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Home My WebLink About54411D - Rawls'LAMA / DREDGE & FILL,R' 'ENERAL PERMIT Previous permit # �Alu ]New -,Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issue rized bt the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC r 'I, Rules attached. t Name U&VmN& Project Location: County 1i41S6o Kul) . nolt lState L ZIP & ) mrm - t 145. Fax # (m it • 2I� ed Agent A f ❑ CW OFW ❑ PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: yes / no PNA Cyes./ no Crit.Hab. yes / no ' Project/ Activity, i . YJ�(lyn :k) length�X''-) i(s) x S 15 39 ier(s) 2�K �G ngth nber i/ Riprap length distance offshore x distance offshore annel iic yards rp se/ Boatlift I illdozing Length" t not sure yes i not sure yes r um: n/a yes r yes r ,ttached: yes ,r ig permit may be requ ;n.,..i r...,ast;--. Street Address/ State Road/ Lot 11C 1 ii/—i. ),1. Subdivision city 41 f as !—IYI Ph6r% c1I0 ) Adj. Wtr. Body Closest Maj. Wtr. Body lU ZIP rtRiver Basin fiG1( U1 (Scale: I f ,LAMA / DREDGE & FILL 5� ;ENERAL PERMIT Previous permit# INew .Modification ❑Complete Reissue El Partial Reissue Date previous permit issued •ized by1he State of North Carolina, Department of Environment and Natural Resources 4 i1 ii :oastal Resources Commission in an area of environmental concorn pursuant to I SA NCAC n • I ff5FIes attached. ` t Name t Project Location: County h S I G W Street Address/ State Road/ Lot #(s) I StateWe' zip Faxtt� 92 19 Subdivision �� 1at;1 N/I(�� ed Agent A61100,111 >t tl City- < ty �, � ✓v ZIP -1' fL'1 d'1: 1l/ ❑ CW C>;EW E),PTA ❑ ES ❑ PTS kok iF ( -> 33O- 5 () River Basin A� Cd ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A El PWS: El FC: j +' Adj. Wtr. Body VI/i (dat yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body ►ti Project/ Activity :k)length (s) �� XC � J J. igth nber i/ Riprap length_ distance offshore x distance offshore cannel iic yards ip se/ Boatlift illdozing a Length notsure yes n? not sure yes no um: n/a yes no yes no =ched: yes no ,I (Scale: I 1 ig permit may be required by: 4'W aQ ,C1;� � �t-�, / ElSee noteon back regarding River Basin ru .. ... —11 1 1 ' /) r.\ ) A l A/ n( 1 A t - n / I 1_ 1. _/ I °'rj�'�Sfx7 hn tj X71!rt� r0 i I S 0s) DWJStON OF COgST&L M&N&CANT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM dame of Indi�riduat Apptyiag For Permit-�+�n n K a „� j address of Property: -7 US CA c, c) w i c �' _ J �a � S (Lot. or Street 4, Street or Road) Se r_JS QocQt_1 �C' OnS'DW (City and County) hereby certify that I own property adjacent to the above -referenced property. The individua Lpptym% far this permit has described to me as shown an thm attached dravnn% the devctopment t ie,, ure proposing. A description or drawing, with dimensions, should be provided with this letter. 4 I have o0 objections to this proposal. f you have objections to what is being proposed, please write the Division of Coasta 4%,magement, 127 Cardiaat Urcve Exteasi4m, Witmiagtaa, NC 2944S or call 914-7W721' within 10 days of receipt of this notice. No response is considered the same as no objection i ,ou have been notified by Certified Mail. WAIVER SECTION . understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be se )ck a minimum distance of 15' from my area of riparian access - unless waived by me. (If yoi vish to waive 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 IS setback requirement. Date AAA DIVISION OF CO IkST AL M&N &GUM NT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM �_ ,tame of Individual Applying Far �P�nit. 1 r�c� �," kddress of Property: 77 z S ' h w i c, CS �a 1< iz S (Lat or Street #, Street or Road) \ ICC�_d S r--..+?�_w (V-C_- (City and County) hereby certify that I own property adjacent to the above -referenced property. The individua tpplyiug far this permit has described to me as stwwn an the attached daiwing the develapnmt tic we proposing. A description or drawing, with dimensions, should be provided with this letter. _l I have uo ob3ections to this proposal. f you have objections to what is being proposed, please write the Division of Coasta daaagevaeat, 127 Cardinat Drive Extension, Witvaiagt4m, NC 28MO ar can 910-796-721' vithin 10 days of receipt of this notice. No response is considered the same as no objection i ,on have been noted by Certified Mail. WAIVER SECTION . understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be se Eck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ifyoi risk to waive 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 I F setback requirement. ►_w ILVI I•Mallic Date AAA NODE R North Carolina Department of Environment and Natural Resources Division of Coastal Management .Michael F. Easley, Gavema James K Gregson, Director W..&W. G. Pxss.v, Is Authorized Agent Consent Agreement is hereby authorized to act on my beh. (Printed Name of Agent) n order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited tc specific activities described in the attached sketch. LOCATION OF PROJECT: ene 'ROPERTY OWNER MAILING ADDRESS: 155 kews kin �d ,M f)PLF- 41) A),C PHONE NO.' IV — 31-9 -J % 7tS" kUTtAGRIZEQ AGENT MA LIXG QOQRE-%S: _?Af f-Wb IUD .I' 31 NAM S 09Eek 0b YacJcs�>J v► I 1 NC- 2954D PHONE NO. q/0-33D-5506 Signature of Property Owner: Signature of Authorized Agen 0, 1w. (Lis qc, 3& ,SjA l2 sj,r� 113 set-0. -A=zLh Iz=Yz 72- S CG,ac1c,;cl SAbec-s ACM W1LMiNG�Q��'�C Division of Coastal host. Mmbitat Im act Computer Sh: ae` icant: R&W� Permit #: qe 547_� to gibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id 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 final disturbance. Excludes any restoration and/or temp impact amount) W Dredge ❑ Fill ❑ Both ❑ Other X ft *k Dredge ❑ Fill ❑ Both ❑ Other ❑ W Dredge ❑ Fill ❑ Both ❑ Other [ l3 I 13 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 ❑ PATRICK ANTINORI CONSTRUCTION 910-346-9219 274 HARRIS CREEK DR. JACKSONVILLE, NC 28540 Pay to the N C. 1) � y IV Order of Bankof America ACH P530000196 j� (on) For 2524 Op/) I %Z 1 � 66-19/ 607Nc 0 Il GG-- Date Z00. oV Dollars � AP N.0 5 3000 19 GI: 2 3 70 L0 5 L 304 61I' 2 5 24 Me�laM Garke ■ 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: X v / J ❑ Agent [l Addressee B. Received by (Printed Name) C. ate of Delivery D. Is delivery add iff t fr item 1? ❑Yes If YES, enter rvery a�ress b Qyv: ❑ No U d•. 3. Service Type CG R�5 f NI C- Z-2 X Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7004 2890 0003 7344 55785 PS Form 3811, February 2004 Domestic Return 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: G Zi5eUz-s J q t t��CC 33co cP)zAgc)c �- NC.��►3 A. Sign )( � ❑Agent 7SAddressee B. R eiv ( Print ame � ) G. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No �. oervice type A Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. RP.ICtri,t.H ner - - .•. , '—u rae/ ❑ Yes 2. Article Number /�D (Transfer from service label y7 (j .2g -�i 7 oo3l 73 �Y - -7 F7 PS Form 3811 February 9nna `V V l ,�'�IJ