The URL can be used to link to this page

Home My WebLink About43272D - Peters ....,Cice i'CAMA/ DREDGE & FILL i 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 :oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ) t l . I Z J if Rules attached. t Name bI C.\[. t Z.-S i. .S _ Project Location: County -,-----NDS Lz j (per► (VG iv e2 E rt_ l..u4..rr c IL 1 Street Address/State Road/Lot#(s) j 2.Sr�..L 1',rtacri Statei.)C- ZIP L ybO ,v'c. v✓ 12-Zvei1.- 11%.,,_rT (t.d 'Ftl )332 - 53-11-, Fax#( ) Subdivision ed Agent ?m i E. ,2 M L-L-o 11- City )V--1.-- ,'Sors t... IV-V\ ZIP 2- H 10 4 _cw Q.EW ' ;PTA ES PTS Phone# ( ) River Basin tiIH i i e. OEA ❑HHF IH UBA N/A Adj.Wtr. Body "1.-4-n r'''P '-, eiTibl PWS: ❑FC: yes'/ no PNA / no Crit.Hab. yes / no Closest Maj.Wtr. Body 1AT `N v✓ 'Project/Activity T N5.14X LA- In x • -3 A I Z Gov - (- 6 -1---- (Scale:)' = Z ck)length (✓X 3-m 1(5) )2 2 ier(s) ngth tuber . - ZJ ' I i d/Riprap length distance offshore ix distance offshore t t 4 i ,annel _ —7 . NI Dic yards �✓ np Ise/Boatlift 7'--'- i — 4— 17-0—t- '• ' s ' ---4 . F..' ?,. ulldozing y_ 1 V ri e Length 8 1 not sure yes no s: not sure yes ® t , ium: n/a yes - i yes t'I• i kttached: yes 47131. I ng permit may be required by: N• 1 '2),'S+A 1 i- I>t A,_ , . See note on back regarding River Basin r • HAMMER HEAD MARINE 606 PERU RD. SNEADS FERRY,NC 28460 PH.910-382-5346 DATE a2- PAY THE A/G ORDER OF BB&i BRANCH BANKING AND TRUST COMPANY 1-800-BANK BST BBrdT.coom /� Z ":I FOR/r 6 7,,L / /�—" let 1,//' 00000 LO Le 1:053LOLL211:0005294863L4300' ......y.-��..rrmaxy.e�.�..--,,.�..w......v�-.. ...........-��:per---,.�..................�r...r,..........� +. ....�..«,.....,........t — v - 1-cry f A \ , rt --- t \f \NI- ,---vA4- r � l �O a'5P014 Q) QL c vas.... ., `.(--Q ri()ti -1" i'Y °r'-''' ( 9 °) DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM ime of Individual Applying For Permit: k `\"1C'�� t. � idress of Property: (Lot or Street #, Street or Road) (City and County) hereby certify that I own property adjacent to the above-referenced property. The individua )plying for this permit has described to me as shown on the attached drawing the development the; e proposing. A description or drawing, with dimensions, should be provided with this letter. XI have no objections to this proposal. you have objections to what is being proposed, please write the Division of Coasts [anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721 ithin 10 days of receipt of this notice. No response is considered the same as no objection i au have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater,boat house or boat lift must be st ck a minimum distance of 15' from my area of riparian access - unless waived by me. (If yo 'ish 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. c4 "/�'�j� :� t-; av (E,s 7. z7'06 ign Name + Date &4 LC/M/n fE Aftm-7w i 'rint Name AriFiliA SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Si - . item 4 if Restricted Delivery is desired. X CI Agent • Print your name and address on the reverse G 0 Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: 0 No 3. Service Type ❑Certified Mail 0 Express Mail ❑ Registered 0 Return Receipt for Merchandise ❑ Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number (Transfer from service 7004 2890 0003 7346 1990 'S Form 3811,February 2004 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. X ��/J ❑Agent • Print your name and address on the reverse � � ,a�T/ ✓C�'�Addressee so that we can return the card to you. B. Received by(Printed Name) 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? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No 3. Service Type ❑Certified Mail 0 Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑ Yes 2. Article Numb( 7004 2891:1.-0003 7346 2003 (Transfer from___.__ PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540