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Home My WebLink About46267D - Williamson / !CAMA/ JbREDGE & FILL jEN ERAL PERMIT Previous permit# rNew ]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued -ized by the State of North Carolina,Department of Environment and Natural Resources , , , //Q O :oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ❑]'lrfes attached. t Name 0c4'// G,/r //,,I .SC..✓ Project Location: County_Fii r,.r S'�✓/c-A-- 2 69ys 4.).;, , ,‹ . Street Address/State Road/Lot#(s) y 7.5,,e O/ 'p/I,„ xf Le ashiPeacA State /fie-ZIP21y‘,% (2/O)527-4212-Fax#( ) Subdivision ed Agent ,5"-1 n y ��1//43(1/4 c,.+, City0CP 9.✓ ,,Ze 601.7c% ZIP .2 IY ❑CW I fW L9151A LDS ❑PTS Phone# ( ) River Basin Lti,s, ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 041 So,,,,C c"2 . n�L`-/r ❑PWS: ❑FC: yes no PNA yes, no/ Grit.Hab. yes / no Closest Maj.Wtr. Body �/ I" 'Project/Activity .�o Lf7'CJ_e 3O d ' ' c 4- ,K., ST, z7tiZA-/f OA,i lr. � ) ) ' o '1 P w c/L I P.90/. 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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 Coastal Management, LZsiorth Cardinal_Driver Wilmington North Carolina,78405 or rail 910 39573400_within 10slays of receipt of this notice_No response is considered the saintAv gP Q.Iupv.;c;n, if you have been notified by CertifiedMail WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15' from my area of riparian arrpss unless waived by me. (If you wish to waive the setback, you mast initial the appropriate blank below.) 4" ✓ I do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirement. DIVISION_OECOASTAL MANAGEMENT ADJACENT_RIPARIAN_PROPFRTyOWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: �i -deli l i l I I Q y i S 0 Address Of Property: `( /h/ Cd 6-1 - 0 G NC 'M` ' (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. iI have no objections to this proposal. If you_have objections to what is being proposed, please write the Division of Coastal Manag-.ment,__12LNorth Cardinal Drive, Wilmington, North Carolina, 28405 or_call 910 394= 3_900_within 10 days of receipt of this notice_ NQsesponse is coisidered the sane as no objection if you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, 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. r I do not wish to waive the 15' setback requirement. 'OcRnk i2( l)07 6 /BJn&