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HomeMy WebLinkAbout53116D - Wallace ;AMA/ ❑DREDGE & FILL e ENERAL PERMIT Previous permit# Jew LIModification El Complete Reissue ❑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 15A NCAC 7/4/• 2 oa ipxures attached. Name 1.49 t7 g k./ 1Q/ I ACI- Project Location: County Oa y-✓.sti,ic% / //6, i i C Xe 17 i2- 0> e 'c/ Street Address/State Road/Lot#(s) / Z.,/N/e,.; S, 2(L /f.4c,nr State/7'C ZIP .2?o 7J— O� Subdivision 77/-7246 Fax#( ) ZIPS Py� :d Agent 11c t. Y L 1 4.5- City r( / #. 1.s L e ,9cA Y I CW ❑EW ❑RZA LIES ❑PTS Phone# ( ) River Basin ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body ,'u A L O if i/iiiw (flat /err El PWS: ❑FC: / L✓6✓ Closest Maj.Wtr. Body res /;no PNA yes / _ Crit.Hab. yes / no ,%� Project/Activity fly/A t f. L' '5 T,% �C iQi .1 tte f/a A', )r;c/c" 7 (/ ' P.-2 s (Scale:/ /..:_- :k)1 ,X',II ',6 / e :,f i i .,.err or , ._.. .- —-� t } ier(s) T imirom ngth IIIi Tiber �� f WO I1 L d/Riprap length 111111111= Val MINFTWEll111� distance offshore —: � L Aix distance offshore —IL. f cannel P_�'Aw MI Mini bic yards ii4UJII] iIgj •= Tip -111=1111.111111.1111M1M111.1 -- .Ise/Boadift : G C �1 iulldozing N .' �J ■� „a • 1=111MOMMIENNIN /d 'xi 8 ' IIIMIIIIMI 11��tffil ■ ne Length ii' 1frMerriIMIMI-es `_ho gs: notsure yes o EMEM■■—.M. xium: n/a yes 7-no' 'F �� ��i�raM ■ INIMIIIMINE yes C`r_ :, + . �aa�___ a ' IIMENIE Attached: yes �`7ro ding permit may be required by: 0C4tFrt., ...-r-i`i 6/,,c 4 . 1 !See note on back regarding River Basin ;/Special Conditions /02.4 _ 2 VI(Sy-L1 A/lo,.✓e d At "I/LI 7!/rJC"f. S7 Z I1C74/,-e 5 P2 t1 5-4 CLUTT R BUSTERS 7048883112 10/08/08 07:53pm P. 001 r ctt 110:U3 II J I.OnSIruu11o11 `J 1NtlSD-3.DY.0..I1/1DO 3I it ` . .4" ._._..... .,.. le } P�c:th Carottna Crportrrlent( r.vl'rr ier.r and Nexa: 1=.&sxrcei blvis+on of Coastal Management :'"Nei, ;:_as! .Gown Gownv ,lamas H G;p4ott,Vrector 1'c'd`lam. Puss_" ,e,:rerlr, Authorized Agent Consent Agreement ,j, e /_„ ell.5s f ,s tNereby 31.4N:i Zed to act on my beha 1 Pe'n a Nor* r A.e':t raer tC oCtaln any CAMA aermit;el required fcr the proper), rated tje+aw The a:rtr c,r:iatlon is eiTfltra to the cifi: a:trvit:es deserted bed ;n the attached sKetvh :ATION OF PROJECT: // 11 57 - '+'f V vi J for w_._....__ ?PERTY OWNER MAILING ADDRESS c_ ° .. .� PHONE NO. 71-'Y ?2 L 210 rHORIZED AGENT MAILING ADDRESS. �±LS'_....,1.,.....L.z!1--_..2-..ff`l. ;z _ —_...__________.��..__.. PHONE NO __ y�"�J1Vic? _� 3 -,ature of Property Owner _ _ __ Nature of Autnonied Agent , � Clv�r.a � DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY O\'‘ NER NOTIFICATION WAIVER FORM Name of Individual Applying For Permit: jay L) C U( ti Address of Property: f ( 7) 11 () u (Lot or Street#, Street or Road) _LOC 1161 L Ail A _ ZL 1,4 „U4.7tek (City and County) I hereby certify that I own property adjacent to the above-referenced property. The indivic applying for this permit has described to me as shown on the attached drawing the development t are proposing. A description or drawing, 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 Coo Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3 within 10 days of receipt of this notice. No response is considered the same as no objectih you have been notified by Certified Mail. WAIVER SECTION I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must t bck a minimum distance of 15'from my area of riparian access-unless waived by me. (Ii 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. Date A� a _ 'A N I ,' C\ ,,k. 1 � 1 s y f) I \ .� e I � 1,4______LJ -4, go, ji?) 1 / /34\ 647 ,c.4 �; /— L , ` 1 / a 10/ �l ti I VAPQ --t) V ,--` \ ( ri `y WESTERN! IMONEY INTEGRATED PAYMENT SYSTEMS,INC.-ISSUER UNIONI IORDER Englewood, Colorado 08- 967068598 AGENT 333286 DATE 101408 .'-`11 AA' 82-40/1021 'TIME 1401 02 089670685985 LOCATION 00314 --10 *:3* PAY EXACTLY TWO HUNDRED DOLLARS AND NO CENTS *******1434:0 PAY EXACTLY PAY TO THE ORDER OF /VC 0 giv # , ( yv-4,0 hili.AS-HtaR'llrflgo/ / 1"-)fryg 7 yr- FURCnAtteR,8.N! FOR OlieWeR PU A BY SIONING YOU PORI!TO TATUM ON TM!MYERS!SIDE Western Union Money Order end Design is a service mark of Western Union MOldingS,inC./Peye:de et Wells Fargo Bank n notion-Downtown,N.A.,Grand Junction,Colorado I r—s Inn' nno t_nngqP, 71168 598 so -4; SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY IN Complete items 1,2,and 3.Also complete ature item 4 if Restricted Delivery is desired. II Print your name and address on the reverse / I. ❑Addresee so that we can return the card to you. B. Received ., (Pri ed Name) C. Date of Delive • Attach this card to the back of the mailpiece, , JC _ _0Y or on the front if space permits. 0 A- i. -l. / D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: c.- t If YES,enter delivery address below: 0 No t7etiLiv?..) ,k.._— 'L 1104 �'1 0- (� 3. Service Type f / �? /6 "7 0 Certified Mail 0 Express Mail ❑ 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) 7007 3020 0001 5068 4676 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 SEND R: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY 0 ,1 Complete items 1,2,and 3.Also complete A. Sig re 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. 4ceived by �rinted Name) �`6• Date of De ivery • Attach this card to the back of the mailpiece, ( (62'g�7 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 f' I( ) ty,� a/fGivll f w� ?J` 6 P.c. LO1 fici 3. Service Type l ��y� —JS °1, ill(' ❑Certified Mail El Express Mail �lJ / yx 1/D(( CI Registered 0 Return Receipt for Merchandise OI ( ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2, Article Number (Transfer from service label) 7007 0220 0001 4610 2051 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540: