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HomeMy WebLinkAbout53156D - Ellington CAMA / ❑DREDGE & FILL - s IENERAL PERMIT Previous permit# INew Modification ❑Complete Reissue il Partial Reissue Date previous permit issued ized by the State of North Carolina,Department of Environment and Natural Resources ;oastal Resources Commission in an area of environmental concern pursuant to I5A NCAC-1 IA' 1�` Rules attached. :Name Tau LLL'Sn,6-7-v Project Location: County p1.dr>C.9-- Il fq z L J ,)t Street Address/State Road/Lot#(s) ELF ..CI-IA State 4- ZIP a)s - L. N. An bE._a_ ...) )"7$� ' Fax#( ) Subdivision ed Agent IL_ Se.-Ac.-t-k ZIP 2�1 L 7.CW W ', TA I- n'ES PTS Phone# ( ) River Basi / Q i. ❑OEA a HHF `-IH ❑UBA N/A � , Adj.Wtr. Body giNuD V-6_ �W..1.30 (-L PWS: ❑FC: Closest Maj.Wtr. BodyS P'-it- .‘..•J.1'yes /'no PNA yes (E Crit.Hab. yes / no Project/Activity L vJ.5[9,LL- (J A )LD (- L.... ,A-v 1-,0(r Lb a i_ I t I (:j(1' lc. )i (Scale: I _ " :k)length l I (s) (a x 1 to r _1 Vy j l +1. nber 1 1 1 1 f i/Riprap length 1 !_ distance offshore L x distance offshore / cannel — f )ic yards 1 .1 \__ se/Boatlift - — — Ma illdozing two a,3>b,,,li..�c -... I 1 I li i ; I V i. � . : _Length \� F knot sure yes no 1 11101 I Hi - notsure yes no f I tu rn: n/a yes c{o aT4_c..�� L i y ( I ,, kttached: yes no I ig permit may be required by: 1?S A'LL- 3 E�N C t-1. 1 See note on back regarding River Basin n Snecial Cnnditinnc ,..p., A /\,) r ,-__ ,,„,,!,,, ,„. fri.,,, .,,, L.,. ( Aelipoit. s--00_(pm t uj tv ......., • lie./3-9S 'To &02,4 cs , I • ' I ,,.. .,.;• l'7,--'* I ''., E7Y. Li,---r • i‘,./-, ; 1 1 . !',/ wilt4 -31 7 .'- ivi I__tAr !, -- 1 1 u.. V( c ---:.: .,..,, 4- ., l',A r 7: n i •-,,,,-'.. '''z. 1.1,r,' I ; , ! , ! i !- ,/-rt. ( • ----,?J (<--- • i I 7) _.----______ _ _ ...--, - < • • f ,-- .•...:-!:: -, TA', GI '„ ' 1 r• ',, ) ,._ 0 ..., \, /4,, ,.../ I , . _ I r) 1 77::7, ,-, --.1 (,' A-riN ( „ -it. y t r Nr . it iz. --t t- tv - - - 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to W, W E uL t wo 7O iJ 's (Name of Property Owner) property located at g I g a/ 7) N . A N t ii.sow e.L V ) (Lot,Block,Road,etc.) on BAN es CMA./N , in 4(GSM i L /�� ['�' N.C. (Waterbody) c� (Town and/or County) Applicant's phone#: �l (�8"Z2r1 I Mailing Address: c21 Mite-LDw- RA-Leto a I /tic_27tva, He has described to me,as shown below,the development he is proposing at that location,and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet(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 not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) A yr-A-(i4 C ovum&, (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) S21iCIzc-0W " ( Mailing Address ignature cp.-A)A 1/4-- "7 56, . - fL 440Mn/ 6S1E4 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: Ov` LLt /0k W' tL t&A,rek) Address of Property: $IT " C PJ` bb?2 W3 ptivb (Lot or Street 4, Street or Road) To ptct, e &A-et- NG `) DCit CDouo" (City and County) I hereby certify that I own property adjacent to the above-referenced property. The indiv applying. for this permit has described to me as shown on the attached drawing the developmen are proposing. A description or drawing-, with dimensions, should be provided with this lets ✓ I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Cc Management, 127 'Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796 within 10 days of receipt of this notice. No response is considered the same as no objec you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bck a minimum distance of 13' from my area of riparian access - unless waived by me. I wish to waive the.setback,you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. ar)v 1.2/9/0 Sign Name Date i -1/ _-)14.1. l X f4 l i t...1' l 1 I) .711. ) f V i J-V j 1"} 7 ,,, .\ ,, t 1 ;/1 _ - O _ t fa.• l � y, (. '_, , is y.., J , j) l� 1 1IJ I i '?f+,.1.;11- j,,o i 1 1 r . f: i d' . J i-,-, ') j M 1W -'-- I .I ,cN till', il,-X.T i ,1 M ..L 11 F i irV J S r _L 1 r J,IJc"C 2 la_ S5-lC7J9 - 1 fir �„'i `•\I \i',-- , 41M I 'UQ 5 NA01/),-Pd 7 , • W ELLINGTON NC F�+ ---�.�M.�:���:n~.a% WILLIAM 1575640 9213 META T ELLINGTON NC 2123056 taw— 66-162/531 521 Marlowe Rd BRANCH 30006 Raleigh,NC 27609 M Ph 919 787 2209 /2--3d-fi$ DATE PAY "A C D c A Ili.. ORDEROF $ TO ZOO, GQ OR n' i, - -"itoo — _______ DOLLARS 8t B•cw 1 II WACHOVJA �a _ Wachovia Bank,N.A. 15(D"Tede n K wachovia.com A CC . Y FOR Dock (-Q (tA10/4 (A/W WiC___, nm