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HomeMy WebLinkAbout54029D - Integrated • LAMA / DREDGE & FILL EewN E RAL PERMIT Previous permit# N Modification Complete Reissue ❑Partial Reissue Date previous permit issued orized 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 7/./2 Gt El Rules attached. nt Nameif 1,e, e I PiQo peil7>if Project Location: County e<4,.. s w,C-it- S ta.D. 6,0x. 2 5'O35"1 Street Address/State Road/Lot#(s) /D *7- to ';4111kiir StateA!C ZIP 2F22V PCN/NS4GA # (_ ) 5.4 Y—95 75-Fax# ( ) Subdivision 'tilt PE--v IA,S"+L. ized Agent .r�5-5,# r PyPRS C6rsT. City6ice ,r 1s I. ep�c4 ZIP27 Yi d cw , 1 EW [ PTA 4.ES ElPTS Phone# ( ) River Basin L. ,,v I OEA HHF I IH ❑UBA ❑N/A ,+ /`/� n/� ): ❑ PWS: ❑FC: Adj.Wtr. Body L fr 4 L c1T T '// yes 7 11j (nap ng„� PNA yes Crib_ Crit.Hab. yes / no Closest Maj.Wtr. Body /Gy N/ of Project/Activity A?, vA P ,i rn / ciC, . (Scale: dock)length / 7 j( y 'i29. ? ,(4) ') Y' i I rm s — -4-- pier(s) length number I f L ead/Riprap length H I avg distance offshore lermax distance offshorek—t ' channel /r p 0, —1I"--{�. _..ter - :ubic yards a' I amp .$1'0-i9. ouse/Boatlift ""11G1y/1/4 111. Bulldozing i t6 !N 4 Al! J ,j� ` y W p . 4/•/cLv 20,c tit U hit 4 41. .i, . --1.— -- u 4 --v - - — I a b' — i I d/ ` I! t V* W 14 (1 line Length G ' V1 ri4 0 I 4 V tf tot to not sure yes 02'� : ' - v f. ' ' ! . . ags: not sure yes c.it y - ,L I orium: n/a yes 60 C Vb,`- ...-.-. n�4 r _.._.-.— s: yes Q d i+�'(If f ) 't i y - A 1� ! , I I Lv i r Attachedr es> no ding permit may be required by: C.JC Pn,6., I.'S LC /6 t' c,4 . U See note on back regarding River Basin .-I c........1 P....d:r:��. . _.._I. Alai I ,' I - _1 7 I/ / 7/w .s.. . . — 1. w— w // _ .1 1 e"-- Aim` 11, NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management lad F. Easley, Governor James H.Gregson,Director William G. Ross Jr., Authorized Agent Consent Agreement 3 v rT is hereby authorized to act on my bet (Printed Name of Agent) Jer to obtain any CAMA permit(s) required for the property listed below. The authorization is limited tc ific activities described in the attached sketch. ATION OF PROJECT: o 7iie p&V/ .S U-Aq cF,/9N TALE /O G/ N c- 2S4lc9 PERTY OWNER MAILING ADDRESS: \-)TE6P---ri-TED PgofEY2-7E o • 24-0 351 g--IXTIE ,, IV•( • zszz4 PHONE NO. 7042574 -45- 7S -IORIZED AGENT MAILING ADDRESS: � 0 . 69-pz, 2GE N 75-LE 6C??Cy /\I PHONE NO 9 f 0/575 "3 d(03 3ture of Property Owner. Mee/ 3V2 a{,�� � , 5° ' Ez �,t, ,nolz N 0 t"V1d ,O1X a1 1 1 0 6Z dw1,t-21 ,bx,°)I - 77b0 --vudal.A aZx,g i co DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNERNOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: aK i2 L.[X Address of Property: /-O. Tom-- Fein (Lot or Street g, Street or Road) dca.av\ L2--, T.Q� � �!AS�.s �c,l� (City and County) I hereby certify that I own property adjacent to the above-referenced property. The ind applying for this permit has described tome as shown on the attached drawing.the developmc are proposing. A description or drawing, with dimensions, should be provided with this le I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Management, 127 'Cardinal Drive Extension, Wilmington, NC 28405 or call 910-7� within 10 days of receipt of this notice. No response is considered the same as no objt 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 waived by me 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. S73 Sign Name ate p�Tc1IL— f3,AldGT1 t\St t`P "c'rA DIVISION OF COASTAL MANAGENfENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: ( U( rP r Address of Property: _it v 1 a.. (Lot or Street g, Street or Road) d(g.av• —15Lz , 17)-ez / "ALAS' 1 k— (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 I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of C Management, 127 Cardinal Drive Extension, Wilmington, NC 2S405 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 mus bck a minimum distance of 15' from my area of riparian access - unless waived by me. 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. ....ry\,<L_Ty\v„...‘tc(Th 411)OQI Sign Name Date \Wu r P 1 A A ' JESSIE & MYLKS UUP151KUl:11UIv muumte smear..wMDiiitler COMPANY 1 P.O. BOX 5024 NORTH CAROLINA • OCEAN ISLE BEACH, NC 28469 66 112-531 ��` f-'� ' (910)575-3063 PAY TO THE A/ n $ �6 . ORDER OF /) �� c>G j,e,,,,11-- /1-e--e'liiet *1-C) e .._----_ ----- - DOLI . X.-ec" 7;1-7- , AUTHORIZED ATURE MEMO CI P 5402.9 C . to J..__._. / II'0000 ? 5E. L11' 1:05310LL21.1:000529LL93118Ln■