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HomeMy WebLinkAbout42086D - Holt ;AMA/ DREDGE & FILL • ENERAL PERMIT Previous permit# Jew Modification iComplete Reissue -'Partial Reissue Date previous permit issued :ed by the State of North Carolina,Department of Environment and Natural Resources / L astal Resources Commission in an area of environmental concern pursuant to 15A NCAC ules attached. Name 5J• L L L I Project Location: County ! R v'fr tL c — 0 ei Ale Apt Street Address/State Road/Lot#(s) State 1J . ZIP 2-S4Li " q 6 t 4_ ) Fax#( ) Subdivision d Agent A City "TO IN E A4 ZIP Z�y� i: River Basin 1G,PPE HHF IH UBA ❑N/A �CW �❑Myy �5,(pTA C ES C PTS Phone# ( ���pis�` ❑OEA ❑ C Adj.Wtr. BodL+V orb 'Sa`^�'1- (nat PWS: ❑FC: a�v,/v✓ / no Closest Maj.Wtr. Body ,es / no PNA yes /f Crit.Hab. yes �., Project/Activity Kg rrN;>,r C gCr-T7 A./Gr P X )1 J. ica(X Ll iT (Scale:t — :k)length (s) er(s) igth nber J/Riprap length distance offshore uc distance offshore —i f� iannel (1.. bic yards np is> 3y � 3 — lulldozing • :)ACL.fj V AL lf._ ne Length co L not sur- yes no gs: not sure yes Z �rium: n/a yes e yes •Attached: yes r� �,�}�; ling permit may be required by: / F..)t'GAF' 'X See note on back regarding River Basin • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM me of Individual Applying For Permit: S / I Wô dress of Property: '7 ` 0 C z e Ave — _. (Lot or Street 4, Street dr Road) (City and County) Lereby certify that I own property adjacent to the above-referenced property. The individua plying for this permit has described to me as shown on the attached drawing the development the proposing. A description or drawing, with dimensions, shouI91 be provided with thisletter. 5ee_ (cIerse. (A.-) I have no objections to this proposal. you have objections to what is being proposed, please write the Division of Coasta anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3901 thin 10 days of receipt of this notice. No response is considered the same as no objection i iu have been notified by Certified Mail. WAIVR SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b t bok a minimum distance of 15' from my area of riparian access- unless waived by me. (1 )u 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. i am ate ate AMA . ' - . • -..muc—.... .* SecrtLy enhanced document. See back for JED MARINE CONTRACTORS, LLC 08-03 1559 :1 910-367-2159 101 PARLIAMENT DR. WILMINGTON, NC 28411-7130 66-19/530 NC VI DATE a 6p 702 5 N(.2). $ too — 40/ -,111-eV fi oo DOLLARS erica .0:0110F. 590 1:053000 L961: 000684743 ? 3811° • • SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Sign ture item 4 if Restricted Deliveryis desired. X /14 Agent MIPrint your name and address on the reverse sY❑❑Addressee so that we can return the card to you. Received by red Name) C. a of Delivery ■ Attach this card to the back of the mailpiece, DeritM e 'f k e55 `7 .6� or on the front if space permits. /l /(L1 1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes if delivery address below: 0 No li 7h i�l - /' / 4'(`I/K •c^^�, y )/ v ( T1 V_ V I ❑Express Mall a rY// \�Q ❑Return Receipt for Merchandise 0 Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article NiI (Transfer I. 7004 2890 0003 2018 3845 PS Form 3811,February 2004 Domestic Return Receipt 102595-02_M-1540