HomeMy WebLinkAbout47520D - Williamson (2) ]CAMA/ ❑DREDGE & FILL
3EN ERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources f
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
errules attached.
t Name PNTT+Vr4Y 1NIL-LI f}MSOIV Project Location: County LIAO i V NSVA)I C k..
13 2-2-LI S AO'L-E TYLI C-T-- Street Address/State Road/Lot#(s)
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ed Agent �1 EE STL -1. - Sr-tie L1-1 I1E fY1 AIZAIX, City i.A--1C 1 5L I It'-0 ZIP Z 0-(,
❑CW [4W ErPTA ❑ES ❑PTS Phone# ( ) River Basin >r.(i 01
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body OkV 13 l t-tri Z (7r
❑ PWS: ❑FC:
yes / no PNA Qe / no Crit.Hab. yes / no Closest Maj.Wtr. Body ()AV S C� �Z--
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ier(s)
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ig permit may be required by: I bLtl See note on back regarding River Basin n
INE CONSTRUCTION 5041
66-112/531
BRANCH 03003
DATE
)C/Vif I $ SibC/ C30
? /I-C'+e oCi _�C/ DOLLARS a
Business Value Checking
R COMPANY joe#
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2 1,: 13 40000 1 soo8 7II'0 4
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North Caroline Department of Environment and Natural Resources
Division of Coastal Management
Wheel F.Easley,Goverror Charts S.Jams,Director Morn 0 Ross Jr..Sec
Authorized Agent Consent Agreement
(a c C105 . is hereby authorized to act on my behal
`Onntad Moms 1 Awl)
In order to obtain any CAMA permit(s) required for the property listed below. The authorisation Is limited to ti
specific activities described in the attached sketch.
LOCATION OF PROJECT:
('-) k. f_,A 4(05
PROPERTY OWNER MAILING ADDRESS:
i 3 -CA #o
A'-'r .C,w - c z g cps—
,
PHONE NO, 70 44 S?Z—73 a
AUTHORIZED AGENT MAILING ADDRESS:
Sc) r I- 0 41c
PHONE NO.
Signature of Property Owners
Signature of Authorized Agent: •
Date: 6- 9- o 7
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4-' de6n ii ( t-Iii ony OILtic An son
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DIVISION OF COASTAL MANAGEMENT (.7et
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOR
Name of Individual Applying For Permit: Ary\-1‘0,-1 ( 1 I Law,
Address of Property: 02(S). 5:,3 1`).}1-\ .54,
(Lot or Street #, Street or Road)
CDQK lnnc 111C_ JbeckaS—
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indi
applying for this permit has described to me as shown on the attached drawing the developmei
are proposing. A description or drawing, with dimensions, should be provided with this let
I have no objections to this pr
oposal.
p oposal.
If you have objections to what is being proposed, please write the Division of CI
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. (1
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 1 setback requirement.
I do not wish to waive the 15' setback requirement.
Sign Nan1 Date
e 47r j 7) 4 fir S ..r7r-.rA
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: t p7 y
if, ,.11 t c-.r 5c>;\
Address of Property: )C i 5 y„ i. 15 `` '5 4,
(Lot or Street#, Street or Road)
Co, K T,< l ,-, cl /vC_ j 4(,,5
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
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 Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215
within 10 days of receipt of this notice. No response is considered the same as no objection if
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 set
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If you
wish to�v 've 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.
( Pc-6('Il � c7
Sign Name.. Vz.
te
riss
Print Name �F:�
II A--7K /.19 ►ii w1101\iw