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HomeMy WebLinkAbout41465D - Jones LAMA/ !r'J DREDGE & FILL N J�p 4 0 GENERAL PERMIT Previous permit# Jew Modification Complete Reissue -Partial Reissue Date previous permit issued :ed by the State of North Carolina,Department of Environment and Natural Resources ,astal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7/I • /.1 0G Cs74RGles attached. Name ��,('. \,...) , }:_p t- ( _ Project Location: County 5i✓,cl iv ., 40,11,.A., f) l' _ Street Address/State Road/Lot#(s) /(-/3 / j2p )/ en, 3e,a-c<' State 4/C ZIP 5/� 1 .)/"i ✓'P �).)G,) 7O 9 b )' i; Fax# ( ) ___-_-- Subdivision d Agent City f'-a/brt ,/ - t VV _ ZIP D S ❑CW .eW Fr_ PTA -ES PTS Phone# ( ) River Basin L u on ❑OEA ❑HHF iJ IH J UBA N/A Adj.Wtr. Body (.44N,4 / or4- A514/t',/ (nat ❑ PWS: iJ FC: es /(� PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body_ w�� project/Activity 6.14 1 1, f/ Ac ti,747 U,- - Xj 5--4 y C C/C ,J (Scale: / :)length ;th ber IS * y->I • ' e�u('� t Riprap length ✓ 1 L W i iistance offshore 5 L--Pal(g distance offshore • nnel IIII :yards oatli Idozing P. Length / not sure yes n//o /t( 1 -. not sure yes 4�/ _ � - `�/�/�.,� m: n/a yes i .. ` P' i /7 . yes [ached: yes l permit may be required by: /-4)/�A, 3t 4-( t/ _ See note on back regarding River Basin rul • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM line of Individual Applying For Permit: ei g. ',T, r'5 Idress of Property: /it 3 / 7 t2 v 2 i N d r. (Lot or Street#, Street or Road) ,Yc'IQl e itt Age AC 1i Ale, 'iL 6 v_ (City and County) r N,S 1 C /'C Ca - ereby certify that I own property adjacent to the above-referenced_proper y. The individual plying for this permit has described to me as shown on the attached drawing the development they proposing. A description or drawing,with dimensions, should be provided with this letter. I have no objections to this proposal. ().k inn.... -(7 L.--(1- ��•�R 1 t- f e 4 4 d tx 5.3 SAY-,ti..,t.44 • W : �, ¢ e.G�,-", you na a objections to'what is` being proposed,ypleaisst se�write the Division of Coastal inagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 hin 10 days of receipt of this notice. No response is considered the same as no objection if t have been notified by Certified Mail. WAIVER SECTION iderstand 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. (If .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. 10- . 5. m s iName Date 0/ Yid° V., ,v p/p// ' Ap jt "/ dJ/w 0A7 s?ivr'.c P T -3.71 Y - - 4 ax07 _.4 a a/o• pvayyl77 7 ydin 7itif 11'0 t14 / A/, e/ u , /\\ P ;// � _ 1 (0 I i.P„1 \Si IQ ,. ) lam- I. . , s \ I _,qJ • Date Pay tothe order of dfF Atti.r14. 411,0t BankofAmerica • ACH R/T 053000196 I 0 3000 L961: 0000 211 L96 5 L 3 2 4.i'•'` •z•"•7 — ZT . • vesiiepporti .•...• . . • • • . • . . • • • • • •:.•• • ••••••• ,. • • • ••• • • ;•i::•:.• • • . . • ...• .• • • • .• . •.•. . • SENDER: 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. X in. ��U't3VlP_ 9ent Print your name and address on the reverse0Addressee NI so that we can return the card to you. B. -eceived by(Printed Name) C. Date of Delivery • Attach this card to the back of the mailpiece, / S t 3 G O 5 or on the front if space permits. \v D. D. Is delivery address different from item 1? 0 Yes 1. Article Addressed to: If YES,enter delivery address below: ,0"1lO Cr�;1LIs4pi7 :ol itJ B V,gius /' Ii us ,�/� j Q/9 i}') E, cA 3. Service Type ,Certified Mail 0 Express Mail ❑ Registered 0 Return Receipt for Merchandise ❑ Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number 7005 0390 0003 5187 2695 \ (Transfer from service I PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 SENDER: 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. X • Print your name and address on the reverse I I u� � ) 7 ❑ nt so that we can return the card to you. Addressee II this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. / e'V' a c-2-0 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑ No ME'LI/ ,) Fk1f (h.I r ti/S ti . ;q(:7y1 4) ` 1'7. / A6, 3. Se ' e Type i Certified Mail ❑Express Mail ❑ Registered 0 Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number (Transfer from sery 7005 0390 0003 5187 2701 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-154o