HomeMy WebLinkAbout51970D - Sheppard ❑LAMA/ ❑DREDGE & FILL �j
3ENERAL PERMIT Previous permit#
>Jew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
7rized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC , !4,2lGo
.Rules attached.
it Name a ,z'! --C4P ,.9,-z (✓ Project Location: County •rzo..,fey, c ,�
�/R 0)i r� /Mf7 /t l/. Street Address/State Road/Lot#(s) /L /, 2,
:01rh0;,-41 State/V ZIP21/)?
iE(2N 41 f•i.'/„T i Fax#( ) Subdivision
red Agent 41, C>, /`/ n�9 4"- City(2C Pp,' �,p c th i G/J(A ZIP 21 z1
❑CW DEW D-PTA DES ❑PTS Phone# ( ) RiverRi Basin G�//,,
❑OEA ❑HHF ID IH ❑UBA ID N/A Adj.Wtr. Body (f7,✓A L. dT T 62/ �4" (natg.
❑ PWS: ❑FC:
yes / no PNA yes ert> Crit.Hab. yes / no Closest Maj.Wtr. Body / / Lti"�
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id/Riprap length Y"'-`'""‘ .l i✓A L "^�i
g distance offshore
ax distance offshore
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Attached: yes -
ing permit may be required by: t7('00,4)," 175 `P &.?q,026-A I I See note on back regarding River Basin r
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STEVEN T. FARMER 3501
TRA COM SERVICES 66-112/531
PH.910-754-2725 BRANCH 62401
897 MIDDLEDAM RD SW
SHALLOTTE,NC 28470-5657 /—„3-og Date
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AriressA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
el F.Easley,Governor Charles S.Jones,Director William G. Ross Jr., SecrE
Authorized Agent Consent Agreement
is hereby authorized to act on my behalf
( " Name of Agent)
.r to obtain any CAMA it(s) required for the property listed below. The authorization is limited to tt
is activities described in the attached sketch.
►TION OF PROJECT:
L jv L , 5i
)c_JQA-) C-- •
'6(2.014S L Jc
'ERTY OWNER MAILING ADDRESS:
0/toS Yceff),4_77(0
?4ss ,11k1 )4 is
_4044 r l 17 c� 'j/33 PHONE NO. 76 7 /D J q-- I3
9 l- a77.-- yc--/
1ORIZED AGENT MAILING ADDRESS:
/J J4- coviit t (Q
1-)4.) a 13LQ�
'SLao )JC ` s PHONE NO.
ature of Property Owners
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 1 jO, r S ,_3 ,M
Address of Property: `� ) CA_A vJL, 94,, _ `S.�
(Lot or Street #, Street or Road) 0
u - lQ AV -1 Al C--- 217-tik3t,-)ic_
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
' 111)2(#
\inl I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coy
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-2
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 mus
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
iI do not wish to waive the 15' setback requirement.
/2,;‘,4,/41,1 /ZA//4"?
;ign Name / Date
,C..�4� Gam, AF ►A
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 04:517
Address of Property: 41 k 6,91,ccit -4 7 Si
(Lot or Street #, Street or Road) S
DCj :156 PAC// —
(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 development
are proposing. A description or drawing, with dimensions, should be provided with this lette
(Atli I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cof
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-:
within 10 days of receipt of this notice. No response is considered the same as no objecti(
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
7_7/op__
I do not wish to waive the 15' setback requirement.
f : o ,d 7
Sign Name Date
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