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HomeMy WebLinkAbout43987D - Davis \lip).________ LCAMA/ -''DREDGE & FILL { •- , 3ENERAL 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 1 2oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC t'� • \\O ) \I— les attached. it Name Liqe.4,1 �.1 V„ cS Project Location: County OP L • Z73 S j j I 1 i 9 5 0 Street Address/State Road/Lot#(s) 0—h t['St--) State ►J L ZIP L53 5*'°' : 3( 9 G-T E( ) Fax# ( ) Subdivision 0 u0 S e.-7`L.'''z-S E A'- L} :ed Agent City ,.a.. iZT '-) ZIP l'LA i - CW SEW -)PTA AS PTS Phone# ( ) River Basin CA.P e OEA E HHF IH —UBA N/A Adj.Wtr. Body 5Trrr p 5. ".4 i� L LA v 4 k\nat �( PWS: ❑FC: yes /l'1 PNA yes /Q Crit.Hab. yes / no Closest Maj.Wtr. Body r �`� f Project/Activity +'S j A►-t- 5'6.--, . k t— \Z X 1 L .L - (Scale: `'. ck)length 1(s) , ier(s) :( ngth mber - -- --• _ � Riprap length �S distance offshore 4 - ix distance offshore 0 cannel Pic yards .C{ri'i`rl'4- np P J L 1` • ♦ is Boatli I Z,.?I Z— //' /�, // ulldozing i • +._ e Length SS ' not sure yes k_ s: not sure yes no lum: n/a yes e yes attached: yes _ ; ng permit may be required by: 1" ( �jt I \- . See note on back regarding River Basin r _C'arry U/cst Davis 9/76 68_30/ Nellie W. Davis 298 15514 • 3381 Rwy. 111 4 903 N. Pk.252-568.4446 P.C. ,&ox237 fllbatsoH„1Ue28so8 DAFE d- 27 D�p__ PAY TO THElte �1-J'n �� cro ORDER OF G 7 � �n /�O. 6117/ j-1Yeeit- iktettAk DOLLARS 8 :a-17..d Lon.-Ler-klicro Print signature!ine gray type and lineretsr..First Citizens Bank logo on hack.If not present ds nnl cash. Flas VruzENs 2911 BANK l�iil FirstCiemns BaNc 8 Trust Company j�'���� ww Hill.NC.zees. 7�,,), www.ltrstcltltens.cclom �Q ,r y� /� FOR -PA L" '- ` J, e �ZC1GL�j/ t wth'2 63/ q � s.c. ':053 L003001:00 2986 3 7 3 78011' L55 L4 r• DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For permit: 1_4 y it) Address of Properr•: q03 j 91riir (Let or Street g, Street or Road) &tRF &11f1 N= �. DA'SLQLd COUA)7-5/ (City and County) I hereby certify that I own proper , adjacent to the ahhove--efe:enceL. property. The irdiv:data' a :ilvi c for this Ce.;.lii has described to me as shown or:the anached dra:v'ing the development he,. are pro;osing. A description or drawing, with dimensions; should be provided with this le_ter, I have no objections to this eropo_c . If you have obiectiaas to what is being proposed; please write the Division of Coastal Ma.na_e.,lent, 127 Cardinal Drive Extension. \\iimin`too, NC 2S 40f or call 910-=95-3901] within 10 days of receipt of this notice. No response is considered the same as no objection ii you have been notified by Certified Mail. WAIVER SECTION I understand t12t a pier:dock, rooring pilings, breakwater,boat house or boat lift ir,ustbe se bckn. minimum dis:aac_ of 1_' from my area of riparian access - unless waived by me. (If voi wish to waive setback, you must initial the apprcprint•:, 'clank below,) I C.D wish to wave the 15 s`: :: : 1ecui e.-ent. ;� I do not wish to waive the 15' setback recuire..,en:. Ox tin e �1C&LEAAICI ICE -l y Sign Narne Date :�1.Ael ___1bQ eS Print Name ;�.TR'f 144/Aft. szat �r 55 Sir opal - 't !' t r� L l3 pc p r X� I r 1/2"x 18"stainless studs(included in your Northstar fastener kit)between the rods. Tighten all s. e 2"x 12"cap board flush with the back wale. n 1' lifts using granular or small,light aggregate backfill. FEB-.2 -Q4 '9:1a AM F . 172 D ON OF COASTAL MANAGEMEN1 ADJ' C RIP P PERTY ICA /VAi Name of Individual Applying 1:'or Perrot_ LAiuz y W, 3)Aviza•• Address of Property: i s Th (Lot or Street#, Street or Road) (City and County) • C. La e` r -- I hereby certify that I own property adjacent to the above-referent d property. applying for this perrnu has described to me as shown on the attached drainthe e Theopment the are proposing. A description or drawing,with dimensions,should be provided with this letter, S1 Se I have no objections to this proposal, p If you have objections to what is being proposed, please write the Division of Coastal Management, 12 i Cardinal Drive Extension, Wilmington, NC 28405 or -3900 within 14 days of receipt of this notice. No response is considered the same ras no objecll tion if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock,mooringpilings, belt a minimum distance of15'from m ren by n access ter, atunless waived house or bytme. be set wish to waive the setback,you must initial the appropriate black below.) Y tyoa I do wiab to waive the 15'setback requirement, I do-not wish to waive the 15'setback requirement. Sign Name Date /° ,l-� j1/, c J/JJ frti 3.4 trt' iwAt Itti_°"11 id 0. Vol �1 � ti� •� id-j � �i s ; f - Awl 1/2,,x 18"stainless studs(included in your Northstar fastener kit)between the rods. Tighten all vs. ie 2"x 12"cap board flush with the back wale. m a is in i' lifts using granular or small,light aggregate backfill. Y.; '