HomeMy WebLinkAbout44016D - Jackson CAMA/ DREDGE & 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
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 2/-'. /ZQ&
17111es attached.
t Name 7/rj _32,G1eSG�✓�GSP wove%4/!/, Project Location: County5// i, Je✓,c
2,q/j � � Pfv.✓ fib, Street Address/State Road/Lot#(s))ys Of/9,✓
2/L//e //f State Al C ZIP 27C5-j'CG 1i'/C f 7
(fJd ) Ci fy-29a Fax#( ) Subdivision
ed Agent City°CPA"' �-le ZIP 21%6
CW gi-E'W CPTA €S ❑PTS Phone# ( ) River Basin Lu/Y14
OEA ❑HHF ❑IH ❑UBA ❑N/A ^�
PWS: ❑FC: Adj.Wtr. Body Cf) vA t! Off" /9/460/ (nat
yes trio PNA yes VPP Crit.Hab. yes / no Closest Maj.Wtr. Body '/
Project/Activity # 2 ' t/ c
(Scale: / =;
:k)length by ' /2,9 mg / f X �I
er(s)
igth
;'
nber Ca' g '
1/Riprap length „gem��
distance offshore - / , V
x distance offshore 2-1/-}/
annel
)ic yards
ip
se/Boatlift
-- tDi
illdozing
riM-, 2L/' 7
!Length (D L /
not sure yes /no
not sure yes na'
um: n/a yes — 0 4t/'
yes '° S t e Cj,/Pf
attached: yes 1
ig permit may be required by:i Qf7,✓ . S L t7 /,9c See note on back regarding River Basin 11
ROSEWOOD INVESTMENTS, LLC BRANCH BANKING AND TRUST COMPANY 09388
2413 Robeson St.6 FAYETTEVILLE,NC
Fayetteville,NC 28305-5500 66-112/531
910-484-7900 jr%
PAY TO ORDER OF
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DIVISION OF COASTAL MANAGEMENT
ADJACEN I' RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: eaoC.A.) -1 -66147 .e/ic , IL-LC
Address of Property: /41.5 OC zczAi) L 6 VQ/
(Lot or Street #, Street or Road)
A/c
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The individua
applying for this permit has described to me as shown on the attached drawing the development the:
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 Coasta
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390(
within 10 days of receipt of this notice. No response is considered the same as no objection i
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bf
set bek a minimum distance of 15' from my area of riparian access- unless waived by me. (I:
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' setbac c requirement.
Name / Date
A .
Print Name51.„, I-� p 9 �.�/
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Si. atuy 4 if Restricted Delivery is desired.
• Print your name and address on the reverse X I ❑Agent
so that we can return the card to you. Addressee
• Attach this card to the back of the mailpiece, B Received .• fp���///nt ame
or on the front if space permits. /� C. Da �-f Delhi:
D. Is deliv L ' '
1. Article Addressed to: t�3 ery address different from item 1? 1 Yes
n If YES,enter delivery address below: ❑No
MY• . Mis. RICE �rDSS
a5 (? ivicHcr h1 ►"or1 1I Y ive,
W elord) 1 , ` `50C3 D 3. Service Type
rtified Mail El Express Mail
®Registered ro Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number ❑Yes
(Transfer from service label) 7004 1160 0007 0112 8105
PS Form 3811,August 2001 Domestic Return Receipt
102595-01-M-2509