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Home My WebLink About55808D - Russell-�CAMA / DREDGE &FILL .ENERAL PERMIT Previous permit# �Nevv Modification LlComplete Reissue El Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �/ 4 [Mies attached. t Name 4azyq L �/ (Isst L L Project Location: County Slfya J 60 is t O %Z }s h 7;,z/ C2P57' L 1,914 F Street Address/ State Road/ Lot #(s) 29 /Y o Gtlfi✓1 7,411 L 121Y-e StateyC ZIP 2 7 21 (_2� A22Y - Fax # O Subdivision edAgent CipA.-),ISLP PY07c4 ZIP 27Y4 ❑ CW [7;EW 4i�-*TA DES ❑ PTS Phone # ( ) River Basin lU m ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body CO N A i O iliG•- 4✓ at h ❑ PWS: ❑ FC: yes /(no PNA yes no Crit.Hab. yes / no Closest Maj. Wtr. Body ff ' Project/ Activity g�(� e-p ck) length (Scale. X/1 ... ier(s) ngth -nber I/ Riprap length ;distance offshore x distance offshore cannel Tic yards ip se/ Boatlift Aldozing Length 5, /9 not sure yes not sure yes um: n/a yes U Lr" 17 yes noC> N.JGl� r attached: yes G�p1 ig permit maybe required by: C)<PA..- -14P (/S OTC �l Special Conditions e a .1 J iIO, r ❑ See note on back regarding River Basin ru Q J ',0/i_ 4 /Pen A�a./J _L.y ad r`^--7 t! ! 1' S -A:V Od f^-g fq 6 e, S � "o9 1-7 �Z a I I DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: Rod fr4-.P X L)5 ,e6� Address of Property: 31 - N C-0JPc-2 ! i . (Lot or Street 9, Street or Road) To (City and County) C�t"Ur1sW�'c,� I hereby certify that I own property adjacent to the above -referenced property. The indivi applying 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 I have no objections to this proposal. If you have tobjetions to what is being proposed, please write the Division of Co. Management, 127 'Cardinal Drive Extension, Wilmingtou, INC 28405 or call 910-796-' within 10 daysW 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 orboat lift must t bck a minimum distance of 15' from my area of riparian access - unless waived by me. (I wish to waive the.setbacl(,-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. ��A -25-2010 01:25 AM 1 f+t OF S STD 05a72 P.01 PAGE 01 Name Of individual Applying For Permit: Addresa of property. 2 i lei Prxt�7` r,� (Lot or Street FF, Street or Road) -SI -e- tic (City and County) If�tT�' I hereby certify that I own property adjacent to the abcve•ref;erenced ro e applying for this Mmit has described tD me as shown on the attached drawing the develo Individual hey Art proposing. A description or dt wing, with dimensions, should be provided with this lettnt er, �I have no ections to this proposal' It u have ob5ecttons to what is befog proposed, please write the Division of Coastal Mana;enient, 127 'Cardittal Drive Extension, Wilmington,. NC 28405 or tali 910-796-7215 wit hiU 10 daYs of receipt of this notice. No response is considered tilt same as no,objection if You have been notirted by Certified .Mail. wAI%ER SECTION I understand that a pier, dock, mooring pilings, break�vgcr, boat house or boat lift must beset b,aka minimum distance of 15' from my area of riparian access - unless waived b Wish to Waive the .setback, you must Initial the appropHOC blarik beloir,) y me. (If}au I do wish to waive the 13' setback requirzment. T b-aRt wish to waive the 1 i' setback requlrement, Al Sign Name +Date Print Name - __.---- �► PA Teiephone Number with Aree Code NCDENR G+�•M'r0 MIIM� quwn�ll dicant: �p�✓��. �NS f e // Permit #: p scribe 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 andh temp impact amount �'✓ 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 ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ eGora/ �lyJt..<</ 2179 bona/�1�/ J072 T6 A� 6'reat 'aae 66-21/530 GhaMoMi ,,✓Y(� 2cQ226' BRANCH 77537 Date WACHOVIA Wachovia Bank, N.Ar pG� wachovia.com T ✓✓ 191:10113G31 ol�:'