HomeMy WebLinkAbout54036D - Humphrey <CAMA/ 'II DREDGE & FILL 7 -
ENERAL PERMIT Previous permit# _
New E Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
wized 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 . N 06
❑Hulas attached.
t Name Alin Hu impl4 YeLi Project Location: County New VICV1 if
3/ SeacosT (Yf"c(. I Street Address/State Road/Lot#(s)
Vl In+5vj 1I¢ 1t'aLI1 state"Kt zip 49-}is0 "), `)-(tkoN s " boy(
( 0 ) 612-Tit&lp Fax#( ) Subdivision 1\V A(
ted Agent City SaKt., ZIP S1Rj'k.E.
❑CW AEW XPTA E ES ❑PTS Phone# 'r 1)912- 3'1&rlf River Basin Ca Q❑OEA ❑HHF ❑IH ❑UBA ❑N/A Ad'.Wta e D �� 1Q n t` ��
❑ PWS: ❑FC: I YZl yi11 t ��•
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yes / no PNA yes / o Crit.Hab. yes / no Closest Maj.Wtr. Body �. I W 1
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g distance offshore I a� I
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not sure yes @ !
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n/a yes no T_... �.. .—�- f yes n �Q L i • 7 1
4ttached: yes no�' . 1 . ► _ 1 i
ng permit may be require bjy:�Q�n O AA )n �l �� ( ` ad I Ii See noteo on back regarding River Basin ri
.. .w .... ki1i1/e -an 17nT :I`.,A / ( 'i1 /'._L 1 . -ll ti f tLin \'-'11 _
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: �-f/Ai //U ' i/'-q.
Address of Property: 23Z S.C-NR.&ST 2 .
(Lot or Street#, Street or Road)
GOW l6//7'S V/It E i (NEa) #r9iVo M,0 iuc zl
(City and County) /
I hereby certify that I own property adjacent to the above-referenced property. The indi
applying for this permit has described to me as shown on the attached drawing the developmei
are proposing. A description or drawing, with dimensions, should be provided with this let
Y I have no objections to this proposal.
P P
If you have objections to what is being proposed, please write the Division of C
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-79(
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
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.
I do not wish to waive the 15' setback requirement.
-is-oq
Si` Name Date
Print Name A` ,A
L1 v LJivtv lvituvrt JL:tvLGty 1
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
--'$ me of Individual Applying For Permit: 7aNA1 i . 1/anipt1REp
Address of Property: Z3Z .54,4cREST
(Lot or Street#, Street or Road)
AIR I( fr/7$ / UE & 4vw M4iuoifzZ) NC ZE'V&
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The inditi
applying for this permit has described tome as shown on the attached drawing the developmen
are proposing. A description or drawing, with dimensions, should be provided with this lett
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cc
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
bck a minimum distance of 15' from my area of riparian access - unless waived by me. 1
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.
iZ —0 7
Sign e Date
L A- IA OA
Print Name AcakA
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FLOOD ��'° .4' DREDGING LIMITS(-6.0)��� �`
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MOTTS 16 CHANNEL
PROJECT PLAN geA7"E re,0477N6 1).
100 0 too .
SCALE IN Fr FT I .TOhN am�NRc�/
RUTH S HUMPHREY 3125
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PH.910-371-2062 66-112/531
1621 GRANDIFLORA DR
LEIAND,NC 26451-7435
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