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HomeMy WebLinkAbout44844D - Brinkley • "CAMA/ DREDGE & FILL [/ 3 E N E RAL PERMIT Previous permit# (New _Modification 'Complete Reissue _—Partial Reissue Date previous permit issued rized by the State of North Carolina,Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC �, 2 C)C) :Rules attached. t Name 3 QS.J Ne-LE- , rt." Project Location: County cT J'L. ILae iLcti� t 0—) G'IL Street Address/State Road/Lot#(s) 355. 6 I.-Am,V State&J C— ZIP 1-81 ID) — 1 cY ) U lL \r ?T ST• ( ) Fax#( ) Subdivision ed Agent A t City j t)E•aDS a-,-1 ZI P ZS L I L ❑cw J4w I*TA ❑ES ❑PTS Phone# ( ) River Basin\/J1-11TE ❑OEA ❑HHF ❑IH ❑I USA ❑N/A ,� ❑ PwS: ❑FC: Adj.Wtr. Body 5 ,,r-NP 421)/r yes /63 PNA yes /6;) Crit. Hab. yes / no Closest Maj.Wtr. Body. S r/ Project/Activity Z 051—f L L .\ Les, "L w tL c b C o G 3& r1 ✓ � t 1—. � (Scale: ) /0 :k)length i(s) ier(s) ngth nber 1/Riprap length _ distance offshore x distance offshore cannel sic yards _ i se/Boatlift J 1 �fV" / illdozing 1-1ZC) Pc Ell— E y� Length 1 wrs not sure yes no not sure yes no p um: n/a yes no Ato,,P yes attached: yes ® U t.l2Jots.1 C,LA't tSt.t".,-t• ig permit may be required by:0 C I See note on back regarding River Basin ru 5305 1 CONSTRUCTION BANK OF AMERICA 5 VIRGINIA LANE )S FERRY, NC 28460 66-19/530 016 RPRO6 910)327-3475 a 0 m 'm .N. R $ R.00, cb cry ^ //l'fC DOLLARS ' ,J ( 24°,2eZZ74-1) � LU AUTHORIZED SIG x RE 0530511' 1:053000 L96': 000650S 2 L9900 i I : . , . ..--..•--- — i 1 t I -1 1 1 I I .11 . , , -,- ---- I , , , , , , , , • I , I • , : I • . I , ... . .. . , . . i -----;---- ,•--, __e . . . . •I . 1 1 . I . . . . --i-i I I _ M ! 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Job site address is: /o% /03, #/07 S� J NP S CA/1 y, /V'C 2 6 -4 0 My permanent address is: /p 7 S'T Siv 06t /C3.e% I, , give authorization to Ant on Mari e Cons ction to act as the contracting agent in obtaining and signing for the requested CAMA permit. Job site address is: E5 CVJKg) Df: eS N -)t) My permanent address is: DIVISION OF COASTAL MANAGEMMT Address ofPri tat tr) 3 1.03 107 61?.� - - (Lot or Stmettlet or (City and Comity) ' - I hereby certify that I own Frop=ty acrjacent to the above applyingforthispermithas descniedtomeas shown on the attached the the are prOposing. A description or drawing with dirrtemions,shcukl be provided with this Il totb _ if you have obi to what is being proposed please vrrite the Division of Coastal 127 Drive Extension, Viihninton,NC 28405 or cal 910-395,390 within 10 days of receipt of this 'No response is considered-the teas no objecfum ►oa have been notified by Certified MaiL SECTION understand that a pier,dock,mooringbreakwater,boat house or boat lift mast be lick a minimum distance of 15'from my area.of ripatiau access-unless vied b (If)a wish to waive tht setback ' you mast the appropriate blank below.) AI do wish to waive the 15'setback requirenteut I to mai*tire 13`sFsNJ± .:re DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NO IIFICATIONNWAIVER FORM ame of Individual Applying For Permit: L \ J k \ 1 \ LE ddress of Property: 1 \T)' (Lot or Street#, Street or Road) F-&e.Q) N C zq (6)(-) (City and County) iereby certify that I own property adjacent to the above-referenced property. The individual plying for this permit has described to me as shown on the attached drawing the development they proposing A description or drawing,with dimensions, should be provided with this letter. k I have no objections to this proposal. you have objections to what is being proposed, please write the Division of Coastal nagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 bin 10 days of receipt of this notice. No response is considered-the same as no objection if have been notified by Certified Mail. WAIVER SECTION iderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be )ck 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 IS'setback requirement. Name J Date 1 \ / .IIMINF.r-A DIVISION OF COASTAL MANAGEMENT ADJACENT RIPAMN IIROPEIUT OWNERNOTIFICATION/WAIVER FORM Nance of Individual ApptvingFor Pert& p - � - „D c- Address ofProperty. 0-1 1 r)3 1. oS- 1 07 [?4�.�" .5�" - (Lot or g,&metorRiad) 0 . (Cky and County) ' hereby certify that I own property acijacent to the above-referencedproperty_ The incrividE pplyingforthispermithasdesa d tome as shown on the attached&mina the developmenttki rep epasin& A description cr drawing with climensions,should be provided with this 10 I have no objections to this proposal. _ you have obi to what is proposed, please writ' the -comb-af iasgeaes , 127-Cardinal Drive Extension, Wilmington,NC 28405 or call-91. thin 10 days of receipt of this response is the sameasno : a bave_be a notified by Certified Mak ° °t WAIVER SECTION nderstaad that a pier,dock,mooring per,breakwater,boat house or boat lift must be minimum duce of15'from my area of riparian access-unless waived by me. (I# wish to waive the setback,you mast Waal the appropriate blank below.) I do wish to waive the 15'setback requirement. I do not wish to waive the Li'setback requirement. - 44 I i;22 1 , <<c Aonww A