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 - -- --• _
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Riprap length �S
distance offshore 4 -
ix distance offshore 0
cannel
Pic yards .C{ri'i`rl'4-
np P J L 1`
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is Boatli I Z,.?I Z—
//'
/�, //
ulldozing i
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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
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PAY TO THElte �1-J'n �� cro
ORDER OF G 7 � �n /�O.
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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
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FOR -PA L" '- ` J, e �ZC1GL�j/ t wth'2
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':053 L003001:00 2986 3 7 3 78011' L55 L4
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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.; '