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Home My WebLink About57318D - TuckerCAMA / DREDGE & FILL iENERAL PERMIT Previous permit# ,New Modification El Complete Reissue El Partial Reissue Date previous permit issued >rizbd by the State of North Carolina, Department of Environment and Natural Resources / Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ';W /Le) G E5AG-les attached. it Name F¢ ,V L ` — �'L 2 Project Location: County- UN S �✓ /� 6'.3 Street Address/ State Road/ Lot #(s) % S 7 J'C State IVC ZIP Fax # O/ !d Agent k, rX reds r- __ CW EW PTA ! ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: yes / no PNA yes / 96-7) Crit.Hab. yes / no Subdivision /_ S j" S City �:-�y ZIP— Phone # () River Basin Adj. Wtr. Body w (nat, Closest Maj. Win Body 4, �f Project/ Activity ,; ;> > -a 0- L Inr41 I—k L/ % ' .. 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M■m M■A■■ON0■MEONEN■� MEIN /1G•7►�F7!0 Mai■■rl �WN*,MOKIN■MNEIl..■fr/l [N■0fNiNri0I , ling permit may be required by: 3n_f �, ie 1c � � El note on ,�u back regarding River Basin i 05I04f 201.3. 16: 27 7046947401 AVR GR�!Up PAGE d1 F%;Om :RTCHARDSON CONSTRUCTUON FAk NO. :910R425597 may. 04 a031 02!42PM P1 NcvENR North CaMgm DePe Mfrn of E7v'r m wnt and Natural Rsoaus, tt3rrfsien of Cassul m1mag""t h#Ct+2d f. "1• JNYn4i Fl. per 4akm CL Rosy Al. ti vary Authorixeci Agent Corc snt Agreement 1 g Is hsraby auftriied to ad on my behOlf m+ItAVem lilted bciow. The'aufharbmtion la lWtad to the In rider to oboair, er y CAMA FO Mee{e7 required iar theprate° spaoiflc aceftm descr"d in thi alta tl sKetah. L6CArON OF PROJECT: --------------- PRCPERiY OWNjA MAJUNP ADOkESS: A,1JT"j0p p:) AGENT MAILING ADOREaS: Ag p '510nature ref property 6wner. , Sgneture 0f .Autitnr!*.ad ant: f • — C'CRTrn IED MAIL —RETURNT RI? CEiPT REM, S'1 U DIVISION QI COASTAL IVIAINAf;EKF!, T ADJACENT RIPARL43N PROPERTY OWNER STATE VIENI T I hereby cer* that I own property adjacent to � Ja,r/ eel. L l- is (I ame of .Property Owner) property located at 5 %� fc i �'; e, LC. ca ` , (Lot, Block, Road, on Ct , in -S. _.f {, ,11, N.C. (Waterbody) _ (Towle and/or County) Appkaztt's phone fh Q/U -- G>7 �-Us - � Mailing Address: �27)"z< S'e c'_l'eSf He/Sho has described to me as shown below the development he/she p pos3 g at that location, and I have no objections to the proposal. .....w...........................................v............................................. DESCRIMON AND/OR DRAWING OF PROPOSED DEVELOPMENT: {'Individual proposing development trust fill in description below or attach a site drawing) ?. 0 �-L-- .e�� 1' If you have objections to what is acing proposed, you must notify the Division or Coastal Management (Dw in writing within 10 days of receipt of this notice- Correspondence should be mailed to 127 Cardinal Drivo Ext. Wilmington, NC DCM representatives can also be contacted at (110) 716-7215. an resg40ge-M ,coglidered the same as no oblrcrion-if you hnv9 been notiiled by Certified Mail (Property Owner information) Signature Print or Type Name Mailing Address atipgrian Property Owner Information) a signature 7ie� Print or Type Name Mailing Address City / Wke / Zip City / St6te"/ Zi DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: JA ' L12 , - Li. Address of Property:CI t14�, l (Lot or Street #, Street or Road) - (City and County) I hereby certify that I own property adjacent to the above -referenced property. The indivi appl}.