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HomeMy WebLinkAbout42863D - Cornugel 'CAMA/ DREDGE & FILL �� t i 3EN E_ RAL 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 // �)y/�� :oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7i9 /,'4 y # s �,f� Ifiltules attached. t Name Co',�./CCT I Project Location: County ,6,414414/k/e G Oe / 0Z 1J, OtAi , Street Address/State Road/Lot#(s) fit -WanA State AX ZIP Z G /11 G (0) 7"3D27 Fax# ( ) Subdivision ed Agent 2 i7 f/Patil-a City ZIP CW AtiW 4-PTA CIS ❑PTS Phone# ( ) - River Basin (4, OFr4 ❑HHF ❑IH ❑UBA ElN/A Adj.Wtr. Body /kilt) (nat iii - PWS: ❑FC: yes /7 C!PNA yes /t Crit. Hab. yes / Closest Maj.Wtr. Body D� P" 'Project/Activity ,4D/OS rI ila/A seer,f ),p i,'i'714 T `i eo i 0.- 60,E t :k)length ix / (Scale: /" i(s) /0x /4 AIW ier(s) ngth Tiber t 6 O G. Trap length -72 ' `Z / to' 1C/d, It / distance offshore X X x distance offshore / 12, 0 ) annel 0 0 0 7 0 )ic yards ip X Lk wr Boat' a r IQ- ir Ili iV /Z X/2- )30 fl illdozing PA' 0 V V Of _ 7 e Length G 0 _ not sure yes n �,r 15 ti by -^R `? 1�~^ not sure yes no / um: n/a yes no /91)Z AL .; yes no �G L'1 T N ttached: yes n ig permit may be required by: See note on back regarding River Basin rt �__ 14,4.._.l I _ /_ i . // L_/. 1 li / A • SEtiJDER:'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. ; , Agent • Print your name and address on the reverse X (2jutpUAddressee so that we can return the card to you. B. Received b - nted Name) C.Data of Delivery ■ Attach this card to the back of the mailpiece, / or on the front if space permits. D. Is delivery address different from item 1 0 Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No 4abiAkb eu�Ts l 90 CJ Y ,/7 b OAR" rs4g4, A C_. .28�/�� 3. Service Type ❑Certified Mail 0 Express Mall ❑Registered IitRetum Receipt for Merchandise ❑ Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number 7005 0390 0006 6808 3739 (Transfer from service labs PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 • • SHORELINE MARINE CONSTRUCTION 67-7235/2532 -2 8 8 6 GREG PREVATTE 3258000872 P.O. BOX 10671 - SOUTHPORT, NC 28461 DATE /0 I`)/O S DER OFF C/7 1 19- I a c.G° I tvo tI n d,(.Q..j d9OL L/9( 5 DOLLARS 8 Coastal Federal ' —Bank 1 SOUTHPORT)1C 28461 .Mo G/ 'V14-63 D ( Cdrh�,G�c,�) -�^�� ---" : 2532 ? 23551: 32580008 ? 211 886 ' • • - DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: 6/----c Cieei/uGEG Address of Property: / 90 LJ l'/9c,i>bk (Lot or Street ', Street or Road) DAK 2-549,✓b, A/G g Sdeu.seam._,' (City and County) — I hereby certify that I own property adjacent to the above-referenced property. The indivith applying for this permit has described to me as shown on the attached drawing the development th . are proposing. A description or drawing, with dimensions, should be provided with this letter. • cp 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 910-395-391 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 s bck a minimum distance of 15' from my area of riparian access`-unless waived by me. (If v( wish to waive the setback, you must initial the appropriate blank below.) 4111 I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. S'gn Name ate • ,Hs E MA-06-4-(1-2 G Print Name r S' I0 0 00 ii-- !6. _ O f 1; Ix IA ' ► 1)O2' f 6002 t Pr I o' 8DA7.Crrf '0 C) 0 O 4� 130' ! f Vi W ) !J y � �/ 1 v• ,/ I Nlk \ " Ni f f57 BNLKNEAb �'` I il i II 1, 1 Y! 1V if ,. v < I 30' —iv 30' < too I j 1, I I — E6wARb CkRr3 1 I 190y w YopcNTOk. ,S�1 TE« CIRdua,z. 1,44 I 190,2 1 ) yAC NT&,e, I I