HomeMy WebLinkAbout48247D - Ciardella CAMA/ DREDGE & FILL
IEN ERAL PERMIT Previous permit#
New i-iModification i_iComplete Reissue -Partial Reissue Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural Resources )
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC '` t'iI i-(flules attached.
:Name MA14-(^, %?1 CtAtv..01A,PC Project Location: County e,),.,o z„,
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❑CW q, W 4TA ❑ES ❑PTS Phone# ( _) River Basin C I'VE
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❑PWS: ❑FC:
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yes / no PNA ye p s no Crit.Hab. yes / no
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regarding Riverasin
ling permit may be required by: FL I See note on backg g
MARGARET CREASY CIARDELLA 3149
ATTORNEY AT LAW 66-112/531
PH.910-329-1496 BRANCH 03001
107 TOPSAIL WATCH LN 5 3/ A?
HAMPSTEAD,NC 28443 DATF
PAY EPRDTO RTHE
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DOLLARS u `••':
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BRANCH BANKING AND TRUST COMPANY
14004 3ANK BB 131 .com
FOR � cs►, y7_y
I:05310112Li:000 5 2 1684�575900 L
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r; DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: /d'l j j2 c6,f,ect C, .sy C A<D C
Address of Property: /0 7 7 S,4 L CtiAtyc,y /
(Lot or Street Street or Road)
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(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivic
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 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 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.
5L\ 520 - u7
Sign Name Date
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Print Name A,FA
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, 2,and 3.Also complete A. Sign. - . ,tom Lit
item 4 if Restricted Delivery is desired. ElAgent
,
• Print your name and address on the reverse X / i • El Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece, N L) ¢ C' �y
or on the front if space permits.
D. Is delivery address different from item 1? El Yes
1. Article Addressed to:
� If YES,ente 'delivery address below: 0 No
6-eo-ye tAJC! e(S
D 7 PS,4,L )'1C4,< 6 µpi ,3 ,,tJl
EA A/ C
j f opsvv_� 3. Service Typ c�
certified Ma ss Mail
Registered El Return Receipt for Merchandise
❑ Insured Mail El C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 7003 1010 0001 8856 7043
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1035
SENDER: COMPLETE THIS SECTION "COMPLETE THIS SECTION ON DELIVERY
•
• Complete items 1,2,and 3.Also complete A. Si re
item 4 if Restricted Delivery is desired. ' t� ❑ Agent
• Print your name and address on the reverse X ❑ Addressee
so that we can return the card to you. B. eived by(Printed Name), C. Date o-Drliiyery
• Attach this card to the back of the mailpiece, L�
or on the front if space permits. -IP is _
D. Is delivery address di -rent from item 1? ■ Yes
1. Article Addressed to: If YES,enter delive address below: 0 No
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�( 3. Service Type
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`// Certified Mail El Express Mail
❑ Registered El Return Receipt for Merchandise
❑ Insured Mail El C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7003 1010 0001 8856 6992
(Transfer from service label)
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1035
U.S. Postal Service,.,
ti CERTIFIED MAILTM RECEIPT
Er
(Domestic Mail Only;No Insurance Coverage Provided)
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For delivery information visit our website at www.usps.come