HomeMy WebLinkAbout53187D - Fore „ICAMA/ DREDGE & FILL 0,-
'3ENERAL PERMIT Previous permit#J>Kw ill Modification ❑Complete Reissue Li Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 214 /2 ere
L].Raies attached.
it Name _Cie 0 P,./ f 0 i2 r Project Location: County B y,{,y„‘
1/2 R e5 A L 1 Ar, Street Address/State Road/Lot#(s) 2 1 6It.2
a Po...s.1040 StatelVC ZIP2 7y/d $71'
(..7&4)272-0 957 Fax#( ) Subdivision
red Agent City DC oi,.✓ 7S"L-e 461,e 4 ZIP 2 7 y 4
Cw .Ew R.PTA Des- ❑PTS Phone# ( ) River Basin ,[yam
i OEA HHF L IH Jl UBA a N/A Adj.Wtr. Body C/1,.i�} t at/��/'I/ (nat
PWS: ❑FC: /9/
yes / .- PNA yes I. _ Crit.Hab. yes / no Closest Maj.Wtr. Body
.f Project/Activity ref 470 f✓i t)C.s-I,f f[aq-/ d- if A 010. d- /.•.g IA// JAI e a &/,1/L,
';tc (Scale:/ ';
5- •
Eck)length X —
pier(s) —
`I
I '
ength f r _
umber i
ad/Riprap length
r
og distance offshore _ �.—._ —
+ vim.
iax distance offshore '
I
•
hannel I_ _ qp
� E {
ubic yards 1 1 ,,—
imp i 1 4- — t - } ._ —— { .... — —
>us�Boatli% / 2 .,e l2 i
0 i
Bulldozing • 'ZI t
I
12
ine Length Su
not sure yes too ___- ----,
ags: not sure yes
orium: n/a yes Aa 7) L J f l J ,
s: yes 2a vGLel_C 4o S7 , - 1
r Attached: yes
/4 • See note on back regarding River Basin
ding permit may be required by: f�G,011,.. �I P ��vC / I
s/Special Conditions ,STi?L/C 1(/it r /)L/.Sr7T l X 1 P,- �P�cr c A dJL3[1° /9/e
/ ,. , . J f /i ', ,i _ _ 1, n /i „it rTlJ ,
00 v?\annv.e,v s 0(c‘ce.
i ,...________..........____...- rAL v -- 3,5 L\ . o '
re 1kk -4-
Gctits6r 0
DIVISION OF COASTAL IvtANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: " c Of\ C;;;›ce
Address of Property: G o\ksba-ro Sk
(Lot or Street#, Street or Road)
c_e—vw. T s e ru,� �j r. .s v.ti cAA Co dJ
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indiv
applying for this permit has described tome as shown on the attached drawing the developmen
are proposing. A description or drawing, with dimensions, should be provided with this lett
VI 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 28403 or call 910-796,
within 10 days of receipt of this notice. No response is considered the same as no object
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. (
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.
1/—
Sign Name Date
Ti�1 C� tit rr : -� AWICII A
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: -.et.eiv\ 41/4_ *t c--cr,y
Address of Property: 20 c e\kslp-e.r- 5c ,
(Lot or Street#, Street or Road)
Occsvv\ Ds t g east-. 4 WV c L./l_ Co.) NI C 2(d`E
(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 descriptio i or drawing., with dimensions, should be provided with this lett
. 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 object
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. I
wish to waive the.setback,.you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
kr -_ I do not wish to waive the 15' setback requirement.
el-&14*(/' n4' b8
Sign Na e Date
"ICe"'-i L af;)I/Ir/ AEXWA
66-30/531 13970
o7i
S. le. Sara
1812 Regal,Gr. Q�
Greensboro,,1e27410-3733 \< , 0. .
PAY TO THE {n` c r I $ zx ,�y
ORDER OF ' V 1
` y. 0tz. 1 1-43„Q DOLLARS
First Citizens Q1ffit
Bank ��yy
firstcilizens.com C-,P5318i
FOR c1`^-5 -V Qi.y..,
1:0 5 3 LOO 3001:0006 26 56 39 2011' L 39 70