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Home My WebLink About52589D - BrookeL 2.25; aJ 26 ;AMA / -' DREDGE &FILL Previous permit # ENERAL PERMIT drew '-A'- Modification 'Complete Reissue ❑Partial Reissue Date previous permit issued :ed by the State of North Carolina, Department of Environment and Natural Resources T► y l astal Resources Commission in an area of environmental concern pursuant to I SA NCAC Mules attached. Name Project Location: County �C i�mf — — State_Nk, ZIP t 0 A 5 2?c�-jW1F A ) Street Address/ State Road/ Lot #(s) Iey i i K i tJC�> LI:W� Subdivision �) — ZIP. d Agent )'V`'� 41C- Ct City E3i��x_sfiYl�� ❑ CW EAW Q'PTA QEs C PTS Phone # ( _) River Basin ❑ OEA El ❑ IH ElUBA El N/A Adj. Wtr. Body A , �% V v fiat,%/m ❑ PWS: ❑FC: Closest Maj. Wtr. Body ��;� es / a PNA yes of Crit.Hab. yes / no Project/ Activity C.o\)STU( T 00161) 6 t K 11@Q— 1 wtre-1 (Scale: I!�-- 2 k) length s) igth -iber I/ Riprap length distance offshore 2` x distance offshore annel )ic yards ip se/ Boatlift ulldozing e Length I not sure yes I71 _i_... s: not sure yes �rf6j lum: n/a yes o T yes Attached: yes o� — ing permit may be required by: ❑ See note on back regarding River Basin r 'Special Conditions ��?t �� _ r `.L� �Vc �17 C �ENR North Carolina Department of Environment and Natural Resources Division of Coastal Management chael F. Easley, Governor James H. Gregson,.Director Authorized Agent Consent Agreement William G. Ross Jr., is hereby authorized to act on my bel (Pnn ed Name of Age ) )rder to obtain any CAMA permit(s) required for the property listed below. The authorization is limited I �cific activities described in the attached sketch. CATION OF PROJECT: 1 9 CI 1 X IC d �,W-3 ,OPERTY OWNER MAILING ADDRESS: 5 �L✓L w- �f}fY�t,� � 1�,�1i n�e C� CT l Lam, �, �► .JTHORIZED AGENT MAILING ADDRESS: Ae 0 ��" ��4l�d 2 PHONE NO. Cal 10 ) ?7C — o q ?,q PHONE NO. �4(0) 79.3 - 41 y.3 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: Address of Property: 19 9 ( � / tA, S Z_.4 v)It, (Lot or Street #, Street or oad) `J /� S� �/ V)el (City and County) I hereby certify that I own property adjacent to the above -referenced property. The individ applying for this permit has described to me as shown on the attached drawing the development tl are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objectio ns ions to this proposal. If you have objections to what is being proposed, please write the Division of Coas Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-72 within 10 days of receipt of this notice. No response is considered the same as no objectioi you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ify wish 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 15' setback requirement. P Print Name ' �`�A DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAti ' k v R FORT Name of Individual Applying For Permit:,, '6EYA5 --- Address of Property: (Lot or Street #, Street R ad) (City and County) I hereby certify that I own property adjacent to the above -referenced prone ;.y. The in, applying for this permit has described to me as shown on the attached drawin c: t ie d °veloprr are proposing. A description or drawing, with dimensions, should be prov (le3 w.th this 1 I have no objections to this proposal. If you have objections to what is being proposed, please write the Livision of Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 )r :all 910-7, within 10 days of receipt of this notice. No response is considered the s zrre a� no obj, you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu bck a minimum distance of 15' from my area of,riparian access - unless w', iveJ by me, tiyish to waive the setback, you must initial the appropriate blank belo�.. SimName I do wish to waive the 15' setback requirement. (�IW�J onI I do not wish to waive the 15' setback requirement. Date AAA C �O-J) l t r 4iv3LJ� \ n , n1c.,) emu! ► ,c•�� --------- - -- --_-�-_-='_-FOR SECURITY PURPOSES, THE BORDER OF THIS DOCUMENT CONTAINS MICROPRI"NQ - CAROLINA MARINE CONSTRUCTION, INC. 66-717212531 Ph: 910-793-4143 3600-E South College Road PMB 326 Wilmington, NC 28412 DATE PAY TO THE , /t ORDER OF ) v r L; ` Dc 1! i+ COOPERATIVE BANK I WILMINGTON, NC Gp5a " GP5,-;I592 C Pe. CoAUTHORIZI 11*00 36 7 2u' 1s 2 5 3 i 7 17 281: 199000 2 1 1 7110