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Home My WebLink About50264D - Williams • 1CAMA/ ❑DREDGE & FILL ;ENERAL , PERMIT Previous permit# 1New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued -ized by the State of North Carolina,Department of Environment and Natural Resources ,l :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 I1 • Itpi Rules attached. t Name A EEC: V,JtLL 4 f Ac Project Location: County Ev t_ti,j5t,U l CCL I i c .sv,i 1`e`-‘ z3`r . Street Address/State Road/Lot#(s) The_ I SL•r-NY) State l\t& ZIP-A Cr.� i i - jam! (cl' '' J7-T. (I!V)2.(ot1- 31S j Fax#( ) Subdivision ed Agent ::>{cVtt - 2 1 a, GAS d`-1::. City Ci At. I i j(../1i,-0 ZIP Zf ❑CW ❑lEW ..LJPTA ❑ES ❑PTS Phone# ( ) River Basin Lam' ❑OEA ❑HHF ❑IH ❑UBA El N/A LVIS Adj.Wtr. Body OUticite� fr r' ._, na / ❑ PWS: ❑FC: A\ V�`-v f yes / no PNA yes /61 Crit.Hab. yes / no Closest Maj.Wtr. Body Project/Activity I i,S1 A Li— YA 01 1—1 f T A Lx45-t L? ?i Ia+2, (Scale: I" 2 ck)length i(s) %'Dt-W( C P 1 L . ier(s) _ ngth tuber ( I2•Jr"141. ' - X3 N.G.i 1 I d/i ipraptans loffsh l -,.^ ;distance offshore ��'�� I [ // - H C r C uc distance offshore cannel bic yards !' f + n i Boatl' 1.2 k ulldozing , fi;e021t- .+ —vs 4 H �,e length , 'Q _ �1'/r�� not sure yes dp ?f s: not sure yes , n• `, cum: rya yes n• desii, 1 _ a — 4ttac� es� ! I U v 'V te,1 ST.._...._, Y /lc Ln_. . ng permit may be requir4!b,,( ‘ f`r-6 ❑See note on back regarding River Basin r M 16779 08118093 1 Cr 01 OFFICIAL CHECK 5000479538 b eye ,;i, I.a:I ......,t U T raI-'I Iir:T -.. Oki:: I.c f._Hi'•df_; I ISSUING BRANCH- �� DATE ,7rLif•dl. i.i,' F ::;i:011,1 68-236/514 PAY TO THE .8::r.:E dF' ORDER OF ( ::p:::1,: .: .;=C ..- .00 :$::4 I 1:� 2. ��' o 9.�" � '��a' �„J 17,7LI DOLLARS, B387■ AUT ORIZEQ SIGNATURE MEMO/PURCHASER I;31:.F 741-1 ,i k I''Rb''h"i i-F :=;R Il' 5000479538111 1:0 5 L4023691:000 LO 190 L009711' AN- AvAl NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management :had F. Easley, Governor James H. Gregson, Director William G. F Authorized Agent Consent Agreement Line urine Cc)n54( c.) is hereby authorized to act cn (Printed Name of Agent) -der to obtain any CAMA permit(s) required for the property listed below. The authorization is Ii zific activities described in the attached sketch. ;ATION OF PROJECT: 'lO Sao /9 f454- JQ k —7^s/a.-7 cl /VC 0?�(-1et2 5- DPERTY OWNER MAILING ADDRESS: 51/k1 41� sl�� gc 07g <05'- PHONE NO. THORIZED AGENT MAILING ADDRESS: • )c Z E) /%,-/r-e .60)c /O(0 7/ jji , c 0,2eF / PHONE NO. 9/0 '84/j--2Ze 9 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: \e,/ LID; L\ cv, 5- Address of Property: ) 1 S\A/ 1cif' 34, (Lot or Street#, Street or Road) Ocl lorc-1 iLC. (1'LL($ (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 t: are proposing. A description or drawing, with dimensions, should be provided with this letter ae- 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.) I do wish to waive the 15' setback requirement. Ln l( I do not wish to waive the 15' setback requirement. S - cg Sign Name . Date P�L1 l-J, el41 DI'Iec�u,� 61ene Jiud143 T. aF 0.4,c Isjavt �( Print Name4611:1441i 15' l ��. i5' 5A-b4c I I f roeo)eJ n/e.,o 1 fr I _ „ 6 I , 4 1 ErxiS4;-1-,nt co „,, .(• 1 ii 1 •.f •il _._._ 1 �-r-� lay I , i (, . 1 1.! I II) I C� -i f Go ' > Alec (.3:1t;e,r lc A-6eei-- DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Dame of Individual Applying For Permit: R l ex 5 Address of Property: I f 0 Sw 1714 571• (Lot or Street #, Street or Road) (-6(L)f)_5(.---)irck) (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. (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. IrAJCZei Oe Sign N e a e y d611�LL A Print Name e�1S