HomeMy WebLinkAbout53907D -Vojta CAMA / ❑DREDGE & FILL •
GENERAL 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 �' i, It
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Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC H/ 7 - }2 00
It Name { ,�-� ❑ti.bltules attached.
t cz \ft 3 TA Project Location: County � 3��L�
' 150 � rkp,41 . S. 41 Street Address/State Road/Lot#(s) �f-VA/V C
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(ilE(lip) (nt7_rsa7 Fax#('9 J) (07°33—5j7S -- o Subdivision J
ed Agent City
❑CW ❑•E'W IPTA ❑,ES ❑PTS Phone# ( ) J River Basin L
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❑ PWS: ❑FC:
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ig permit may be required by: ,^•"Y ev— 1 I See note on back regarding River Basin ru'
)-08-050fr52 9104589897» 9106759784
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D VISIb�; Q COASTAL MANAGEME Nam'
ADJACENT RIPARIAN OV4 R OTIFICATION/W NER FORM
Name ofIndivdul Applying For Permit. , `)41r/ A9 .7-
_____Z
Address of Propem': a. it/C Y
{Lot or Street ,=, Street or Road)
ie2an/ i°ozaJ /7, 41 C Drys"�
,..ir and.Counr _ /�
I hereby certify that I own proper.' adjacent to the above-referenced property The individu
appiyinY.for this permit has described to me shownthe attached ason the�c;aL.,,,�drawing the development the
arc proposing. A desc:in-' n ci-a, in with� ��� . dimensions. shut-'lCi be provided with this ieticr.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast:
Management, 12 7 Cardinal Drive Extension, Wilmington. NC 28405 or call 910-746_721
within 10 days of receipt of this notice. No response is considered the same as no objection 1
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier.dock, mooring pilings, break-water,boat house or boar lift must be se
bets a minimum distance of 15' from my area of riparian access-unless waived by me. (If voi
wish to naive the setback. you must initial the appropriate blank below.)
I
_`_/ do .vin to waive the 1 setback requirement,
--- v I knot wish to waive the 15' setback requirement.
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340,c1.111
S i -art Date
_fLS
APrint Nam -• A .
10) -7,ii _S_CL -
Tel nh-np. ti:1)r-•1,.._ „•, r n_„ �� �
9-08-05 05 52 9104589897>) 9106751784
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DJVISTQN Of COASTAL MA.NACLENCeNT
ADJACENT RIPARIAN PROPERTY OWNER NOM FI�•1 'ALA R FORM
Name of Individual Applying For Permit: 1//:/a
Address of Property: /
t Lot or Street=. Street or Road)
Cin and (Amyl
71.4,/_C___d_..&-5 __(7 -a'A) C
I hereby certify that I o\'n pro erty adjacent to the above•ref::en;ed property :he incividu
am:lying for this permit hai d:sc:itd to me as show non the a^a,; ie d drlwin the e' io r n:t:- d_��e, e., e, �
arc prcp,_in 7. A desz:iption e with dimensions. shout. "e proviced with ti is ter:r
I bay a no objections to this proposal
If you have objections to what is being proposed. please write the Division of Coast
Management. 127. Cardinal Drive Extension. Wilmington. NC 2S405 or call 910-7%
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier.dock. mooring pilings. breakwater.boat house or boat lilt must be 5
bck a minimum distance of 15' from my area of riparian access-unless wailed by me. iIf yi
wish to flait•e the setback. you must initial the appropriate blank below.)
r9 du 'A; it :c Aaitiethe .3 setbac,. r,.Iu:rLzir:t,.
I do not «"S . to waive the 15' setback requirement
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Telephone Lumber with Area Code
-08-0S 05 52 9104589897» 9167.53784
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SNOW MARINE CONSTRUCTION
a & DREDGING, INC.
o 108 SUMMER SALT LANE
S CAROLINA BEACH,NC 28428 -
0309
am PAY DATE��
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Ym ,,.,
, TT 01, TO THE
ORDER OF 1 CDO/1 R .
A.
_ U (nJ�1 of840) 10...s d- `�a
+ DOLI
Cm THIS CHECK IS DELIVERED IN CONNECTION WITH THE FOLLOWING ACCOUNT(S
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