HomeMy WebLinkAbout44883D - Allen � a
CAMA/ DREDGE & FILL
3ENERAL PERMIT Previous permit#
'New _ 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 I 5A NCAC 7 • /2c
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n Rales attached.
t Name X N. /9<<�� 7-1 c Project Location: County 2'i( l(
2 coy Aleiz 94 mo.• Det. Street Address/State Road/Lot#(s)/,', C i S 71 S
0404 o Stater" ZIP %_
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ed Agent AI eS Pm c/CI City0r e e, h ZIP 2 7'lb,
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ig permit may be required by:( iA See note on back regarding River Basin ru
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' DIVISION OF COASTAL MANAGEMENT
ADJACENT RIP.ARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
U<e_44 /s/_ /'gQ W 12 s
Name of Individual Applying For Permit: `70
kddress of Property: /3 ' £ . „� s
(Lot or Street #, Street or Road)
De CAW 75 le— 2EAC/,
(City and County)
hereby certify that I own property adjacent to the above-referenced_ ro erty. The indivii
pplying for this permit has described to me as shown on the attached drawing the development
re proposing. A description or drawing, with dimensions, should be provided with this lette]
•4,7 I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coa:
[anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3!
ithin 10 days of receipt of this notice. No response is considered the same as no objectio
►u have been notified by Certified Mail.
WAIVER SECTION
inderstand 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.
u wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
77) I do not wish to waive the 15' setback requirement.
n Name Date
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Si. atu :-. n
item 4 if Restricted Delivery is desired. ✓
X /Agent
• Print your name and address on the reverse /( Addressee
so that we can return the card to you. B. Re.: -d •,I Iv. 4/a 1 C. Datof 2 ery
■ Attach this card to the back of the mailpiece, {/.�
or on the front if space permits. C . we II,
D. Is. ivery..dress different fro 'em 1 ❑Yes
1. Article Addressed to: If ISS,e er delivery address below: 0 No
co
—fYct v,0.„;,4c ,; �_ APR 2 5 2006lis
3t4 3 1Ros tk Ahi.<.,,,,,,c,_*}
C10.N (.34-e. N C. 2' k)7 3. Berm.
rvic: I . — \p
0 Certifies v til/y it 63: ' .ail
- 0 Registered IT -- urn Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7005 1820 0005 5493 6333
(Transfer from service), ,
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete
item 4 if Restricted Delivery is desired. MIPP
` ❑Agent
• Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. 'eceived •. Printed-Name) C. Date of Delivery
a Attach this card to the back of the mailpiece, Y.A•OG
or on the front if space permits.
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
C G z 15 ( i,-- -ru- S
.3 3 0 ?AAA c VA. 1•
6�51 r�� C
7� LY 3. Service Type
T11 Y` 7 ❑Certified Mail 0 Express Mail
- 0 Registered 0 Return Receipt for Merchandise
to
0 Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7005 1820 0005 54931
6340
(Transfer from service la