HomeMy WebLinkAbout42091D - Coats IV- 1-Tc
CAMA/ I.1 DREDGE & FILL ',. F.
iEN ERAL PERMIT Previous permit#
1New iModification LComplete 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 5A NCAC , I2.a)
[Rules attached.
t Name Q'/\t21 (CA s Project Location: County I N1T*1L
CJC CO YZAVEN5 Nj C0O RP• Street Address/State Road/Lot#(s)
A A 1 5 State N L ZIP 244-j ")(..'(e r2A\J eNSw 000
(eh O) 413 - 0 3r72Fax# ( ) Subdivision RnV t—SYV o D 9
ed Agent M M-f 4t- C t N j S City IAA-Mrs-too ZIP 2-8Y-1
LjCW lu EW R.PTA ❑ES ❑PTS Phone# ( ) River Basin Lk��
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❑ PWS: ❑FC:
yes n) PNA yes "K_'/ Crit. Hab. yes / no Closest Maj.Wtr. Body Al V"./W
'Project/Activity ( S 174v C i 1-712tVATE, H oz_ PLA iT-LJ,JV1
(Scale: I =I
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ier(s)
ngth
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ng permit may be required by: Vet- ek, I See note on back regarding River Basin r
Clements Marine construction 7985
910 270-9110 7tVD.0 4356789
577 Neifighway 210 w 7�� 66-30/531
}bampstead LNe 28443 Date 7, 385
Pay to • � s(e,
b / �► Dollars •
FIRST CITIZENS 365
BANK F.nrtlpC.ittizN e arz:M.t CarR.ny
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COASTAL VIEWS'
G1-GUUb 14:4D Newell nuoDermala /V470/44G1 L.i
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in 21 06 03: 30p Gary Alan Coates t910l796-1419 p. 2
ADJACENT RIPARIAN PROPERTY OWNER NO t ik ICATION/WAI VER FORM
Name of Individual Applying For Permit_ (---)10erki\ CP0— 5
Address of Property: c f
. �U�
(Lot or Street#,Street or Road)
t ju ca t3 ../k) �
(Cit/and County)
I hereby certify that I own property adjacent to the:above-refepencec&Pmperty. The individual
applying forthis permit has describedto me as shown on the attached drawing the development they
are proposing. A description or drawing,with dimensions,should be provided with this letter.
t/ 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 910-395-3900
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 S CTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be
set bek 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
•
k /06.
Sign Name Date
mA-rrpew (s,. Pori AVA.Print Name
h Ir
c1-coup 14:4J !Newell nuooermala /V47CS/44c1 3,
in 21 06 03:30p Gary R1an Coates 19101796-1419 p.3
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ADJACENT RIPARIAN PROPERTY OWNER NO 111-ICATIONIWAIVER FORM
Name of Individual Applying For Permit: \-_ co,-(3
Address of Property: r5() Z,eik. c Dv
(Lot or Street ii, Street or Road)
cTA—awl - ert. + ) C- �I- -II_
(CrtY and"County)
I hereby certify that I own property adjacent to the.above-referenc a Lpiuperty. The indivi'
applying forthis permit has described to me as shown on the attached drawing the development I
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 Cos
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objecti4
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access-unless waived by me
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.
I , — .___ "7.. lam- LL 4-- Z / 77 u
Sign Name Date
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Authorization of agent For
Crown Box Corporation
2310 N. 23`d street
Wilmington N.0 28401
This Letter is to grant permission for David Greer dba David Greer Construction to apply
for, and obtain permits,and all information needed on my behalf for projects, Building
permits,NCDENR permits,or any permits required from the state or counties in which
work will be performed for me.
I do understand that by allowing Mr. Greer to obtain these permits that this will in no way
release me of any responsibilities of codes, or environmental required permits.
G el R7 (oc'� )/-06
Print o ers name date
j .,,e.
4C..,,....--- 6 ..) f 06
Owner'7 sign date
910 tz o3Sa 6-N�6
Owner's contact number date