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HomeMy WebLinkAbout44076D - Sheppard CAMA/ : ;DREDGE & FILL Le.A- . 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 15A NCAC . I I 0 0 I SOJ 9 Rules attached. t Name &QzPA,.� 1��eof Az. i-- Project Location: County (0 1-0 I Li (ems-y,;a itL- -, L-tLr e I. 12J- Street Address/State Road/Lot#(s) ✓ AD 5 r vi! 4_ 1 StateNL ZIP L'3 LI(t) L 1(f.) Z-12-J w i r..., 5 1 L r..1 (at vo ) L"1- 12 3 1 Fax#( ) Subdivision rr ed Agent City �E ►ab 5 rz_ 2n� ZIP 2 3 I/ I cw ,w ,RTA 2ES ❑PTS Phone# ( ) River Basin 11Gilti ii t OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body"r\A i-LE. 5 - (22 c i< na /r PWS: ❑FC: yes a PNA no Crit.Hab. yes / no Closest Maj.Wtr. Body 5-r 0 M( SO c-+ ,J 1 Project/Activity -105c At...l._ 2- 3 0 V r - .V\ - •tr" ..\- 11.--t .C xZ S 1 , SAL " _ (Scale: _ :k)length (s)er(s) igth nber I/Riprap length z13 distance offshore I 1 x distance offshore 2' _- 1� iic yards �o.'� ___--'' ip se/Boatlift - 1 - r illdozing NtLE A Length ti 7 N., \ \ not sure yes not sure yes no urn: n/a yes no N& .tv yes ta, ttached: yes dapig permit may be required by: ctJ fl(,.) [ See note on back regarding River Basin ri . . _ A �� -�. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Pelinit: 162m N SEZPAA Address of Property: ,J t L I (Lot or Street 4, Street or Road) n/ -s/J2,A / y� Nc 8 V6° (City and County) / J 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. [f you have objections to what is being proposed, please write the Division of Coasts Management, 127 Cardinal Drive Extension, Wilmington, NC 2S 40 ' cr call 910-395-390( pvithin 10 days of receipt of this notice. No response is considered the same as no objection i. ou have been notified by Certified Mail. WAIVER SECTION • understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be se! )ck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ifvou vish 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. 4.74e6 . ign Name L 'L�. S/�� Date DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVrER FORM l'ame of Individual Applying For Permit: 8,4/A,) �� , ..swia 12-D .ddress of Property: elet)4) f t j"7 L (Lot or Street g, Street or Road) eArAS4 y (' )- 8v - (City and County) / .J hereby certify that I own property adjacent to the above-referenced propel. The individual pplving for this permit has described to me as shown on the attached drawing the development they re proposing. A description or drawing, with dimensions; should be provide. this lever. I have no objections to this proposal. f you have objections to what is being proposed, please write the Division of Coastal Ianaaernent, 127 Cardinal Drive Extension, Wilmington. `C 2S405 Cr call 910-395-3900 ithin 10 days of receipt of this notice. No response is considered the same as no objection if ou have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, break--water, boat house or boat lift must be set ck a minimum distance of 15' from my area of riparian access - unless waived by me. (If you ish to waive the setback, you must initial the appropriate blank below.) 1°L ' I do wi h waive s to the 1 5' setback requirement. I a'o not wish to waive the 15' setback requirement. .e,i0)„._ 6114 . Vit 0G ig.n Name Date v l// ,fr-. V -----------------tf 37)V [-I Pc?e-3 0 -Olt) 1,J s a 716) 615C-,_________ 114(5'5 f 717 ,E sad aid iMi / I Ala rro?l mom ri (ZI / lvd hq- v r^) 21 ( 433Q it ril r,Z�- C)91 tial,1 I I imi . sLt v . s<< P ?0A1 pus