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HomeMy WebLinkAbout44963D - Lamberson �.CAMA/ I DREDGE & FILL f'( r) 3ENERAL PERMIT Previous permit# kj4lew -Modification _Complete Reissue Partial Reissue Date previous permit issued prized by the State of North Carolina, Department of Environment and Natural Resources I ', Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC - /-� Rules attached. it Name G� . L�,�,,.,-�c�L S�aJ Project Location: County OSoSIr3 LO 1 W '(G tt-W 0,1 Street Address/State Road/Lot#(s) ,N .s`'b5 (r;4.4-•1 State W C ZIP 24 b0 Lv.' y t( ) Fax# ( ) Subdivision ted Agent Z,LLT Covina 1sb•C City' E.R-IL1 - ZIP Z-SLI ❑CW LEW PTA ❑ES ❑PTS Phone# ( ) River BasinVll HD ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Bod i U P %."%.� �� ❑ PWS: ❑FC: , no PNA yes no �� Crit.Hab. yes / no Closest Maj.Wtr. Body `nl F Project/Activity 1 n) I LI 1 L1 ►J t o rL e Cs 1 0 !�d—l> N x-h/a 1 $ t ` _ 4 (Scale: \1 _ ock)length n(s) iier(s) ,ngth amber .d/Riprap length _ g distance offshore ax distance offshore '` hannel \it\../ bic yards — - np ise/Boatlift ,ulldozing e Length I Li 1 --�� not sure yes cgi s: not sure yes no n/a yes yes 4ttached: yes 10 ing permit may be required by: ON3S L See note on back regarding River Basin r ',tart. �ltit'"`iig ROBERT MILLIS 1264 0 P O BOX 1122 —P:aw, t 313 OLD FOLKSTONE RD SNEADS FERRY,NC 28460 /3 Q/ � n�/ 66-30/531 Da[et v ^ 457 Pay to the Ve Of 'vOrder of (. , �)h.C�/-/U,2! ` �7>` c. Dollars n rz::: T FIRST CITIZENS 457 BANK FlnroaGtimnryBaCk.8%0c"P'ry /�((��ll//���++ www.firsteJitizen/s.com ',// -- �� For &/ f'Y5' ,5 —dm14A, ,, - / .. i:053 L00300i:00 4 5 7 7 50 509So 0 L 264 J1111.1J. XJJJ 11"f0l11 I7L.YLI 11\ wil"J 2 "'=• "' DMSION OP Ax GEKENT .1 1 Name of Individual pplying For Permit:6 Q,tq /.Q.z2 4MQ/-) Address of Property: t or Street#, Street or Road) City and County) I hereby certify that own properly adjacent to the above-referenced property. The individual applying for this perm t has described to me as shown on the attached drawing the development they are proposing. A des ription or drawing, with dimensions,should be provided with this letter. / I have no objections to this proposal, 1 If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. _,-1--- WAIVE1f SECTION-- I understand that a pier,dock, mooring pilings, breakwater,boat house or boat lift must ust be set bck a minimum di ance 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.) V I cio wish to waive the 15' setback requirement. I/not wish to waive the 15'setback requirement. -- gn Name LIJ4 l tt Date `cl d i1") Lj 'tdne/ ia Print Name Al gig — / 97- “q7_ NCDER1 Jr-Ill.1J.C'U✓UJ 11“-0M1 1 11LLLI II♦ ✓Vllsv 7 ". I , 1DIVISIONO C G MENT D. C 1 RIPARJAN PROPERTY OWNER NOTIFICATION/WkII'VER FORM 1 Name of Individual pplying For Permit: ( . Address of Property:. c 0 / l . ' /� Lot or Street#, Street or Road) 7 ' • l ity and County) I hereby certify that own property adjacent to the above-referenced property. The individual applying for this pet-ITT has described to me as shown on the attached drawing the development they arc proposing. A deslption 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 Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set bck 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 do wish to waive the 15' setback requirement. I lo not wish to waive the 15' setback requirement. • n f' a,,,o---- )i.Sign Name U DateeJllJ7� b kr/1/1 i.A-P 61. 61,44,1-X. Al AIWA Print Name 'io — e.2 2 s ,)® . NcDER .N (c) 5 g6-_ 0t5 ems7- 0 /Feo4dve e 7— m �ii sal Ap.r►rao(nenC,C).