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HomeMy WebLinkAbout54073D - Searcy I CAMA / L 1 DREDGE & FILL / 3,ENERAL PERMIT Previous permit# flew El Modification . ❑Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of Nortt Carolina,Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 2/4/. /26 Ikutes attached. t Name,)iJ ii, d 5t- A,a C/ Project Location: County g7 4/,..,sw,c,k' 2)) Q L.,//,✓ _AS 02 /"0/2 e S 71 .2)07. Street Address/State Road/Lot#(s) I// SiXf94 /G 4 o' C t State-C- ZIP ) 25-6/ E(7J)66, S' X' Fax# ( ) Subdivision ted Agent 49 1,QA 2 PA I.- CityJ/ l2 Sio,. v,OnC A zip 21`/e cw EW❑ CJ� PTA [ ES ❑PTS Phone# ( ) �n River Basin ( km OEA HHF _IH E UBA ❑N/A Adj.Wtr. Body 2 , X of T o9/Al d 67/ PWS: ❑FC: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body /'/ /"v/ I Project/Activity .;.,,/ c /',9 / ( iN/ O,.✓ /cZo.7 .Doc./e' d- ,Pc97/ -,t " 1d e1"' £, 1 ' ✓A /i' i7 PA_ (Scale = )ck)length 1/ /S ,-, I n(s) /6 ']( 8 —} � - _ - () i ` 4,, , I N®w - mgth ,�I 9 r a i umber i , id/Riprap length g distance offshore vt,/ ax distance offshore G M hannel I I i i / ibic yards 1 iy' ' mp ti t use/Boatlift i -;� 4 h U 3ulldozing i , 4 Reim -/G •( V ! J- I LA � 1 ue Length p, _ I I not sure yesI , , / t T — gs: not sure yes C t-- `i ,� '��f Y1......- rium: n/a yes `..— !_...♦- - r ..- yesi lip Attached: yes ' :t,, . / ling permit may be required by: //c)id.,,. &U??. O,9G,4 % U See note on back regarding River Basin r _..s. _ y / r r, ii — - 1. CERTIFIED MAIL--RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Name of Property Owner: P Zi) 0414 C Y — - Address of Property: I I ) 5 T A—t,_), .-0 GA)G (Lot or Street#, Street or Road,City&County) Applicant's phone#: Mailing Address: 2 22 0 (4..)( it P Futt:-.'&ce sc. 29..co / • I hereby certify that I own property adjacent to the above referenced property. The individual applying for this perr has described to me as shown on the attached drawing the development they are proposing. A description of drawir with dimensions,must be provided with this letter. 17I have no objections to this proposal. I have objectio ns to this proposal. If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive E: Wilmington,NC 28405-3845. DCM representatives can also be contacted at(910)796-7215. No response is considered the same as no n5,jeciion if you have been notified b Certified Mail. WAIVER SECTION I understand that a pier,dock,mooring pilings,breakwater,boathouse,or lift must be set back a minimum distance, 15' from my area of riparian access unless waived by me. (If you wish to waive the setback,you must initial the appropri e blank below,) I do wish to waive the 15' set back requirement. • I do not wish to waive the 15' set back requirement. (Property Owner Information (Riparian Property Owner Information) Signature Signature • - - T'' riniJier S klt a/ Print or Type Name Print or Type Name SA..c7 .(:.L (A,LL c„,L,, _ Mailing Address Mailing Address Clec,r1r qq ,' w w cis w c_tP ta,9 tI .q J 6 I0.19N UJ N N m m N N� -ydoG 9_6107 )(g figN ti � C 1 (_- l 4 %A I ° 6 - • Oy 3 1 ltiiPrE L Cfct-D D 0 ;aye 5i-1 10-A5 11 a SK,mmt, N I-0-r l 63 LOT I t9 ,c o`t" los S'9 )-z 1 C.C,� � �oh,� r L E bJD DAB i t S �rz� / 13 S 1 LO( �, �� s'(�1R�(=GDfr�G1� III STQAWF1-00 XD12 AAA NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Purdue,Governor James H. Gregson, Director Dee Freeman,Secretary AGENT AUTHORIZATION FORM Date (e '- 2009 Name of Property Owner Applying for Permit: D ilf s6otcy Mailing Address: Z22 8 wi) DS/e, ��tes7' 1)1, Vco►2Erice Sc- z?s0I I certify that I have authorized (agent) kAUP 14 �l�R to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) (v D E& 17OC1L at (my property located at) I 1 I s-rrz wpL Wt k., • This certification is valid thru (date) /I U /0009 G / d o 1 , RALPH P TEAL 6141 JACKIE T TEAL 66-112/5 1510 ASHBORO ST SW A HOLDEN BEACH,NC 28462 401° Date Pay to the _ $ , 69 , 0 er of • . WO 00 ------- BB&I. BRANCH BA/LIVKAMTRUST.e0CZMPANY Dollars n ,: .. A cif)54ist,3 cBeD For III svpliipouie-,2, erbvig geld )1!( ieezie.._,_ 1-053 10 1 i 2 Li:0005 2908 2 566 211°06 146 1 . i6Z,=:, _q ..—,F-,,,.....ityy,h17.:....,, ----'7-7D7'- 7EL"=-='''''''''''L''Z1,M4TA . . SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. S' at e item 4 if Restricted Delivery is desired. X G / ❑Agent • Print your name and address on the reverse /A 0 Addressee so that we can return the card to you. ceived by(Printed Name C. Date of Delivery • Attach this card to the back of the mailpiece, %�P�Y �^ l . p or on the front if space permits. C / Cv-�� (7 D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: 0 No 3-0 { I'l J11C LED b I`Do pc� So0TH R3 ciA D c 5 3 O R o N C )$ !'ro 3. Service Type 0 Certified Mail Ofrkpress Mail 0 Registered Return Receipt for Merchandise ❑ Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number (Transfer from service label) Ps Form; 7006 3450 0003 3542 9625 „csuc Hefum Receipt 102595-02-M-1540 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A.,Signature item 4 if Restricted Delivery is desired. X 0 Agent • Print your name and address on the reverse \ ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: 0 No phte tr)l(. . r/Z s S1�o�y uN70i►)1DM� C-T C f7 fTIC.t-arC " G Zg22‘ 3. Service Type ❑Certified Mail OVxpress Mail ❑ Registered X Return Receipt for Merchandise ❑ Insured Mail 0 C.O.D. 7006 3450 0 0 3 35 4 2 Restricted4. Delivery?(Extra Fee) ❑ Yes 2. Article Number 9618 (Transfer from service label)