HomeMy WebLinkAbout51969D - Wiberg 1CAMA / ❑DREDGE & FILL .4.`, .
3ENERAL PERMIT Previous permit#
'New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
xized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ,`/ 2-o 0
L+Rtfl s attached.
it Name R(i 4i 0 st kV/ Piz, Project Location: County 662,,l,,•S '-",C fir✓
l. /291/ I-/,9_)v,z rG y D#Z .. Street Address/State Road/Lot#(s),S./J
fit'0 A✓ S1.P (U 7, J J State /VC ZIP 2YIY '
I�(7/_/4, 2/- yip, Fax#( ) Subdivision
zed Agent --rJ Orl Q L i ed(' f'/e9eV.— e' City OrOeti—7-1/e g/g(-I ZIP 2 Sj
i ❑CW ❑EW L PTA OES ❑PTS Phone# ( ) River Basin Z C/,$)
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body /9/4/A/ )j
❑ PWS: ❑FC:
yes /,no PNA yes no`• Crit.Hab. yes / no Closest Maj.Wtr. Body �/`'✓A/
f Project/Activity +�p L/C)( X J7�..i� �O:q -/L T '; a f�,,p�Z/X' / C�/��r
e--- k /1 ,_ �� r A. (� (Scale:) �'—
)ck)length 1x 'S-i. i22 ' '
n(s)c sc :1J- (J ,,e- i `t".. I. Est -
pier(s) J i 1 11
angth II ' ' '
0 1
imber
ad/Riprap length /2/
,g distance offshore I �'
�4
ax distance offshore r � ,�.
:hannel f;
ibic yards a ee 0
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mP
/� 12 / A �46-Y
usk/Boatli X 1�
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re Length I 5 i .
not sure yes no ,• � F � L_...._.._
;s: not sure yes o -1- ...—...'` �"!" ....._.
rium: n/a yes no.: /
yes L f ,t.
Attached: yes no, Y I �.
ing permit may be required by: 7cO/).,✓Jc 1 ..e._ {/J.O/gC/i . n See note on back regarding River Basin r
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VE CONSTRUCTION 3725 1
66-112/531
BRANCH 62069
V
/-2-07 DATE
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: Rdlor+ 63; berg
Address of Property: /79y 4,-)4 c--)cY Or
O'cQn -1f/< !/Uc. (2?Srco?
(Lot or Street#, Street or Road, City &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 pro sing. A description or drawing,with dimensions, should be provided with this letter.
C ` I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management,400 Commerce Avenue,Morehead City,NC,28557 or call(252)808-2808 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, boathouse, boatlift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you 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_
(Applicant� Information) / (Riparian Property Owner Information)
/79`7 G./47«�4`/ rr. e`
Mailing Address j Signature
City/State/Zip Print or Type Name
� � 0 — ' 's 3 z � 9
ArtA
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.,Secretary
Date l/Z i'-G
Applicant Name 4 bPr--/- (A.);kr er
Mailing Address /79V 6J4 r,--)qy sD 1,
Occ4,-, f3 /e , 4. 2Fy4,9
I certify that I have authorized (agent) No rc/A C/IcaA t Cons- to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) 13O4 c-ilo_ r G4,rr ',I/7 f 0,7 /a•er
at(location) /79V A-)4lrr�c.,,,� Or. O c ec„ 77-1-e . •
This certification is'?lid thr? (date)
Signature '-' 4k a - L-L 4--11)a-n
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X ` // ID Agent
• Print your name and address on the reverse _ ❑Addressee
so that we can return the card to you. B. eceived by(,Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece, /
or on the front if space permits. • 4, ¢ A /F Ii
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to:
If YES,enter delivery address below: ❑ No
PraPC,
t;� f /�kG►' Dr, ,sue
- 3. SService Type
S/l�i i) // id Certified Mail 0 Express Mail
N6. 2 (� 7 6 El Registered ID Return Receipt for Merchandise
C ❑ Insured Mall ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from SE 7007 0710 0004 487D 9079
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540