HomeMy WebLinkAbout41594D - Frink ,CAMA/ DREDGE & FILL N9 4
3ENERAL PERMIT Previous permit#
,.New -Modification Complete Reissue ❑Partial Reissue , ,r Date previous permit issued
^ized by the State of North Carolina,Department of Environment and Natural R:.ources
;oastal Resources Commission in an area of environmental concern pursuant t. I 5A NCAC 7 y , /_)00
mules attached.
t Name J olikf`• I &DIM j 1-"kiN►< - Project Location: County l a &iS LJICIC
1 5 B FR iN14 St• .5, W . Street Address/State Road/Lot#(s) 1 7516 f=R f A
"An, Ts/F aE,M vi State A/C ZIP ..)e y.4? s i• 5 w .
(q c 7/" IA V Fax#( ) Subdivision
ed Agent /1,/4 City 06.-A N �S t♦E 3E4( 14 ZIP )s/c.'
i.c,w cEW PTA 3 ❑PTS Phone# ( ) River Basin Z l414A dP
❑OEA ❑HHF ❑IH UBA r,,N/A Adj.Wtr. Body 4- 1.4 W na r
❑ PWS: ❑FC:
yes / PNA yes / 6.9 Crit.Hab. yes / no Closest Maj.Wtr. Body '4 S wt../
Project/Activity J-' ,Ur4TE P1ri-2/ PlAT1=vR ✓h, G42t 3o 4n,6 3o47' /i'i- 7•
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distance offshore T (t)
K distance offshore 7 �' o
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yes �OA�0 7� , — L
ttached: yes ("9� I YS
ig permit may be required by: (') C G4 A, SS/F g 6.-_-4C f I . I See note on back regarding River Basin ru
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32J
1► DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property:
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own proper adjacent to the above-referenced property. The indiyidus
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 le ter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coasta
Management, 127 Cardinal Drive Extension, Wilmington, NC 2S-105 cr call 910-395-3901
within 10 days of receipt of this notice. No response is considered the same as no objection i
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 se
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ifyot
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.
-
Sign Name Date
C 0fr 1 IJer'✓N\S
• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property:
(Lot or Street 4, Street or Road)
(City and County)
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.
If you have objections to what is being proposed, please write the Division of Coasta
Management, 127 Cardinal Drive Extension, Wilmington, NC 2S40f cr call 910-395-390(
within 10 days of receipt of this notice. No response is considered the same as no objection i
you have been notified by Certified Mail.
WAIVER SECTION •
I understand that a pier, dock, mooring pilings, breakater, boat house or boat lift must be se
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ifvot
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.
ors
Sign Name ate