s ),Ck (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, must 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. Contact information for DCM offices is available at www.nccoastalmana-gement.net/contact dcm.htm or by calling 1-888-4RCOAST. 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pr ert Owney nformation) Signature p Print or Type Name (Adjacent Property Own r Information) Signature /l Print or Type Name 526 w S%/t'�.. Or Mailing Address ST�ifx-% zk . Mailing Address CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: 1(1 e haroj - dlei ale-, Address of Property: 5-126 AeA4111 1)''✓ fr-? (OAK 1 Sc141y1i 94msiv (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: 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, must 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. Contact information for DCM offices is available at www.nccoastaimanagement.net/contact dcm.htm or by calling 1-888-4RCOAST. 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pr s perry Owner Information) f-Z F� .Signature Print or Type Name 5 / > l 6Vc-5i Mailing Address (Adjacent Property Owner Information) Signature / fir. Print or Type Name Mailing Address BRENDA J PLACE RICHARD PLACE 1623 5126 W DOLPHIN DR 66-1215/531 OAK ISLAND, NC 28465 866 e j Pay to the Order of $'90(n. X. s... �.e...._�. a � Dotlars F••�..e WACCAMAW Oak Island, NC 28463�* nww. waccamawbank.com For . n=& t 44— y--5'�z-n-n_—_ � 1 0