HomeMy WebLinkAbout45833D - Wilson • /
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+LAMA/ DREDGE & FILL
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 A ,/J2o&
/ L�RGles attached.
It Name 1 A/,I,4 /,SG Al Project Location: County eiZe/i+Sw/4
/ 70 W, V —C7ir Street Address/State Road/Lot#(s)// Le e ,_'
-OA r✓ 1s1e give-4 State/✓C ZIP 2(7 2 _
L•(9/h) (/N/J in? Fax#( ) Subdivision
:ed Agent 7.;21cy /�>9///0 41,,-L_ City OG P,9") jf1e ,649c I' ZIP 2 Did
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❑CW [D.WW L PTA BES" ❑PTS Phone# ( ) River Basin Lie.?
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body(>,r A( c- /4/w 41 (nat
❑PWS: ❑FC: ^/ /
yes / PNA ye Crit. Hab. yes / no Closest Maj.Wtr. Body / [✓
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4ttached es no 1. , , 1
STEVEN T. FARMER 3163
TRA COM SERVICES
PH.910-754-2725 66-112/531
897 MIDDLEDAM RD SW BRANCH 62401
SHALLOTTE,NC 28470-5657 Date
Pay to (� �p
the or I / S IY 2Yc $ 3 Z
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BRANCH BANKING AND TRUST COMPANY / _ (�
1-800-BANK BBT BBT.com
Fo1�4/11,A 9 7 ZQ //-lam -
1053 OLL Li:00052LL06 LB003L63
Le L)v 141)t,46-y33lti'.ii,U„� / v /,sue
%-COM SERVICES vi511L (.1_,-/t-tu r 1 x2v ' Pu,a-r7 it/[) t L
PO. Box 1365 qaP PULP ; y ' x/ ' (Am-p t_t>/ tL ' X IUI 9-1,
allotte, NC 28459 DQ�k_ , c_N c 2 A ck -6 1,} e_ b 414-- 5+A=
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Djy( , l15U1n
Address of Property: 1 1 LPi? ,3T i� r-
(Lot or Street #, Street or Road)
D1.0,4vl }�C -I tic- — yt
(City and County)
[ hereby certify that I own property adjacent to the above-referenced..property. The indivii
applying for this permit has described to me as shown on the attached drawing th development t
ire proposing. A description or drawing, with dimensions, should be provided with this letter
I N &Z I have no objections to this proposal.
f you have objections to what is being proposed, please write the Division of Coa
vtanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3'
vithin 10 days of receipt of this notice. No response is considered the same as no objectio
rou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
et bck a minimum distance of 15' from my area of riparian access - unless waived by me.
ou 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.
(-/‘(*- (0/J(19,
an Name Date
SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DEl-!VERY
■ Complete items 1,2,and 3.Also complete A. Signatu = lir
item 4 if Restricted Delivery is desired. .��
• Print your name and address on the reverse X ❑Agent
so that we can return the card to you. �� ❑Addressee
B. Received by(P .Name) C.ADa�e fpe',gry
■ Attach this card to the back of the mailpiece,
or on the front if space permits. I I l��///�
1. Article Addressed to: D. Is delivery address different from item 1? (❑Yes (lC
If YES,enter delivery address below: ❑ No
iligledaa /0/11D11
/ /» , , ,iDe ,
CUB l/US ` ' /` 3. Service Type
/l( C ❑!T Certified Mail CI Express Mail
.)3 ) ❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number 7 003
❑Yes
(Transfer from service a 0500 0000 8893 8524
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540
DIM 3141 O13dOl3AN3 3O dOl IV tl3M3I1S 33V1d -.-
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 L f 0 Agent
II Print your name and address on the reverse t kid;
so that we can return the card to you. �. �S ❑Addressee
• Attach this card to the back of the mailpiece, e Receivedby(Prin .Name) C. D e of Delivery
or on the front if space permits. I' �j¢i rs 2 2 -'t-
1. Article Addressed to: D. Is delivery address different from item 1? El Yes
If YES,enter delivery address below: 0 No
nCA4/7 4.
3 ) 51bP1
P" wo6.KK 4 � C- 3. Service Type
Alf 0 Certified Mail ❑ Express Mail
I '/z, I 0 Reaistered rl Rat.,r., --••-- ..