39806D - Kart

N(CAM,A/1Y DREDGE & FILL
)GENERAL PERMIT Previous permit#
)iNew Modification `I Complete Reissue Partial Reiss Date previous permit issued
horized by the State of North Carolina,Department of Environment and Natural Resources e Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7r7�/
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❑Rules attached.
.ant Name Me K4rz`( Project Location: County lUti ,c 4
,ss / , 17 G4.L,,,voic.e 02 Ste/ Street Address/State Road/Lot#(s)
Sit 4/4-1f'2 State /t. ZIP •ZI'`/?D / , 9 7 L ACIA -
#( ,'/D) 70-6 -31( Fax#( ) Subdivision rued Agent COr►"f Mc 64 ; aA'- Sf- t et j City /5)0(6 1P ZIP 2.
ed ❑CAN V4'A [4'S ElPTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A ^
0: ❑PWS: ❑FC: Adj.Wtr. Body .51c'Ce fo i Ctatit
yes PNA yes /� Crit.Hab. yes / no Closest Maj.Wtr. Body 5 G1Ce PAN Gte,
of Project/Activity Pros a OO f eIILrr (k'Oo ) 61'7" ✓.
!o/ Dea,-., AA/c 0--, u;Sl X rau44 (Scale: /
(dock)length
arm(s) /
ar pier(s)
n length /
number -. 4-nv C 4 cv'J �ti
iea Riprap length 'O ITT G�-a(,�
avg distance offshore .,/A14)r
max distance offshore .2 • •
.,channel / tr�/�
.� +rUeb `�tittill
cubic yards ,,.-
ramp / l 7o' .....-
louse/Boatlift / —_ , 4/ \---
h Bulldozing .� % — - 1
f/ O'stuff T — -- _ \ arc
trt'r K�F�,Errr.�D DM{ "" r a•S•4G� ,
aline Length 70 ,
1 fri5t \
not sure yes
Sags: not sure yes b j:
Corium: n/a yes i }
s: ye no LiE
er Attached: e
no t
ilding permit may be required by: eq iiitj SGU/G'[ See note on back regarding River Basil
AI D., _ / r,i 1 I r T. // _ / //

FEB-17-05 10:19 AM KART PRECISION BARREL CO 910+754+5210 P. 0 1
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KART PRECISION BARREL CORP
3975 GARNER STREET SW
1.; KART SHALLOTTE, NC USA 28470
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P:(910 7545212
F:(910 754-5210
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NU MBER OF PAGES
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It you did not receive ell of Ihe pages or II you have a climatical please call the verlfying number(below).
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•
• • DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: FREDERICK H. & JOYCE E. KART
Address of Property: 1697 LAWNDALE DRIVE SW
(Lot or Street #, Street or Road)
SHALLOTTE, BRUNSWICK COUNTY, NC 28470
(City and County)
[ hereby certify that I own property adjacent to the above-referenced property. The individw
applying for this permit 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 letter.
I have no objections to this proposal.
[f you have objections to what is being proposed, please write the Division of Coasts
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390
within 10 days of receipt of this notice. No response is considered the same as no objection i
✓ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier,dock, mooring pilings, breakwater, boat house or boat lift must be se
)ck a minimum distance of 15' from my area of riparian access -unless waived by me. (If yo
vish to waive the setback, you must initial the appropriate blank below.)
N/A I do wish to waive the 15' setback requirement.
N/A I do not wish to waive the 15' setback requirement.
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iign Name Date

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•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: FREDERICK H. & JOYCE E. KART
Address of Property: 1697 LAWNDALE DRIVE SW
(Lot or Street #, Street or Road)
SHALLOTTE, BRUNSWICK COUNTY, NC 28470
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individw
applying for this permit 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 letter.
il✓C X I 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 28405 or call 910-395-390
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
[ understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be sE
ack a minimum distance of 15' from my area of riparian access - unless waived by me. (If yo
rvish to waive the setback, you must initial the appropriate blank below.)
N/A ,l./t...v I do wish to waive the 15' setback requirement.
N/A I do not wish to waive the 15' setback requirement.
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_5 /ALLo T7 NC 26470
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GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 1 Y E---./k f
ADDITIONAL NAMES:
AEC DESIG: �S 7 DEVELOP AREA:__.1_ PROJ DESC:4:2 -
(Will only take 6) (Will only take 1)
WORK: de IA- -1 0
(Will only take 4)
MAINT:
(Will only take 4)
IMP: S 1 0
(will only take 6)
•
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 2 : (1 " © . J , eS
CAMA MAJOR DEVEL REQUIRED: t 1 ' a c • ( O

•
:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
tte items 1,2,and 3.Also complete A. Signatlat
f Restricted Delivery is desired. X l ( El Agent
wr name and address on the reverse j,✓� I%A/ 0 Addressee
we can return the card to you. B. Received by(Pri Name) C. Date of De' ery
this card to the back of the mailpiece, 1 Or / ��
re front if space permits. ii
D. Is delivery address different from item 1? ❑Yes
ddressed to:
If YES,enter delivery address below: 0 No
J S/i.r&—✓!C 4(
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11 a aO P 4 J , 3. Service Type t 1 k.,J,CINI
Q 74 0 7 CI Certified Mail CI ExpressMail %
0 Registered Return Receipt for Merchandise .� 1-7 u
CI Insured Mail CI C.O.D. {s'l O $ 3
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4. Restricted Delivery?(Extra Fee) ❑ Yes € W C
umber r n x z
from service label) 7004 2510 0000 7055 3056 • C 1
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1811, February 2004 Domestic Return Receipt 102595-02-M-1540 G1 . 1 1. ` 2
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COMPLETE THIS SECTION ON DELIVERY N •
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COMPLETE THIS SECTION j ru > 11 Pk lI
to items 1,2,and 3.Also complete A. Signature
/ Agent O 1 z T.
f Restricted Delivery is desired. X,f.� � ❑ Addressee r a < 1� It
wr name and address on the reverse [`
we can return the card to you. B. Received by(Printed Name) C. Date of Delivery r
this card to the back of the mailpiece, r1.1 P\I
re front if space permits. -0 rr`
D. Is delivery address different from item 1? ❑Yes ru (�
.ddressed to: If YES,enter delivery address below: ❑No X
C/kM Jn)Ee' t-`/e ' i, "� p 1
4 W
o D t�� C.-T. 3. Service Type cA•,
O a�l'Y A CICertified Mail CIExpress Mail ...
❑ Registered ❑ Return Receipt fo"r Merchandise
❑ Insured Mail El C.O.D. {
4. Restricted Delivery?(Extra Fee) 0 Yes
iX
Number Xy
rrfromser 7004 2510 0000 7055 3063 `,
3811, Feoroary z0U4 Domestic Return Receipt 102595-02-M-1540 Q
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