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Home My WebLink About41455D - Gillie • AMA/ P2 DREDGE & FILL N? 4 NERAL PERMIT Previous permit# ew ]Modification Complete Reissue Partial Reissue Date previous permit issued rized by the State of North Carolina,Department of Environment and Natural Resources 2oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7 11 .1) U 0 f es attached. t Name �j( p t, 4 ( 1 i F' / Project Location: County 8, hN S(A,+(/C 5� 54 14 "V ; N A �c�( ` Street Address/State Road/Lot#(s) / V tf 71 1' ?Oki"- + f r`F AA i 1— State SC. ZIP 0, I Co(v ,�r (l -e 'Y 3)Y-514 i Fax#( ) Subdivision` ed Agent 3 e ( K(4 C °/City A "- k C /i ZIP k ▪Cw ❑EW ❑PTA ! 5/ ❑PTS Phone# ( _) River Basin (.-W►i ▪oEA ❑HHF ❑IH ❑UBA ❑N/A _ PWS: ❑FC: Adj.Wtr. Body (Ail//) ( 0E-/- tf.TW v./(nat . / no PNA Closest Maj.Wtr. Body �'�/ yesyes / no Crit. Hab. yes / no Project/Activity u,I\<1irQ41) LAN C' Y tn� 6 OOF (z4A- ( (n/(i /4,�t I n n :k)length (Scale: (5) (4')_ ( n ivvoi ` 1f1G 7 .ti f er(s) igth nber I/Riprap length 1 73 distance offshore N `` f( I c distance offshore 2 �'" annel is yards P � .07 e/Boatlift I co Ildozing in i Length -S not sure yes ;no) not sure yes rno/ im: n/a yes yes :cached: yes /n g permit may be required by: /7 0�cti . 7' See note on back regarding River Basin rul Locality Permit Number GENERAL INFORMATION LAND OWNER Name _Go t l G t`f( t't: Address 1?J Sett ) 1RA`w City Mocip t ICI iu5 t ,it State S ( zip V-9Y�fp Phone 8"/;'.3;)9- AUTHORIZED AGENT / - / y/ Name RI 6 J ✓�S Gi r'env / 7e;e lt-/i4—_ Address ?IS"-Sj J e s$ /4 eke y O r r . 'E City State /LC Zip .)-r Phone /n/D-6W'3 LOCATION OF PROJECT `Y 7 �Qrpfl y nr /ILO /lam B{a (If not oceanfront,is waterbody natural or manmade?) MGty/via DESCRIPTION OF PROJECT sr !/ i ' kA ear AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION (To be filled in by the Local Permit Officer prior to completing application.) Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline PROPOSED USE XResidential Commerical/Industrial Other SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT-UPON SURFACES (such as driveways,etc.)within 75 feet of the estuarine shoreline,or 57 ORW shoreline, or 30 feet of the public trust shoreline. SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING SQUARE FOOTAGE OF SITE OTHER PERMITS MAY BE REQUIRED: Zoning,Drinking Water Well, Septic Tank (or other sanitary waste treatment system), The activity you are planning may require Burning,Electrical,Plumbing,Heating and permits other than the CAMA minor Air Cnnditinnina Tnciilat;rnn onrl G P S So P /.S DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: Celt 1iOio Address Of Property: j q YCL1 14cril 4g10-41 L-O . no 4v/(0, (Lot or Street t, 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 . .010 • If You have objections to what is being oroposedl• please write the Division of Coastal Manaaementi 127 Cardinal Drive Extension. Wilmington , North Carolina_. 28405 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 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. I do not wish to waive the 15'setback requirement. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: SGo !I Address of Property: I yy 7 iwe S7 (Lot or Street #, Street or Road) (City and County) I hereby certify that I own property adjacent to the above-referenced property. The indivil applying for this permit has described to me as shown on the attached drawing the development are proposing. A descrip ' n or drawing, with dimensions, should be provided with this lette I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Com Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395 within 10 days of receipt of this notice. No response is considered the same as no objectil you have been notified by Certified Mail. WAIVER SECTION I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must L bck a minimum distance of 15' from my area of riparian access- unless waived by me. (II 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. HZ-40/1111T A6LNI -.323436 DrliTE 042805 .,7Fr-lorto ehA TIME 1038 02 ,-1,1.1 ILI v 082593214262 LOCATION 0025466-,1-,N,Pwq )* .t PAY EXACTLY THREE HUNDREA; DOLLARS AND NO CENTS ****0**** PAY EXACTLY PAY TO THE 4.//e,/94/k2 MYArphOR/ACC T.# ORDER OF 297,0,-00 re 5 2stpwsEriipAyierEssz?,/,,,,i, Artf›.7--- P CHASER jCASE AE BY SIG;i:Y0UAGBTTZTERI:4 THE REVERSE SIDE Western Union Money Order and Design is a service mark of Western Union Holdings,Inc/Payable at Welts Fargo Bank r d Junction-Downtown,N A,Grand Junction.Colorado I: /0 2 L004001: 4008 2E93 2 LL. 26 20 rf Yi y5-6.