HomeMy WebLinkAbout55806D - Lockwood}CAMA / DREDGE & FILL
WNERAL PERMIT Previous permit # 4
4e-v4 ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
E4Rdes attached.
:Name �fIt✓REP-IcC h, 11—acle4"Ooz Project Location: County Zcs.r_SL✓i��
2 �6 c1 -'7-SL!/r d -P . SC Street Address/ State Road/ Lot #(s) ,Sq /Yj,
1 I V t 4, Stated ZIP 2 2 Z-
(2,&�) Y2-gi Y Fax # ( )
ad Agent
❑ CW E;�A C�.ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
des / PNA yes /� Crit.Hab. yes / no
Project/ Activity /Pa i 1/q7 P f 'V
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igth
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c distance offshore
innel
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City ZIP
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not sure yes
es y f not sure }
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im: n/a yes
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g permit may be required by: J% JzV'J SC-✓ /C,C/' `�s O v 7,i ❑ See note on back regarding River Basin r
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STATION VII
;DGE OF MARS4 RIVER RUN PLANTATION.
SEPTEMM, 2000 MAP CABINET S, PACE 315
LOT
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WERE CONSTRUC'ED AT THIS TIME.
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BRUNSWICK
SURVEYING, INC
Thomas W. MorQan . P.L.S
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Z QW r e aC e
Address of Property: 07869 -�zWe i d P",
(Lot or Street #, Street or Road)
04)Zg , A)�f '�eevg z
(City and County)
(JV/ 0),W-2 - eX7 5
I hereby certify that I own property adjacent to the above -referenced property. The indivic
applying for this permit has described tome as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this letter
I have no objections to this proposal.
If you have objections to what is being proposed, please write' the Division of Con
Management, 127 Cardinal Drive Extension, VGilmino-lon, NC 23405 or call 910-7964
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If
wish to Nvaiye 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.
Tiec K V �t K S
Print Name
'tip
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNMNOTffRATION[WAIVER FORM
Name of Individual Applying For Permit: 4.uYt}rCk1 C e
Address of Property: 14 Nd OV', 9 ` 40 /( SA16a
(Lot or Street #, Street or Road)
3�1734
(City and County)
I hereby certify that I own property adjacent to the above -referenced property. The individ
app lying for this permit has described to. me as shown on the attached draxving the development t
are proposing. A description or drawing_ with dimensions. should be provided with this letter
I have no objections to this proposal.
If you have objections to what is being proposed. please write the Division of Con
Management. 127 Cardinal Drive Extension. Wilmington, NC 18405 or =11 910-- 9b-i
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-, boar house or boat Lift must I
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.
Jz_ I do not wish to waive the 15 setback requirement.
Sign
1 MwftaI
WintNatne
{Date
C1/
T Ce&S
L-JL•d�&. i t
licarrt: Z 2 /Z y L ��L Vel (" Permit #:
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
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 fina
disturbance.
Excludes any
restoration and/
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
Y
Dredge ❑ Fill ❑ Both ❑ Other.
% �2- 0
120
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 ❑
.CawreHee , 4. Dekwood
Dowfa y. ,Coekwood
2869 Aland Dr SS Pk:910-842-8474
l3oliuia, NC 28422 n r Al
PAY TO THE 1/ / r ORDER OF
First Citizens
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FOR Cfirstcitizzeens.com
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66-30/531
453
i:05310030Di:00L,536221323-to' 03074
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DATE
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