HomeMy WebLinkAbout41499D - Jones •
CAMA/ i-,pREDGE & FILL .i 4(i A.
iEN ERAL PERMIT Previous permit#
New 'Modification Complete Reissue __Partial Reissue fut Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natu Resources Dastal Resources Commission in an area of environmental concern p rsua to 15A NCAC ?I •,100 , '10[Rules attached.
Name � 5 E •L_ o!J E S Project Location: County Ope,L„5%..J
9 Z3 M/ 9 1 14 51 , Street Address/State Road/Lot#(s)
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:d Agent City SkActS 6.4 V ZIP 234'15
❑CW *TA S ❑PTS Phone# ( ) / River Basin ,1 I
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yes � PNA �/� Crit.Hab. yes / no
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gs: not sure yes tfio
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Attached: yes oo __
ling permit may be required by: Q. ���'` 1 I See note on back regarding River Basin
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ADJACENT PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to AS C C , J U !•/e
(Name of Property Owner)
)erty located at 9 C 3 o °-3 3
(Lot, Block, Road, etc.)
` 'S±; CAyIA1 , in 5cA,.•F C ;
(Waterbody) ( "own and/or County)
He has described to me as shown below, the development he is proposing at that location,
, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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ignature
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: -)eo-u_a_, C
Address Of Property: q D 3 0 k �J ` S�� �
/ �o-L
(Lot ors reet #, 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.
YfiDOX I have no objections to this proposal.
If you have objections to what is being proposed, please write the
Division of Coastal Manaaementt 127 Cardinal Drive Extension ,
Wilminaton , 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 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. )
/J2291___ I do wish to waive the 15 'setback e r quirement.
I do not wish to waive the 15 'setback requirement.
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