-ing for this permit has described to me as shown on the attached drawing the development are proposing. A description or drawing, with dimensions, should be provided with this lette C I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Co,, Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796 within 10 days of receipt of this notice. No response is considered the same as no objecti you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must t bck a minimum distance of 15' from my area of riparian access - unless waived by me. (I wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not vc-ish to waive the 15' setback requirement. I 31gn Dame, Date Print Name �� • ; i o = y1F6 t14e 41149 CERTIFIED MAIL — RETURN RECEIPT RE U, STL"D DIVISION OF COASTAL MANAGEMTNT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at 9 7 w (Name of Property Owner) P.2/2 (Lot, Block, Rond, e, on . T-r`_ ... , in l - �tl `' 14 N.C. (Waterbody) (Town and/or County) X' Appli.canes phone 9: 2„ �,,;Mail) , `7 —t� `.� ingAddress: i He/Sho has described to me as shown below the development he/sheis proposing at that location, and I have no objections to the proposal. ..... ------------------ -------- --------- -------- --- ----..--........ --......... --................. ....................... DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: ('Individual proposing development must fill in description below or attach a site drawing) If you have objections to what Is being proposed, you must notify the Division of Conseil Management (DCK) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext, Wilmington, NC DCM representatives can also be contacted at (910) 796-72115. j joLeaoQ4ae is considered the same •►s no obiecdon if you hnve_been notifled by Certified Mail raperty Owner Information) Signature Print or Type Name ^ T1 f c � Mailing Address &4— ri;P�re krtyuo erInformation) Signature Print or Type Name Mailing Address City 1'Siate'/ Zib City(/ Stoo / Zip DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM lame of Individual Applying For Permit: kddress of Property: 0 (Lot or Street €, Street or Road) (City and County) [ hereby cerifti that I own prope.�ty adjacent to the above -referenced propene The individual zoolvin o for this ce.- it l as described to me as shown or: the ar;acned d:a� -ins the de-.-elopne-:t .z'.' ere pros Ocilla. A description or drawing. with dimensions. should be provided with this le.�_-. P i��- I hate no ro F objections to this •t,os_l. - If you have objections to what is being proposed; please write the Division of Coastal Ianag:ment, 127 Cardinal Drive Extension, Wilmingron. INC 2S'.05 cr call 910-_9;-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. N —1- ER SECTION I uade:-_tsnd t' a pier. dock; ruooring pilings. breal.Z� ate-, boat house or boat lift mu:t be se: bck a minimum. di:tance of 1:* from my area of riparian access - unless Nvaiyed by me. «'fall to tii'aitie tie setuack, you oust initia1 the apl:ropriat;: biank- belov'-.) I CC iiOt wish to waive the 1 5 Se r-cl: C2��_'lrZ.Tie lt. Date Az r, A -Print Marne ,t�► ,0� ty to east 11 north lot 52 ft bulkhead 4ftx48ft pier 36ft from property line 48ft 16ft from property li IF` --boat lift F N G �licant: � e✓. Q �y C ill Permit #: ` �e: -51V-14 scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer nd 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 fin disturbance. Excludes any restoration and temp impact amount) t✓ Dredge ❑ Fill ❑ Both ❑ Other WL e-/ 11 cJ �p 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 0 Both ❑ Other ❑ WILLIE CLARENCE RICHARDSON DBA RICHARDSON CONSTRUCTION PH.910-842-5596 3235 SEACREST AVE SW SUPPLY, NC 28462-2589 Pay to to Order of All j j BRANCH BANVJN4 AND TRUST COMPANY 1-800-BANK SOT BBBT.com 1 3I o For 1:053 10 1 1 2 Li:0005 2 IS 2489 2?"OOL,7 5 4751 66-112/631 Date Dollars 8