HomeMy WebLinkAbout44030D - Hughes ,L,Iiipj_____, ,
LAMA/ XDREDGE & FILL ,
3ENERAL PERMIT Previous permit#
:New Modification Complete Reissue -_.Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Resources 11��
,oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC >rl • I I 6J
nn itules attached.
t Name g.r\yfno r 1 i r N C�itL 5 Project Location: County P E. t.)1' E. fL
aa,VILL Street Address/State Road/Lot#(s)•
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State ZIP Z t W w ti A
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( ) Fax# ( ) Subdivision
ed Agent City f4PC-l\QSrEA1) - ZIP zS Li Li
❑CW E EW PTA XES PTS Phone# ( ) River Basin (AAPC
Eli OEA ❑HHF IH UBA N/A
PWs: -1 FC: Adj.Wtr. Body )oPS A l c.- ��V� (� r
Eyes / no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body Al ✓✓v�
Project/Activity "IIQ 51 A L L S 8 y L-F F i.t-\. La i."w.a tt• a (. C-.v rr
I_A rJl> S (Scale: I 1 1 z 2
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Otiiprap length ,,, ,1 I!distance offshore J. l
x distance offshore . 1 1
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is yards 8-N,. - S_ k
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Length �cJ+-
not sure yes n'o
not sure yes
um: n/a yes
yes C-7
,ttached: yes
ig permit may be required by: VE b.) E (1..... (--s • LJ See note on back regarding River Basin rt.
Clements Marine Construction 7783
910270-9110,NC,D.0 4356789-
r' 5776NC}fighwarq 210 W Date —�� "�� 66-30/635
_ Hampstead,,NC 28443
Pay to the ✓ ���/(/�� 1 $or
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FIRST CITIZENS 365
BANK��I Fir,tCf�lz,n,9aNc 8 Trust CnmPany
jy-u�i� Hampgaad,N.0.28443
www.firstcitizens.com .
For ‘,Q IfVb 30 2 M °P -— - — — --
t:053 L003001:00353 20 L L80311' 07783
COASTAL VIEWS
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04 06 07: 57a Pat Hughes 949 723 5211 p . 3
ROM :REEVES FAX NO. :9102 tkid519
Mar. 03 2006 09:00PM P2
T64-i nii�
Clements Marine Construction
NCDENR Letter of authorization of Agent
This letter is to concur that T do here by elect Mark,Clements of Clements Marine
Construction to apply for all permit required thru the local and state agency required for
our building needs.
I do understand that by assigning Mr. Clements as our agent,that this will not release me
from any State and Local building codes and requirements.
Mark is a dependable builder,and 1 do trust he will obtain the necessary permits on our
behalf to complete our projects.
c\vc�hzs date j-4 -64..
Print name
xh \,,,Np .\-\Q q _ s date
Signature `
X
Contact numbers
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ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying 1 For Permit: uy11aric/I‘T
PP Y � /kseS
Address of Property:k.2. /Y4 /'9%'71
(Lot or Street#, Street or Road)
spa �6 �ciff
(Cit}� County)
I hereby certify that I own property adjacent to the-above-referencedLproperty. The indiv
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing,with dimensions, should be provided with this letti
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu
set bck a minimum distance of 15'from my area of riparian access-unless waived by m+
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.
Sign Name Date
s RRN rVES AAA
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ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ? Mbñd 144,1 T -+ 4c91115
Address of Property: C Z- i o 0_81_194 ed
(Lot or Street#, Stretor Road)
#/ri4fi- /11c. "Aficite
(City and County)
I hereby certify that I own property adjacent to the-above-referenced~property. The indi
applying for this permit has described to me as shown on the attached drawing the developmei
are proposing. A description or drawing,with dimensions, should be provided with this let
I.have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift m
set bck a minimum distance of 15' from my area of riparian access-unless waived by n
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.
3H6t.;
Si N e Date
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