HomeMy WebLinkAbout52044D - Shirley iJCAMA/ ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
*'Jew ❑Modification ❑Complete Reissue ❑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 2S;Zau
les attached.
it Name tJZ l: .. A--().L -1 Project Location: CountyiiIE-'t. &IL.
122-) 64-1 p a ef Street Address/State Road/Lot#(s)
pc7L(.7 i f IOA t t State 104- ZIP Z7c-'`6 L�j u LL T 1 t V S..JS";vt- c
E P) 2144 6-II-Pi Fax#( ) Subdivision
:edAgent City So RC i?y ZIP Z-gg4,
❑CW ,W )TA ❑ES ❑PTS Phone# ( ) River Basin( ?f
❑OEA IllHHF ❑IH IIIUBA ❑N/A
Adj.Wtr. Body /0 jt--11-- SOk"w-)/." CP
❑ PWS: ❑FC:
yes /cne PNA es no Crit.Hab. yes / no
Closest Maj.Wtr. Body}i'SA1-L ..S.,- L,w:'
f Project/Activity T•t '1-4.L`. l,c, y KZ p1.tA., ,i/ 8,X Z-S' ' Fw4ATL►Jl
>C kI (Scale:
,ck)lengthCO . 1
3 5.r•• . Si?u 1"/ I
,(s) X 8x ZS
rier(s) Illi , 9, ,
;ngth - b • ' T, IF
■
mber
d/Riprap length I j
g distance offshore f
ix distance offshore j If
cannel
i !
bic yards I 1
np
I' 1 III
I
ise/Boatlift I 1
l■
ulldozing
{ i i
3,
e Length .S� {{�f !
not su yes no 1itin■■mIMII ii riii ■•%..■not sure yesME'
■�rM■d■■�1•1�1 i■_MIM_I■•e ■■■�i■■i ■
cum: n/a yes IIIJ L ■■ ! II1
4ttached: <l+/ no 1 i j
ng permit may be required by: 4... V4 st_E GCT y I I See note on back regarding River Basin n
n .... c .a ,. - . I ,. . r_ —r _ ,7i _% ,T A . . L X. ,1 II
i. SHIRLEY ors oa/253' 112 2
ILL APT.B ct '! l L`US
IEEE BCH,NC 28480 DATE .�ljy'l�.
)FNLti I $ 2
1--1L34,1 `Lpdp„, /i 4:x—.., DOLLARS LI o'"�.•"' .
mployees'Credit Union®
Wilmingto Caroli•nal I.L�I
l..tr'T . m>
770491:086 /66660 /8 ' 1 2
1oyy Sh`'J h y,h'o,./..',E r lEMON
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: A.p N N/L SW /J?Z-Zr/
Address of Property: L_e,1- 4/j7 .-,4 A,y s ri>rr. Dzdj.
(Lot or Street #, Street or Road)
_ice A r c//-y , �b n C. v ojr, C '
(City and County) - 7
I hereby certify that I own property adjacent to the above-referenced property. The individw
applying for this permit has described to me as shown on the attached drawing the development the
are proposing. A description or drawing, with dimensions, should be provided with this letter.
a . I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If vc
wish to waive the setback, vo must initial the appropriate blank below.)
Q C; r
Ge
,S- (T Q. 5• I do wish to waive the 15' setback requirement.
l '
I do not wish to waive the 15' setback requirement.
1 * , cue 0, 4_
isn _ --�me Date
S&14-] eP �
Print N meow:•Av
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: r
Address of Property: - o r 07 4 67/1 /4-5
(Lot or Street#, Street or Road)
S�fX C/T7 , 11 C PL Ar.' 0 C
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individi
applying for this permit has described to me as shown on the attached drawing the development t-
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 Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-72
within 10 days of receipt of this notice. No response is considered the same as no objectior
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If
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.
. ,Ajttt el4tik;e . /ef.
Sian Name Date
t 1 £ kliL Pvr ( L1
Print dame A,A,,
I
I
N
u
o
!EE
,