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Home My WebLink About54418D - AllredLAMA / `-, DREDGE & FILL' GENERAL. -PERMIT Previous permit# ew [-]Modification. ❑Complete Reissue ❑Partial Reissue Date previous permit issued )rized by the State -of N+ Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / —7H Z- oo ules attached. nt Name LV N Wo o o A L Ii-� C-D Project Location: County .1l)oo- Lk WSW �'r- 1781 Ott, V-he�'G V40 State N L ZIP 23 2-0-Z F (3-% q V 3 - Sri Fax # (3-31) (y2°l - 03 Z4 :ed Agent _1 CW QlEW �TA ❑ ES ❑ PTS El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A C PWS: ❑FC: yes / rf67, PNA yes / & Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) S 4( Z. VV, LX�-1 t t J si . Subdivision City C'A-lL (S -At'YD ZIP Phone # ( ) River Basin —_ Adj. Wtr. Body J�NZ at Closest Maj. Wtr. Body — Project/ ActivityEDO 16ct n IJEE� (� ou-5 t-J6 OiYW O-JL !YC-fL I q1 -- dock)length rm(s) r pier(s) length number ead/ Riprap length M distance offshore m9c distance offshore channel :ubic yards amp // Ouse/ oatlifJi Bulldozing M line Length ^` �L' � NNNNNO No IM N��wls�i�NNN�NNI (Scale: (", ❑ See note on back regarding River Basin ry 1'*7 CTy4- )1 -/ Division of Coastal Mgt. Habitat impact Computer Sheet PL-l2er�►1 icant: L1 k;INCOO .?ML%Zrr-Ni cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. INAL Feet DISTURB TYPE Atat Name Choose One 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both 0 Other ❑ TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet (Applied for. F (Anticipated final (Applied for. Disturbance total (Anticipated final disturbance. Disturbance disturbance. includes any Excludes any total includes any anticipated Excludes any restoration and/or anticipated restoration or restoration and/or temp restoration or temp impact temp impacts impact amount) temp impacts amount) I L{ ► A I Ll Lj Name of Individual Applying For Permit: ,,,,�% �- g//r ---- Address of Property: cv..O e. (Lot or Street #, Street er Road) (City and County) I hereby certify thlt I own property adjacent to the above -referenced propertyy. The indivir, applying for this permit leas described to me a$ Shown on the attched drawing the development i are proposing. A description or drawing, with dimensions, should be provided with ibis ie�le, have no objections to this proposal tt' you have objections to what is being proposed, please write the Division of Con Management, 127 Cardinal Drive Extension, Wilminbron, NC 28405 or will 910-796 within 10 days of receipt of this notice. No response is considered the some as no objeLti.c you have been notified by Certifled Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, brealOvater, boat house or boat lift must b bek a minimum distance of 15' from my area of riparion access - unless waived by me. (1 t wish to waive the setback, you must initial tho appropriate blank below.) a : dg Wish to waive the 15' setback requiren,:ent. I do not wish to waive the 15' setback requirement, Sibm Nflme Dace Print Name 5412 West Dolphin St (yak Island. NC House , Bulkhead 1C'y +' Ramp 10;t"D rODJl ' Name of Individual Applying For Permit: *6 iOQ �rP Address of Property. h —w (Lot or Street #, Street 14� Road) d!!��- lSfiltc/1 , MCt (City and County) 73ru05 4"lic k I hereby certify tlhlt I own property adjacent to the above referenced property: The individu. applying for this perilzit has described to me as shown on the atmched drawing the development tn: are proposing. A description or drawing, With dimenslons, should be provided wirh this lever - I have no objections to this proposal s Ct' s to what is being proposed, please write the Division of Co:lSl youave objection Management, 127 Cardin.11 Drive Extension, Wilmington, NC 28405 or call 910-796- 2 within 10 days of receipt of this notice. No response is considered the some as no objection you have been notified by Certifiod Mail, WAIVER SECTION I understand that a pier, dock, mooring pilings, brealcrvater, boat house or boat lift must be bek a minimum distance of 15' fr.om my area of riparian access • unless Nvaived by me. Nvisb to waive the setback, you must initial the appropriate blank below,) o Wish to waive the 15' setback requirement, I do n wish to waive the 15' setback requirement. eri l � C 1'I t- rh Print � me ern 1426 3od B. Allred 66-21/530 BRANCH 77505 Box 4341 ro, NC 27204 DATE l� _ � Feature. Bach >via Bank, N.A. nr 4611' onn lL. Prmum j:053000 2 L9': L0039 L L45-