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Home My WebLink About53180D - Ward LAMA / DREDGE & FILL IEIVERAL PERMIT Previous permit# New 7IModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued •ized by the State of North Carolina,Department of Environment and Natural Resources ._.� f /BOG ;oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC n'Rules attached. t Name/M r 1-'16 li✓/a d Project Location: County 52Q4,- c e-✓t c �/. / G L Cad ANGN Cljarl G A ed. Street Address/State Road/Lot#(s) / S 6 Iv. 3- 0/j E'nJaw State PIC ZIP2l5VI.2 (7/0)7W-2 .s 7 Fax#( ) Subdivision ed Agent Cityf7(,".• .�S I e --A19c 4 ZIP 2 X YG cw ' JEW Li-PTA QfS ❑PTS Phone# ( ) River Basin 14,4t 4 ElOEA [_'HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body Ol a Sew o/J (.2 4,e, 4- u ❑ PWS: ❑FC: Closest Maj.Wtr. Body /(y(i yes / - PNA yes t no_-- Crit.Hab. yes / no f Project/Activity ( i via 1 P , }", ,,t /�o c e (Scale:/ ck)length /b Al , ', b - l iier(s) T � ---- i I :ngt h 111 amber �� I �1� d/Riprap length flIITui IMM ■ g distance offshore II i i i I sx distance offshore — IIIIME ■■ I hannel linlaMM ' I bic yards �� mp ::r HIE + { use/Boatlift 6111111.10=1W,. lulldozing INEMEMIlealliri - liniM l _ S M. i ' I . _ ie Length_ f 2 MINIMINIIII.� not sure yes T/� '�_ �B - �"-- gs: not sure yes . ? i� _ rium: n/a yes j ,,� I ' 34+'r " yes ao i le0 AttachedX yes no . i IIMMEIMInd ling permit may be required t1by: C.O 0,✓ 1Jsl-P ✓ O� 6 A See note on back regarding River Basin i I Special Conditions ///( Co." '•71/6/...S U 7// /Z6 ,gS t-✓Q // /9s .7// , "n 472 "--4',- , _ , I C 1 - i .7 - I - I __ / .. 1/ A _/ A k k x. AID /05%2009 17:39 910-579-9353 COOKE REALTY PAGE 02 DIVISION OF CQi,STAL ivtANAGEMENT ADJACENT R.IPARIAN PROPERTY OWNER NOTIEICATIONfWAJvgR.FORm Name of Individual Applying For Permit: M /7/Pe.--z di ci� Address of Property: r b. W eSI het '+ y (Lot or Street#, Street or Road) . (City and County) I hereby certify that I own property adjacent to the above-referenced property. The individual applyin a for this permit has described tome as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. . I have no to this proposal. objectionsp po.al, If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington,.NC 28-405 or call 910-796-7215 within 10 days.of receipt of this notice. No response Is considered the same as no objection if you have been notified by Certified Mail. WAIVER. SECTION I understand that n. pier, dock, mooring pilings, breakwater, boat house or boat lift must beset bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Tryon wish to waive the.setbadk,'you must initial the appropriate blank below.) • I do wish to waive the 15' setback'requirement. V I do not wish to waive the 15' setback requirement. -.. Sian Name Date pr (' � A Pri nt �nrne, • • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: ,,iz1L;n)T/ ///9/ ') Address of Property: l G//7sr 17/2,1) S• 6er g'S) (Lot or Street 1 , Street or Road) 5—L ��» ( sfck /UC (City and County) I hereby certify that I own property adjacent to the above-referenced property. The indivi applying for this permit has described tome 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 bck a minimum distance of 15' from my area of riparian access - unless waived by me. (l 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. ho0/09. Sign Name Date L1 W ne_ {"\e-fl we MILTON R. WARD PAM L. WARD 1391 910-653-5572 9782 LEBANON CH RD. ss tsis3o Nc CLARENDON,NC 28432 Date__3'� U� ism ParyTder oT Ohef O $ too e! ` Dollars 8 � k. Ba kofAmerica ACH Rh 053000196 O l ,e V b r @ tint For/_ 12,-(i tt - l`r� lc/ !) 1:0 5 3000 1961: 000 19 36 2 n%�� 600 9 13 9 1 Gp531,EM ��.