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Home My WebLink About44092D - Sansbury ' r 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 15A NCAC //7, //00 Iftare-i attached. t Name :p d 50A/S i V 2 y Project Location: County &a yper 14/ic.,(-- /26 .S41. . s71, Street Address/State Road/Lot#(s) l2 b 5Lt/, 9 '11S 1 Ar d State/VG ZIP 27-yj f (9/0)22T' VJ1/ Fax#( ) Subdivision / ed Agent S�G/! t L,,. - /�hr,�, „ CityOA/C �SL A.�. t ZIP 2 TyL CW •EVV PTA =fS -PTS Phone# ( ) River Basin 44ni C OEA ❑HHF IH UBA =N/A Adj.Wtr. Body-D 9 di.5 `/9 Nf; L f r ❑ PWS: ❑FC: yes /457 PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body #' '/I" Project/Activity f,'j 1,9- < < d ' P C '��✓ D L L k 1 p A d (Scale: f :k)length (s) er(s) igth n nber ��E) I } [ r/ Otiprap length distance offshore ' . x distance offshore.-,G S4 r7 annel f t'7 LIZ lic yards 'p - ;e/Boatlift illdozing j Length _(U __ p r./1 k�f not sure yes not sure yes / urn: n/a yes Q /f /Z $ W V1-9 $ , 9 l yes rf r� �Uf ,ttached: yes Cth2)� ig permit may be required by: OR,/ 1SLA/,./(Y See note on back regarding River Basin rt DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: ,AREA ..5'Aas&, y Address of Property: /d24 SW 'S/ 57 (Lot or Street #', Street or Road) OR e.rs tA,m, A/c .2814S E.esus40.ree (City and County) I hereby certify that I own property adjacent to the above-referenced property. The individw anplving 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 Coast: Management, 127 Cardinal Drive Extension, Wilmington, NC 23405 or call 910-395-390 within 10 days of receipt of this notice. No response is considered the same as no objection 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 sE bck a minimum distance of 15' from my area of riparian-acce ---unless waived by me. (Ifyo 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. i on Date 3iee` IJAL�,�s LirJA,r.�E,e Print Name -7-e-L,4/o%OAKts<,q,).d A DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: Mob -SS►asA,Q y Address of Property: /a A✓721 Sr" (Lot or Street ', Street or Road) DAk rsIA,ad, it/L. a 814 S 4.P ,.acc-t (City and County) I hereby certify that I own property adjacent to the above-referenced property. The individuw anplvina for this permit has described to me as shown on the attached drawing the development the are proposing. A description or drawing, wi:h dimensions, should be provided wy :h this let:cr. y I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coast: 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 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 se bck a minimum distance of 15' from my area of riparian access--u-nless waived by me. (If yo 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. • (-40 Si N- _ e Date cry Print Name • . r G' 4$Z° 7/v /Q4t/752 a'610 .hS-ih (15 ?r/ A wn.sisciii5 vj3j !r3 53AN� v+S -11 .or 11 —17- ___ ------------- jSodOafd i t , fr f 5 741PdV 5 (1q SHORELINE MARINE CONSTRUCTION 67-7235/25323258000872 3 0 6 3 j GREG PREVATTE P.O. BOX 10671C2 .J L9f'�6 SOUTHPORT, NC 28461 DATE C) PAY TO THE /� QQ�� G ORDER OF C� . m�}' I .D° V Q R i i VC% /LkVV.it e t OGL,I,4/S DOLLARS LJ SOPA,m IG Eyck 1'` Coastal Federal !w o Bank 1 �� SOUTHPORT,NC 28461 (//�//� / NP MEMO �/',I.� - G f.J 7, / �OQ ✓ i 1I 1: 253 27 23551: 3 2S800087 211w 3063