HomeMy WebLinkAbout54424D - KennedyCAMA / DREDGE & FILL
GENERAL PERMIT Previous permit #
-'New Modification ❑Complete Reissue Partial Reissue Date previous permit issued
Drized by the State of North Carolina, Department of Environment and Natural Resources �J
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / /�� x UG
�
EnRules attached.
nt Name P L Ile 0„/ v e 01" Project Location: County ��u�✓fG1/�/�
1,e i2o/} Street Address/ State Road/ Lot #(s) —1/�
{ /'vState.A% C ZIP :2 `/ 2,9
Fax # ( ) Subdivision --
zed Agent City_ __ /c/*^' 6-o"c,4 ZIP 1
i ❑ CW ❑EW PTA ES - PTS Phone # ( ) River Basin a, G
OEA ❑ HHF ❑ IH UBA N/A Ad'. Wtr. Bod C fINO c.� *49l
W
Y kV (nat.�
1
❑ PWS: El FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body_ /7
1
)f Project/ Activity .•' �� /,? 'y" r •1 Z C - �—
(Scale: %
ock)length
m(s) ZI -_.
ength
umber
ad/ Riprap length
vg distance offshore_
iax distance offshore
channel
ubic yards t
imp fr
wse/ Boatlift
Bulldozing
71
>« ess QAMn �6
not sure yes
Lgs: not sure
yes 61
yes
Attached: yes
ling permit may be required by: 17�/ C-Or fin/ ��g L q _ ❑ See note on back regarding River Basin
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL M -NAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
ime of Property Owner:
1dress of Property
0 t.1 ur, 'f T v f cs e1✓ a) p C-C'n
(Lot or Street #, Street or Road, City & County)
C,
n q nd
rr
licant's phone #: ��� ! I o�0�0 Mailing Address:
A) ri a bb C. .2942 F
hereby certify that I own property adjacent to the above referenced property. The individual applying for this perm
is described to me as shown on the attached drawing the development they are proposing_ A description of drawing
,ith dimensions must be provided with this letter.
I have no objections to this proposal.
I have objections to this proposal.
r you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM
a writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ei
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
onsidered the sae as no objection if You have been notified by Certified Mail.
m
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance
i5' 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' set back requirement.
_ I do not wish to waive the 15' set back requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City / State / Zip
(Riparian Property Owner Information)
Wiature
Print or Type Name�p
IN
r T
Mailing Addres
_
City / State / Zip
r n Crl�f'1 I RCoI�
CG�Gnnc l��+L� L4 _
�i5 ►n C ree �C ^' -76 f
5 -3
F�pG'f�i1q � �,
Si0 Gk �1 to
t._._.�
wfan
p.� aR �awik k006
5 '�r�fK 6,.1IC%cac�
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f KG✓�re.d
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' �� �c✓1 Ii�7=Q.G� l`� �.
r ro P'&,-4-1
MICHAEL G. KENNEDY 66-7143/2531 1644
5959 CRABAPPLE ROAD 8001001570 /
/� WINNABOW, NC 28479 DATE
PAY TO THE /' //^ /' J n
ORDER OF— _—�J �/ l� J/ /J V /�J IQ�
IN J7 ,P / p
DOLLARS
SECCIRrry
SAVINGS BANK
Southport NC 284611
MEMO-
1: 2 53.17 14 301: 1300 100 IS 701I' L644
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressedto:
Mr. 01 �� l df-"bt
r
U u#NJ
PG e. r L ct ke Tau
WC'kv 1 O"CS� / rjC,- p-7 9
A. Signature
X ET -Agent
❑ Addressee
B. Received by (Prin . Date of Delivery
D. Is delivery address different from item 1? Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number —
(rransfer from service laben 7008 0500 0000 8592 9001
PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-1540
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: D �tj Ue
0 I C
S�fp , N �2 S� yz')-
A. Signature
X 'Cf), 4 . ❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
dal w • � /k �/V L
D. Is delivery address different from item 1? ❑ Yes
If YES, enter defy; 0 No
3. Service Type ,
❑ Certified Mail ❑ Express.
❑ Registered ❑. Rgtiirn, ipt for Merchandise
❑ Insured Mail Q C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ yes
2. Article Number 7008 0500 0000 8592 8998
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540