HomeMy WebLinkAbout44903D - Farmer 'CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
'New Modification I (Complete 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 7 t-} , 1100
[gRntes attached.
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ig permit may be required by: f I z)LC . * A c See note on back regarding River Basin rt
JAMES C. MINTZ 66-7143/25
DBA MINTZ CONSTRUCTION 60010032E
LIC. 2694476
2621 STONE CHIMNEY ROAD PH. 910-842-7546 DATE /
`�. 777��� 1 SUPPLY, NC 28462
PAY TO THE / ,/ C / /C�/?
ORDER OF , / CJ
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SEcuRrn
SAviNcs BANK
Sunset Beach,/N�T C�/
28470
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWZITERNQTIFICATION/WAIVER FORM
Roe- N btIkkd
Name Of Individual Applying l i For Permit: ,
Address Of Property: I I -1- 1—rpl e,- ,e v i i I_ ,)17
Pci,e,IA J'1 C, el-nvyls(A)iekeib
Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to the as shown on the attached drawing the development
they 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 propose& please write the Division of Coastal
Management, 127 North Cardinal Drive, Wilmington, North Carolina, 28405 orsall9J0 395-
3900 within 10 days of receipt of this notice- No response is considered the same as no objection
if you haven notified by Certified Mail
WAIVER S .CTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back 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 ram— I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
, L. 4 ' , 1 / / , A
SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signs, -
I „ � 0 Agent
item 4 if Restricted Delivery is desired. �i ,�• A�/` ❑Addressee
• Print your name and address on the reverse "'U "�` , �I
so that we can return the card to you. B. Received by(Printed r:me) C. Date of Delivery
• Attach this card to the back of the mailpiece,
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
Co
3Aqhein5 C'9,,,,t. 0 A(
' J C �/ 3. Service Type
I 'f"1(�1 i1A IV 1 YI ViCertified Mail CI Express Mail
2 ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Number 7005 0390 0003 5186 9237
(Transfer from service labe.,
PS Form 3811,August 2001 Domestic Return Receipt
102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. CI Agent
• Print your name and address on the reverse X/- - �!i -e_.---- 0 Addressee
so that we can return the card to you. B. Rece ed by(Printed Na •) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery addresg differentlitom item 1? 0 Yes
1.1.Al . �
Article Addressed to: If YES,enter delivery add�ss bow: 0 No
I
ti; ...f.l.f )L4),t) F 11'4 ‘
.41:'''' Ai 1'
t
)--V M 011 NC 3. Service Type
Z�35� Certified Mail ❑ Express Mail
Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number -)nn r n-3an nnn7 [n nr qn»