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Home My WebLink About44859D - Stanley +CAMA/ -'DREDGE & FILL \' 1ENERAL PERMIT Previous permit# !New _Modification , 'Complete Reissue Partial Reissue Date previous permit issued -'zed by the State of North Carolina, Department of Environment and ��/�d Natural Resources ;oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC d �+ { -R41es attached. (.t Name /p(�o , .57i/9,v Ley Project Location: County_3zN.vS Al'CA 11 Sc 4 ,ii 'e2 ,///1 . __ Street Address/State Road/Lot#(s) /)f ,SC hoary /de.. 8..A9c 4State/✓C- ZIP 2V6/Z. (9%0)U Yz-($7f Fax#( ) Subdivision ed Agent 5.4,,E-' J7cc),1S City t)Ulde,J ,3e.9cA ZIP 2Yy . ❑Cw awe— B-rTA"- ,es"" ❑PTS Phone# ( ) River Basin LyAar ❑OEA ❑HHF •IH ❑UBA El Adj.Wtr. Body 9,'4/4/ e ❑ PWS: ❑FC: t fi/ /i/ / yes /� _ PNA yes Crit. Hab. yes / no Closest Maj.Wtr. Body Project/Activity tieLf.1 et LkA p,9 0 (Scale:/ :k)length -----A_______ w 1 /_/ �, _— (s) er(s) igth nber Riprap length (D / ,.4,"y ) A) distance offshore 4 — G,- g�,I.k yG x distance offshore - ' 1t �% annel 1' '' 4 id -Lk '- !'s 14 Li 1/G Iv 14 i ,ic yards 7f 15 � e/Boatlift /L- 1-wI illdozing I _01 I /111 Length 610 not sure yes %' f_L.- i-ioti5 r' Y l-- notsure yes urn: n/a yes no ttached: yes n � 9/) :/Cr)),Tittli e _.,D a, // ig permit may be required by://dtdc'_ AO/9C A 1 I See note on back regarding River Basin ru . . _ �. i. l / n /1 /. in / _ . KATHLEEN F JACOBS 3365 PH;910-842-6978 1200 STANBURY RD SW / 55 t2t5/53t 531 40 SUPPLY, NC 28462 Date Pay to the I $ /ea. op Order of / X �! /` �O7 Dollars WAAC7�C7�AMAW SupEly,NC�8462K k(�� 7) ruurt11,1.c mbank.com 'P For te(e 5'S - - I _ 17,053LL2L521:8000L5568211'g3365 m. &/eAe&O/ DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: Address Of Property: 1l! iieh i,_./464,„ .2 (Lot or Street Street or Road, City & County) I hereby certify that I own property adjacent to the above- referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they 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 Divisions of Coastal Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28905, or call 910 395-3900 within 10 days of receipt of this notice. No response is considered the same as no ob'ection if you have been notified by Certified Mail. WAIVER SECTION E understand that a pier , dock , mooring pilings , breakwater , heal .louse , lift or sandbags must be set back 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 do not wish to waive the 15' setback requirement. /fekd DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: P Y 9 gf 244, Address Of Property: /l f ,2 . /- l /eci Y? (2',. Aid( (Lot or Street #, Street or Road, City & County) I hereby certify that I own property adjacent to the above- referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. 1 have no objections to this proposal. If you have objections to what is being proposed , please write the Divisions of Coastal Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 29405, 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 t understand that a pier , dock , mooring pilings , breakwater , boa' ,louse , lift or sandbags must be set back a minimum distance of 15' Erom 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 do not wish to waive the 15' setback requirement.