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Home My WebLink About54009D - Shirley CAMA / DREDGE & FILL EN E RAL PERMIT • Previous permit# New Modification __ Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources m l Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ill • 1 n 981,,gules attached. nt Name d C S.t,,,r 'ji, ( Project Location: County rk5 0 b E ;I- s 1 _2 t d L b .K I L1 - ) IL.—z1 Street Address/State Road/Lot#(s) 1 (s 1-0-b•at,.0 State 1\ L•- ZIP 2--] 5 -1SJL.5..-ri L:= 4-;.,`-c,›.) \2-c� # 01' )V ' 1- Fax#( ) Subdivision ized Agent ? ' �>3 . M�i�- CityS^a--C' 61 / ZIP l?i d Cw ,__J EW E.PTA S ❑PTS Phone# ( ) River Basi -?-i.- OEA ❑HHF ❑IH ❑UBA ❑N/A ----''' /'� Adj.Wtr. Body )-. r5 4 .4- �L.--' ((nat PWS: ❑FC: yes / no„.„) PNA ye�� no Crit.Hab. yes / no Closest Maj.Wtr. Body I - Df Project/Activity . l'S 1-a Lt--- S0 L.—S --kit r--c T- o W o'' r 1 (Z N. .r./. .3C:7•-J N L L.5 (Scale: ) l lock)length 1 1 .m(s) -_ I i pier(s) I length — umber i*Illij . /Riprap length .5--, Ellir vg distance offshore —_ _ nax distance offshore - _ �.1. channel I ubic yardsIIII i P - nisei Boatlift I . . I - ! - - t r �- / ! I Bulldozing 1 • I ` \,..)A 1.L� 1 } i iI -i1 ne Length not sure yes Cal ' / i f igs: not sure yes `n ` ■ +-._.._ ( wium: n/a yes yes no 1 , Attached: yes o I i . I i ling permit may be required by: v c- r L-f t /{ See note on back regarding River Basin /cnn.-iel f"ndi«:....a . .... 4 \1 C. �. e- .1 1, 1 1 ►([ f eT ..\C1-.a. . • 44.J —.. -19-2E09 12:25 From:WENCELL To: 191032—E.353 Page:1%2 M .Firings And More FAX NO. :91032763,53 May. 14 2009 07:05PM P1 AtrAi NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Wawa F Easiay,Go'rerrar James H. Gregaon,Director Wiliam G.Roes Jr.,Secretary Date _1 9-0 j Name of Property Owner Applying for Permit: Ronnie. SA or:tty Mailing Address: AJ (- c 5'/S //4/.v $ *!7. I certify that r have authorized(agent) M,lN C 0i / eFlit_ to act on my behalf,for the purpose of applying for and obtaining all CAMA,Permits necessary to install or construct (activity) .� P wAk /4L �}ARl +n a at(ray property located at) Lot ) "W 3d C r /e _11ins.: r7 'y 1 AiG f. This certification is valid thru(date) //—/?OQ _ - Y 9-D? Property Owner Signatur Date • CERTIFIED MAIL - RETURN RECEIPT REQUESTED DSVISION 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 marine 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: (1, CIY-L.117 Authorized Ages s Signature D e Name of Individual Applying. For Permit: /r! oNi"c J j'i�1 GG Address of Property: `o i. 17-4c A ' �,e7 (Lot or Street 74, Street or Road) (City and Courl ) I hereby certify that I own property adjacent to the above-referenced property. The individual applying for this pert has described to me as shown on the attached drawing the development they are proposing. A description or drawit with dimensions. should be provided with this letter. / I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 1 Cardinal Drive Extension,Wilmington,NC 28405 or call 910-796-7215 within 10 days of receipt of this noti _No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier. dock, mooring pilings, breakwater, boat house or boat lift must be set baci minimum distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive setback,you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. • e. P I do not wish to waive the 15'setback requirement. F♦ 7 ' CERTIFIED MAIL - RETURN RECEIPT REQUESTED 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 marint 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: _ ; / a �ir ,1> Authorized _ is Signature Date Name of Individual Applying For Permit: /Z Jr'^''4= f 'I/7 L.7 Address of Property: L' / y d'J') 4i/774- /i f i''- 4.� (Lot or Street 4, Street or Road) j , r .` /"c 2 `f5' (City and County) I hereby certify that I own property adjacent to the above-referenced property. The individual applying for this perm _has described to me as shown on the attached drawing the development they are proposing. A description or drawin; 'with dimensions, should be provided with this letter. A- J - I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 12 Cardinal Drive Extension. Wilmington,NC 28405 or call 910-796-7215 within 10 days of receipt of this notic No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set back minimum distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive tt setback,you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. II do not wish to waive the 1 setback requirement. ( , J K PILINGS AND MORE 5471 � SN LAKEADS FERRY,NC 284 � JOHN CASSIDY y,� PH:169 LAK 66-aoi 32 HAVEN DRIVE Date E 28460 PAID th ,vdsv)lQ, order au. ✓ e k c 'Y First Citizens _ f Bank el95 (R.G,.) stcitizens.com For_ t, 5 ? L3270L311' S COLONIAL 1:0 5 3 /00 300'•.