HomeMy WebLinkAbout57303D - JonesCAMA / DREDGE & FILLr
3ENEAL PERMIT Previous permit #
INew Modification ❑Complete Reissue El Partial Reissue Date previous permit issued L'!
•ized by the State of North Carolina, Department of Environment and Natural Resources 7t T ` z 0 C)
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
:Name ! Z 9; J j Project Location: County F;l 1 lN�A ( CV-
jy", i "AD, i ISC I,') H "�— Street Address/ State Road/ Lot #(s) `jl,-✓' L3 rf �
it. CVI'L' i� be r State i�i C ZIP
C', 2IL-ZZ'S`;Fax#( _)
:d Agent
❑ CW D EW u PTA
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑FC:
res / r�o PNA yes /
E3ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Subdivision
City U/1- "St ZIP Z
Phone # ( ) River Basin L t �"
Adj. Wtr. Body [)iv/ S C f N'i• a/n
Closest Maj. Wtr. Body It/
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igth
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(distance offshore
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Length
not sure yes no
i
not sure yes no
Im: n/a yes no
yes no
ttached: ye,(
g permit may be required by: _
❑ See note on back regarding River Basin ru
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFTIBOATHOC/SE)
I hereby certify that I own property adjacent to "`2 �� �� ti/y6
�� S fi p��S (b,N (Name of Property ncr)
property located at - a � 2 4 V r(- /9 /C- /— A 9
(Lot, Block, Road, etc.)
/V/
on 1 ��tJi� dnVQ�1 _ , in �,r!� tl�N/\— ----- — N.C.
(Waterbody) (Town and/or County)
Applicant's phone ##;
Mailing Address: Le 08 01tSo-/u Ave.
e�vs matzo /U G Z 7ro 3
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (IS) from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
do not wish to waive
_ V I do wish to waive that setback requirement.
-------------------------------------------------------------------------7-----------------------------------------
DESCRIPTION AND/OR DRAWING, OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
S0— 4" 4co J 1)iZ4wW
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit) _
3' � �o p_ aNeS 16�
Ue-
Mailing Address Signature
/'-, - -..r .A -- A.r - -i_ -r MA-Af.[rf1 i 1".._.w-A
CAMA / ❑ DREDGE & FILL
'EN ERAL PERMIT Previous permit #
Jew ❑Mo�difiication ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the-55te of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to 1 SA NCAC 7H , a 0 0
IZ;JRules attached.
Name { Project Location: County o6ttI AJSUl/C1C.
Street Address/ State Road/ Lot #(S) O T IT ,
- - State X(. _ ZIP 2 _:74 01k)
_Z 7Z �- Z.S 5 Fa # ( - - } ---- - -- - Subdivision
!d Agent - - - - _ City aly-k- ISLJ_HVQ ZIP z_&c
El cw i--EW L�-KA FeE� a PTS Phone # ( ) River Basin 1-0771
❑ OEA ❑ HHF ❑ lH ❑ USA ❑ N/A Adj. Wtr. Body ,itVI .S C ANfttL at
❑ PWS: ❑FC:
,es /� PNA yes no Crit.Hab. yes / no Closest Maj. Wtr. Body/��/�!,
Project/ Activity I ty Lee I t/ rl �_ ��t� rJi C l�
fro= 1
(Scale..
Riprap length
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g permit may be required by: ^LJ; 1, /-St- fTIV ✓) ❑ See note on back regarding River Basin rul