HomeMy WebLinkAbout52540D - Rose :AMA/ El DREDGE & FILL
ENERAL PERMIT Previous permit#
Jew 1_Modification D Complete Reissue E Partial Reissue Date previous permit issued
.ed by the State of North Carolina,Department of Environment and Natural Resources
astal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 2,A 2 C;(2(
Rules attached.
NaMeb4:1112 EA/CC l .S-1, Tie( Project Location: County RI e-1,,,sivicie
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d Agent City ZIP
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Attached: c,17yet.,:,,,, no -
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ing permit may be required by: //a 10/P,...- g.all )) . I I See note on back regarding River Basin r
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(Special Conditions 19( ( rdN c/. 14,....5 a li 7".2 6 -6. ,L7,..5 tv e,/, /9 c- /,i/ e, 4 ort ,S/,7 c,
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: L p e ce- C- .. 1 set Jr
Address of Property: 13 41 v'r 0 Si"
(Lot or Street#, Street or Road)
r� �
dt Q
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indiv
applying for this permit has described to.me as shown on the attached drawing the.developmen
are proposing. A description or drawing, with dimensions, should be provided with this left
k " 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 object
you have been notified by Certified Mail.
•
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,boat house or boat hft must
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.)
x � � I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sign Na Date
V
Ac,sq hL
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Lbw,r e cc— C- s e v-
Address of Property: 13 `t G YL ;k-5 (0a 0 <fi
(Lot or Street#, Street or Road)
I-614N gVLA-t.ts
(City and County)
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 objections to what is being proposed, please write the Division of Co;
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 objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,boat house or boat lift must 1
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.)
X I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Ji
Name Date
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COL LAWRENCE C. ROSE,JR.
BELINDA S. ROSE
200 DOBBIN AVE. 779$
FAYETTEVILLE,NC 28305 5000 !� _
Date Q 66-19/530 NC
Pay to the /n�'� So3
Order of l u b c
Dollars 6 Bank 0„, ,..
erica
ACH R/T 053300001 ,, T-96 (�csp` t. Bank of America A antage
For C -V V 7 k. f
1:0 5 3000 1961: 0000 540 2 5 S8007798 �'�OC'larke Ameirnn