HomeMy WebLinkAbout52076D - Doern ❑CAMA/ L}DREDGE & FILL
GENERAL PERMIT Previous permit#
LINew ❑Modification III 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 15A NCAC 2/17/. 11 (/
B•Rtltes attached.
` /n/'VNC�
nt Name gc.N d9 D L-/2 N Project Location: County f 1_,r,..s c,ii c/C
s 2/ 3 Al, CA,.'4(. /-t y e. Street Address/State Road/Lot#(s) S/)/9-j2`
i.NSC7 j i9C A State/Ye ZIP-2 2'/4r
#f/io )ti/4"2 XSTFax#( ) Subdivision
Ized Agent City 51-,--l'71 F ,0s►c ZIP L 7
d ElCW f i•EW 0-PTA DES ❑PTS Phone# ( ) River Basin L.c,,,,y
❑OEA ❑HHF ❑IH C UBA ❑N/A Adj.Wtr. Body ‘09/ !.z/l nit)
❑ PWS: ❑FC:
yes /,no PNA Cyes / no Crit.Hab. yes / no Closest Maj.Wtr. Body /9/4/4-1
)f Project/Activity RC, C-L- L x /S7--'6- /- ,4 i L' .. ��,L/r,v fi92)
(Scale:/ ''
ock)length
•
i '1/
pier(s) T
ength Tj �1 l f
umber ' � V' 11 a Uli
ac�Lprap length l } I4 l/V , tij
vg distance offshore / 1,4 �
lax distance offshore
channel C`~ l idorli Xt Z,C
1
ubic yards , 2 4
imp ——
( l fla /244.G
use/Boatlift j r i
I. s l N,q/jt 4.,�.. +
Bulldozing I k.) 14 451. ! 1 .
i.
ne Length ,
e 1.- i -- --
not sure yes V
1 i
gs: not sure yes , } I I I f
I
irium: n/a yes i
no 2V1 _ _ G✓, Ar4 L eve I
Attached: cy no . I i I a
ling permit may be required by: SL/n/s-c 7- I L ,4( N See note on back regarding River Basin
KENNETH L DOERN 1108
,
ANNE L DOERN
213 CANAL AVE ..'`'7 66-30/531
INSET BEACH, NC 28468-4403 Date A/ { f (A--� 611
Dollars 8 `�"'"
iITIZENS 611 EQUITyLI
rot-Citizens Bank d Trust Company
lount Airy,N C 27030
vwyv.firstcitizens.co
2076.: ,Dee N -_ — -- .....-.__ __ Ill.
1001: 06 1 L689 2 28 LI 1 10888
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UN.24.20a5 8:41AM NOD* WIR4 NO.058 P.2
pr'vx&oN OF QASTAL MANAGEMENT
ADJACENT RIPARIAN PROPFITY OWI R 1,1 s r CA,TION/WM/BR Fi t •
dame of Individual Applying For Permit Evi 1 '1fY,/1l ZN •
address of Property: (3 JJ• C 4/774 L
(Lot or Street#,Street or Road)
C .211(6-r
(City and County) ^ --
hereby certify that I own property adjacent to the above-referenced property. The individual -
ppplyirig for this permit has described to me as shown on the attached drawing the development they
ire proposing: A description or drawing,with di measions,should be provided with this letter,
7C6 I have no abja iaas to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive sion,Wilmington, NC 28405 or sett 910-395-3900
avithin 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 a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set
bck a minimum distance of 15'from my area of riparian access-unless waived by me. (If 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 wizh to waive the 15'setback requi neat. •
o�
Sign Name •
Print Name � '�!
LM.24.2005 8:41AM t WIRO NO.058 P.2
prviBDDt OF COAT41,14ANA,GENDINT
ADJACENT RIP= r_, a t! • '.a-o=+' i al V t -_a a 4 A ;.1!. _ k •
same of Indivklual Applying For Permit <ov t ,4'44€ Od€T?'V .
Wdress of Property:J-2l� �t C,4''9"7 C_ R1:5
(Lot or Street#,Street or
.S."(rlY7 SC42 e6,----X2C /7/ HC 2PV67
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individual -
1PP1Y�5 for this permit has descnbedtome as shown tube:attached drawing the development they
ire proposing: A description or drawing,with dimensions,should be provided with this lets•.
t K I have no objections to this proposal.
If you. have objections to what Is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension,Wilmington, NC 28405 or call 910-395-3900 -
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mai.
WAIVER SECTION'
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set
bck a minimum distance of 15'from my area of riparian access-unless waived by me. (Ryon
wish to waive the setback,you must initial the appropriate blank below.)
I/, I do wish to waive the 15'setback requirement.
I do nolwich to waive the 15'smock rent.
�o,Q1v s b d'
Sign Name
•
•
1)-64e e f—le\ • -i• e,
Print Name AliCirgA . .