HomeMy WebLinkAbout50343D - Hamilton .:A/ ❑DREDGE & FILL
IViERAL PERMIT Previous permit#
INew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued •
horized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 11 • 'I Z o'
x_Rules attached.
ant Name A Q•-L z . .v•c-,"._%---1..=3°J Project Location: County O%'S ►—•_=
ss 6 3 I \ 5 \)>r Street Address/State Road/Lot#(s)
1 1 s ‘-- i) 04-`\ State L ZIP L 9j4(0O ;it)j ) it i ( IZ: _,. >‘,..) ,Z
#fi 1 0)SS1J'1 1S Fax#( ) Subdivision
rized Agent CityS�%'.'�---us f& e_ii.. `I ZIP__
d III CW EW ETA ❑ES ❑PTS Phone# ( ) River Basin','4i�'f
r ❑OEA ❑HHF ❑IH ❑UBA ❑N/A / "�
): ❑PWS: ❑FC: Adj.Wtr. Bodes4\+- +,-/45 ��t-- k`(na
yes PNA / no Crit.Hab. yes / no Closest Maj.Wtr. Body ry J `(1�v 1��1--
of Project/Activity -1--)51-xa1- SX 1 1`-- '1 I C k )1--_) L -V- iN ; I Z X I Z.
V.L.`5 ' y X c VCr..(.. SS `;11 G cL (Scale: \f
dock)length Sx I Z.to
rm(s) C) )( 15 1 ` 1 I
r pier(s) x 1 �\k) i, `P+"�
1length 1 I I
II
number . I a x St'
ead/Riprap length I • • l
avg distance offshore _-_ su ,'
max distance offshore y �} • {•
I
channel i I I
cubic yards '`<� I f„
amp S
s iI
ou e/Boatl' 1 Z)(I 2-
i f
i Bulldozing , _ _
• 2 Pe)a3L N 'LL Q -,�' i I 1
I
��` a
i 1 _
line Length 11
not sure yes no , ✓,, `_o 4,
ags: not sure yes �i
:orium: n/a yes P I l P
yes cia - j
r Attached: yes <
ding permit may be required by: (SI�5 l -,-) v\rTI NI I See note on back regarding River Basir
r-
elA
INGS AND MORE 5551
4 CASSIDY
(910) 327-2009 •
31 66 311/5
LAKE HAVEN DRIVE 31
ADS FERRY,NC 28460 (JdS/, Date• i
lrto the NL,�L �" Q�Q. Pa
rder o
vO y vr-, , 'b ` Dollars 8 �<,.
2 First Citizens
Bank
firstcitizens.com
GV 5:)645 COO m.
353L003001:00457L32701, 311' 5 5 L
COLONIAL CLASSIC°
•
ti r
1
I
1
r
1
I
I
•
I i
-j
I
1
K
,ee9 e:� s' ' 4s' .lr� -r
kA/V.O.
i N
CERTIFIED MAIL - RETURN RECEIPT RE VESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or
individuals listed below. The CAMA General Permit application procedures require that applicants provide the Division of
Coastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property owner indicating that they have no objection to the proposed work or that the adjacent riparian property owners have been notified
by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by a mariru
contractor or other individuals acting as an authorized agent on behalf of the applicant.
This form was sent to you by the following individual or company designated by the applicant as an
authorized agent: p
- 1,�► l/ /-4/ J ' /r7 o --
�� / C
but / '. Agent's Signature Date
�� 7747
,p��
Name of Individual Applying For Permit: mit-7- y, f ,rf/1,1/473--
•
Address of Property: 4f �1f�0,6,17
(Lot or Street Street or ad)
cf/V /�_ /v(— a1��v DA-fzo
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individual applying for this permit
as described to me as shown on the attached drawing the development they are proposing. A description or drawing.
with dimensions. should be provided with this letter.
�-Q I have no objections to thi
s proposal.
f you have objections to what is being proposed, please write the Division of Coastal Management, 127
'ardinal Drive Extension, Wilmington,NC 28405 or call 910-796-7215 within 10 days of receipt of this notice.
o response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set back a
inimum distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive the
tback,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.
Ame. fflarlrjor.tam,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley, Governor James H. Gregson, Director William G.Ross Jr.,Secretary
Date 0/0 lj'
Nam of Property Owner App ylisq
ing for Permit:
4.(G/L /! 7 i
Mailing Address:
63 /1 / /1-re -
/V . rt—o a; l BA ( Nc_ 2-w‘Q
I certify that I have authorized (agent) / 0, 5
;�O/? n 1 d)/ to act on my
behalf, for the purpose of applying for and obtaining all CA1\IA Permits necessary to
install or construct (activity) (j 0 ck
at(my property located at) /0 S ') / ' e-r( all(L'A ;1Df./ CjMa S
{— r r4 VV C -
This certification is valid thru (date) 0 /,
Mite_,Qj ur✓.I /J'
0/,/
Property Owner Signature Date
SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signat�
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse X 0 Agent
so that we can return the card to you. ��� —)
❑Addressee
B. Received b
• Attach this card to the back of the mailpiece, Prin :d Name) C. gate/
y( Delivery
or on the front if space permits. �� 1 ,r,/� r
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
If YES,enter delivery address below: 0 No
Z2 f //,d L/ /1' 70'
c 976 2/71-1— /) /7/C ;7-J 7-- i________________________
3. Service Type
4 0,t,G 2 c-/i ❑Certified Mail 0 Express Mail
0 Registered ❑Return Receipt for Merchandise
�JSC� ❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Era Fee)
2. Article Number Yes
(Transfer from servicelabe° 7008 2810 0000 9957 2239
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540