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Home My WebLink About42335D - Hickman 3 r '' r€, /a f LAMA/ 0 DREDGE & FILL IV E RAL PERMIT Previous permit# Jew --Modification Complete Reissue Partial Reissue Date previous permit issued ted by the State of North Carolina,Department of Environment and Natural Resources �] / )astal Resources Commission in an area of environmental concern pursuant to 15A NCAC / .�1 2 t M_ wi attached. Name 6.�'�+/e /?' /�/t fe/'� ,./ Project Location: County /5 at/ S i e�C �3 O -Ad/z e L• r ,..b,t. ! Street Address/State Road/Lot#(s) 2 S a S6O4 ,JS'-�i" .6PI C 4 StateeVC ZIP 2- Y/tp I D a ( ) Fax#( ) Subdivision ;dAgent aZad Ad i{ f17i,/f Z city....CU-/S'F'1 60964 ZIP ,2 x y 4 ❑CW aiRot JorrA p.ES ❑PTS Phone# ( ) River Basin �-yft7 6 ❑oEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 7y'z4 14 4a et:,JC 0/n ❑PWS: ❑FC: Closest Maj.Wtr. Body h/ 1✓hi (es /6) PNA yes / o Crit.Hab. yes / no Project/Activity ea I I//91 r Pi 04 v aG. (Scale:/ i :k)length b'A)0 ' * y/X he'2 iv (s) ier(s) ngth tuber d/Riprap length -------... C A N f 4 L __,� _�--'^- ---^__ distance offshore uc distance offshore cannel bic yards �' Z np use/Boatlift r(E A 1 / d Bulldozing =CaA t- ie Length r I x 't`/e4. 61 D E t k ('A,C I L not sure yes no gs: not sure yes . rium: n/a yes f 6 C '�„� .ii.• 4 U c i7 G fi t`! ~ 1.6f Attached: yes II ling permit may be required by: -S(., .rS P J.- geAr h . L I See note on back regarding River Basin DIVISIOII OF COASTAL IvLANAGENENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: Y/C.40 Address of Prope-ty: Z �0--MieCo de- _DE (Let or Street r, Street or Road) SvlfSET , CC) , c • (City and County) I hereby certify that I own proper - adjacent to the above-referenced property. The individut applying for this pe.;nit 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 lea_r. l 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 2S405 cr call 910-395.-39C 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 bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ify wish to tiya ve the setback, you must initial the appropriate blank below.) I da, wish to wave the 15' se;.,a_:t re:-uirement. • I d: not wish to waive the 15. setback requirement. . SisnN_:rte Date DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: /JE the Address of Property: Z ‘ ... ,e � 1 Are. _u OC/ C G.. . (Lot or Street#, Street or Road) S.wET . 6-i-ci1 Ai; c (City and County) I hereby certify that I own proper •v adjacent to the above-referenced property_ The indiyidL applying for this permit has described to me as shown on the anached drawing the development th are proposing. A description or drawing, with dimensions; should be provided with this le.ter. y have ., I no objections to this proposali . If you have objections to what is being proposed; please write the Division of Coas. Management, 127 Cardinal Drive Extension, Wilmington, NC ?S 0 cr call 910-39'-39 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, breal,vater, boat house or boat lift*must be bck a minimum distance of 15' from my area of riparian access -unless waived by me. (If:‘ wish to waive the setback, you must initial the appropriate blank below.) I da wish to waive the 15 se:.,.._., re ui:eme `. I da not wish to waive the 15. setback I`auiremeni. _ je(A.ie,e, /0—'2/— D.S . ,,ISM I`_tne Date nd., rlu. ci • 5.C.151-2i-• H5D(6,61,1 0 E"'DC/ -7 j_,,, -ej 7:1., • "I(1.- a N(1210 HS — Ii -7,11f A\ k A 1 i--- cc..., - ...t. ./ i .,.. A A * A\ )4\. ''''-. :;• d - 6 iX\ it • I: ,...., 4 . ." ii ° --- I if rk Qi . RONNIE WAYNE MINTZ 66-7143/2531 110 0 DBA MINTZ CONSTRUCTION 6001003307 4739 FOUR SEASONS WAY (7 ASH, NC 28420 Dam /d "l a� W PAY TO THE / ,,,r ORDER OF �I.� s I $/OOP �� 1 DOLLARS LJ SECURITY �o �� • SAVINGS Banc I. Sunset Bea/�/{ NC28470��/ MEMO C �6 is 11'V� 67,41°1— ! _ I: 2 5 3 L 7 L 4 301: 600 L00 330 700' L L00 )