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
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See note on back regarding River Basin
ling permit may be required by:RAHN StiJ/L P 4,„ --'1 j
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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
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