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HomeMy WebLinkAbout53183D - Kart AMA / !JDREDGE & FILL ��' ENERAL PERMIT Previous permit# ' ` Igw Modification -Complete Reissue i�Partial Reissue Date previous permit issued ed by the State of North Carolina,Department of Environment and Natural Resources �� /QG astal Resources Commission in an area of environmental concern pursuant to I 5A NCAC lyiel€s attached. Lame PRE,..PC it IC/i kg R T Project Location: County gQ ur,s`✓Jc k /_ 9 7 1>m-C >a. Street Address/State Road/Lot#(s) c"f7/v76- 00.// - Stat /C ZIP.2 Yy76 ) 2 Y SS ifFax#( ) Subdivision d Agent CAgjt4.,f sftl/l^,,..r City ZIP ❑CW EIRTA •ES Cl PTS Phone# ( ) River Basin L,./4 b i, ❑OEA ❑HHF ❑IH ❑UBA J N/A Adj.Wtr. Bodyfoyc c 4,.i (!4.tr .y lm C PWS: ❑FC: es /� PNA yes Crit.Hab. yes / no Closest Maj.Wtr. Body /9/4✓h/ Project/Activity L,et 0^'d £ '�'�p r9f•,�, x�4�j he,--4 '� /'...:-(Scale:/ k)length ■ _ MN I J �� _._ ...__. ' Ili s) I :r(s) 1— , ' I ' MEM 1 U nber ' it PAP 1 ngth /S/Q' a� / /n' s= .istance offshore_ J - V ., A ' '' idlI a S — x distance offshore r j S. A'' s -. ..�. -+1 , /L.__.. �.. ....._ __ ..._ • —{- - -._......---._ cannel -t- (�_ 1 � ,ic yards t /'/' -i- j ise/Boatlift I 1 _ _ _..._ ,. ,.� . ulldozing \ 4 ,. J f i A r t ie Length 52...5 ' t. /r rt r_ 7..._ _1 - , { not sure yes /r�o , • .: �nq gs: not sure yes _ k .. ,pyj botji rrium: n/a yes �9 - � __ — -r-� II C✓ I N® _ , yes II , I Elourn •Attached: yes C / • See note on back regarding River Basin ling permit may be required by:RAHN StiJ/L P 4,„ --'1 j .'II, RAP ILLa /ED "Ilsi iyN‘✓on i..J 1 4' _A �e2sS B// �/Special Conditions Q t / n II . . - .. - . .. I. i. , a// .i ••ii ow fTAr l or 'L `7 /PH�.oi Al .>.„,,,\ -s--- cs':—,t1:a cc, ys y 4/ .. cc"N. c1` ' 0 ( & � \Xo VVIPOp G4. Sao ,A9° �\ & i j e � P�o if \ li* e 7 \ , A I ro v�v � • v ,Ig' '1 c. �` Q0 .` N R\ \ \ (9is If Q mk of (0 \ \ a �° o�,(0- q 4 ‘\ \ \\ R, q7 II!' `� k I.? 4" t. 1 . I DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: 1'— 'e- ic le-r Address of Property: f 6 9 7 LA cvN.D I-- Pe/ J Sul (Lot or Street#, Street or Road) 5 H44407 re 1 S,etwscd is K Co ,V c ZB 4 7O (City and County) I hereby certify that I own property adjacent to the above-referenced property. The individ applying for this permit has described to me as shown on the attached drawing the development tl 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 Coa: Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7 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 b bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ti wish to waive the setback, you must initial the appropriate blank below.) A/4 I do wish to waive the 15' setback requirement. /4 I do not wish to waive the 15' setback requirement. C. '1'1'6. 4614-A1a, • Sign Name Date ( / ��elf)64w AAA DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: rr& fi. e,,e7- Address of Property: Z.4u 11124 2 eivC .S cc/ (Lot or Street#, Street or Road) ----(City and County)}-_ I hereby certify that I own property adjacent to the above-referenced property. The individ applying for this permit has described to me as shown on the attached drawing the development tl 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 Coa: Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7 within 10 days of receipt of this notice. No response is considered the same as no objectic you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings,breakwater,boat house or boat lift must b 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.) /(/7,4 I do wish to waive the 15' setback requirement. AO/ I do not wish to waive the 15' setback requirement. Sign Name Date rv«z-(Am A A AvA NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H.Gregson, Director William G.Ross Jr. Authorized Agent Consent Agreement tl A 0 v le S' S 7L e v en S is hereby authorized to act on my b (Printed Name of Agent) order to obtain any CAMA permit(s) required for the property listed below. The authorization is limitec )ecific activities described in the attached sketch. OCATION OF PROJECT: /`/(o YI 7 14LLDT7 n/1 Z.BLj7O ROPERTYOP OWNER MAILING ADDRESS: . ,fir P—,Cfc IL t/. KA- 2 /6 T7 L4 wA/D/4 (— D,z- S //Acco rrr ,cl c ZS4 70 PHONE NO. ' F/D/ 754-.615-5-,r5 ,UTHORIZED AGENT MAILING ADDRESS: • 1p S 5 f cc,) ti PO x toad S Ito- (c it e /UC 4-'674-7 1 PHONE NO. Cr (, -(-(cf 3- S.9I >ignature of Property Owner: • • FREDERICK H. KART 4784 JOYCE KART 66-112/531 PH.910-754-5558 1697 LAWNDALE DR SW SHALLOTTE,NC 28470-5429 _ IC 17EL e -_ En-Menrclerr� / v C y A $ Zoa BB J' BRANCH BANKING AND TRUST COMPANY I'III f�fG 1.400-BANK BBT BBT.com uu