HomeMy WebLinkAbout48359D - Oxendine CAMA/ ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
'New i'Modification 'Complete Reissue Partial Reissue Date previous permit issued
-ized by the State of North Carolina, Department of Environment and Natural Resources 2oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �/t i. /2 6 0
^ HRules attached.
t Name il•j"' C )(G 1V J)iN ty Project Location: County > Ai,S,.,l, C k
3 F 2 7 L,//' e - & ..e Street Address/State Road/ Lot#(s) ?//2 A/WO
®o/Al/ State '� ZIP 2?.0 GS- -_
'e36)C 7 3 f 21 Fax# ( _ ) Subdivisions 12A Le
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ed Agent City y 1/ ZIP 2 7 ig,
❑CW ®EW Li-PTA L ES _ PTS Phone# ( )__ _ River Basin �,,,,
❑OEA ❑HHF ❑IH 7 UBA I N/A Adj.Wtr. Body - 19/ /iv h/ 4�r
❑PWS: ❑FC: �/ail/�
ye no 7- PNA yes / n Crit.Hab. yes / no Closest Maj.Wtr. Body
Project/Activity R' aid 7-e ('• -t'2 `1)0e./' 0- 6j0.. 114 7
(Scale;//1:::;
:k)length 7Q x 61 m
(s) /Z X /1
er(s) — -" 69/ L%'
,gth , '� No".
nber I 1 t t_Z
4 JZ ' . I
I/Riprap length I
distance offshore I X 1 • /// I i
K distance offshore 1 ,b! ' 1
annel I f,__`�
is yards ( I • • j
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1
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.-4 // 1()J ' in 1
�"1 ndozing
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Length b J -
not sure yes no
not sure yes no) ._ - _ ,_
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tm: n/a yes
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yes �62 -- _ f 3 // 7 l'►l, P' ✓! Pi.✓
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ttached: yes J --- - i I _
g permit may be required by: Y32ue5wi el r6„r..iT1y I See note on back regarding River Basin ru
•
DUANE OXENDINE 1243 i?
3828 I illie Street • 66-162/531 G •
High Point,NC 27265 BRANCH 37005
4' Z 5/C' —7
f 'DATE
PAY TO THE G �i /I/ /Y I $ z 0 CO
ORDER OF L� / `� I 1
�f/f+ZY77 P. DOLLARS 8 ,... °"
WACHOVIA7 .--
Wachovia Bank,N.A. Wu
L wachana.com
FOR --./a`f'0 5S- / ,, -• t':.;./ ^p ti
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rYiv iS TON OP:COASTA1,M ANA fiEM.1-1s-2T
1..roAe,TNT WPM::ta_NOT .WY OWNER?.,1C)TIEICAT.ICY\r/WAWER FORM.
A471) 12 1'
Name:of Applyine POT PC3171ii: e
.4.adresZ:If Property: Uhrie (42e4,1,21
(Lot or Street 0. Street or Rt)lit.1)
/— -7 C.1-4_/:
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f_City an 1 —o rrty)
1 bath;OtrtitY that Own property adjacent to the above-Tee:rear:c.d.property. The
individual applying for this pannt has described to mc.as shown on the attached drawi:-.,z
the developrnem they are proposing.A description or drawing,with dirrICIIS:MFIS, 31101)1C
'oe provided with this lener.
have no objections to this propmal.
If you have objections to what is being,proposed,please call Debbie Wilsob with tie
DiViSicn) a Coastal Ivlanagement,127 Cardinal Drive Emotion,Wilmington,NC
2840s or call 910-796-7215 within .10 days of the receipt of this notice. No resporis,..,. ;
coositierext the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I andel-A.9ml that*pier,dock.moorings pilins,breakwater,boat lipase or hoot if
must be set back a minirrunn distance of 15'from my area of riparian accs-nales-s.
waived by inc.(If you vrish to waive the setback,von mast initial the appropriate
blank below.)
I do wish to waive the 15'setback
I do not wish 10 waive the 15' setback requirement..
/12attAA. 65/22AT
SUM Neale Date
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Print
gie- ' 2 i 3 a.
Telcohone Nomber with Area Code
DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN
PROPERTY OWNER NOTIFICATION! WAIVER FORM
Name of Individual Applying For Permit: T)///4A/E X6AJ /C
Address of Property: 3/ 17 b 7-net -A/ Z) to
(Lot or Street #, Street or Road)
iSLr?PLV . 4/ eAwo 6-i/
(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 ten 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 pier, dock, mooring pilings, breakwater, boat house, or boat lifts
must be set back a minimum distance of 15' from my riparian access — unless
waived by me. (If you wish to waive the set back,you must initial the appropriate
blank below.)
I do wish to waive the 15' set back requirement.
j(' % I do not wish to waive the 15' set back requirement.
may; — /--c7
7
Sign Name Date