HomeMy WebLinkAbout51353D - Cummings ❑LAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ,�� //Ql�
1 f�itu�es attached.
nt Name Ct9(L l e. e ti/'I M 1^j 5 Project Location: Countyago rfw,c
s V ' i Fig e51a„j /qt! Street Address/State Road/Lot#(s)3 G,.2y2,
76x 710A, State /C ziP2?J V _S
' )/0 )5 21" c/r Fax#( ) Subdivision
zed Agent Citya-PI'," 51 p gmc h ZIP 2-
d ❑CW -❑EW - -PTA B y i ES ❑PTS Phone# ( ) River Basin L gi,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Bode/2/.0•47 ( ') /Ww (nat[
❑ PWS: ❑FC: f�/ ��
yes / o,.), PNA ye�I no' Crit.Hab. yes / no Closest Maj.Wtr. Body
Af Project/Activity;?O/f 69c •F (->C ,j 71,..1 2, Ldg-.e se, L/1P.9o/ _(Scale:r
ock)length C..X /i 71,7
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ength I -
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vg distance offshore f /
iax distance offshore / ' r
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channel
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ne Length r�
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not sure yes
gs: not sure yes
>rium: n/a yes
yes Q i - c —- ' r,Lrli r ,! -_
•Attached: yes I / ' - i
ling permit may be required by:(2CCJ 69r .fs gmgmLP C `j 1 I See note on back regarding River Basin
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PANDORA CUMMINGS �' "1 1 4
Itl
003120414
LIC. 145088
480 PRESTON ROAD PH. 910-521-4148 DATEt ? t-3 Zit%:)f)
MAXTON, NC 28364
PAY TO THE /�/ j1��
ORDER OF +� l (/ ��
I $ -
1 S/----tri---<1 f 1 AC------.Z.--C2 DOLLARS IS
'' BANK
l
o GUARANTY
BANK PEMBROKE,NC 28372
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1 MEMO .--P l f / S1. ( :g_Q__ C C->t—
;j 1:0 3 /036821: 0031204b411' 1247
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
el F.Easley,Governor Charles S.Jones,Director Morn G.Ross Jr.,Secretary
Authorized Agent Consent Agreement
�_D . t•3,,NA., is hereby authorized to act on my behalf
(Printed Name of Agent)
r to obtain any CAMA permit(s)required for the property listed below. The authorization is limited to the
c activities described in the attached sketch.
TION OF PROJECT:
P
- . Bec 1N
ERTY OWNER MAILING ADDRESS:�
r0 2)rds Tr?it- ;
a�7,r/ ill- C 2-7?--3 SL /
PHONE NO. ?l' — s - ;i
ts('ts(g'
DRIZEDD AGENT MAILING ADDRESS:
�`V U tR V,tJ v, v --
-I Cs S4-o,Je Ckrvwe it .
I
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PHONE NO. 91U (' `f(,— 77(0
ure of Property Owne : nn
ure of Authorized Aaent: CA, _ h\ < <)
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOT CATION/WAIVER FORM
Name of Individual Applying For Permit: 0j...dee 11hn wA,c
Address of Property: S 1J1;: Y4;L,Yr
(Lot or Street #, Street or oad)
(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
have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
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 objectio
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set bck a minimum distance of 15'from my area of riparian access- unless waived by me.
you 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.
gn Name Da 0e
Si
Da
� (fr e_e t tt. i s r. f Acci
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jf6 X ( -fee L---uWIrri , ' ' J,
( C1?n A-1 Clone / - oceo-r► p/e 8411(-C: t/r ,/- . ,-/-
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ropers Y o4
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Co_.d. Pe 1-.-.;-im Pri t r\v'e , C_____siA. ee .<4-1L 14,1. VO i i/I'‘tiA
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: S144)Cee C rvN tio% r v‘re,
Address of Property: 56 2 5
(Lot or Street#, Street or R d)
Q1.e ea-rt it4ovz r/- C ( rsj
�+
(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 descrip ' n 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 Coa
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 objectio
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you 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.
\/ ri.,-t_ ..' - (--,k _ d
Sign Name ate
-- /. / / AMA
1/'/
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