39815D - Kennerly

CAMA / DREDGE & FILL
ENERAL PERMIT Previous permit#
New -Modification -Complete Reissue 'Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natu I esources "7//_ /7ae7 7L/ o<
oastal Resources Commission in an area of environmental concern pursuan o ISA NCAC /rl .0 f
/� ❑Rules attached.
t Name Mf A.C K E it/ 17.4-7 ProjectLocation: County g(LL,vSc.�r G.4
2 13 OK O i 7 Street Address/State Road/Lot#(s) Z._07—
Owe/' State /!,C- ZIP Z5Oy, CV 4V e_/1 57.
• ( ) Fax#( ) Subdivision /�
zed Agent -'/frv.rI'-N vA1Nf//►/ 1(0 'IK3 tiZti5` City OCR-Cu► (5/e 630_4c-4 ZIP zcS"
wCW EW 18'f'TA PIS ❑PTS Phone# ( ) River Basin &L
❑OEA HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body 'i l 1t/bt/ (nat
❑PWS: ❑FC: '` /
yes / no PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body 4/w"'�
o
i Activity PrOPOc /7.7 !X to/Pi&-2 y T-)o /ZX/5 l2tico �0 j
•f Pro ect/Activi o�L�
(/Z ,°Gq-rra-t.,j - Co(/ot.c:c/ ' EPAA3 E y/7_ pip? /`/64) /4 GATFt77 , (Scale: /'`:_.
Jock)length /7,'s'X GW I 1/4/C1/ 9
rm(s) /2X i2 j fs X/Z •.. fs
1 ; 4k , 4 _a t5, $•
•pier(s) / L__
/ i
lumber / i y
sad/Riprap length 40 I 1 f Ov '
tvg distance offshore
nax distance offshore 2 }......__..{ I �_ ........ _
channel i f i , 1 1 _ ��►�� I
. .....i. ! i St E wH.
1 , , !
:ubic yards i cjk 1 1 � F x _ _
ii2
pus&Boatlift /2 X/5- � _ ' ✓�'" `.. :
/2 X/s Ni, /�►i 1¢2�[�f i �I ,f,
Bulldozing -1 I I{ 4 l 44Sµ `
kit, t i f 1
�bEr� C�ro«nc D�SZ i I p
Fat TE 4iick.s 1Nu � ' t f ,
)X ,20 = /200 `,.,- .,
ine Length (AO r\\ / .- . i i ._, . .-v_
S. , • -1 ta; I -:-�-i )' -i_—t. -I .
not sure yes 1 3 -� v,c* ' , _ id, i i
ags: not sure yes 62 1 H -_
orium: n/a yes r�y 5Wltl I t(✓ 1 } _.
is no - fl I
vAJ?1ZtY Lam' y I ti--1
r Attached: y no ^�i� ,� / A f v
ding permit may be required by: ���ta.b ` `5C P See note on back regarding River Basin
- . .w .... l / / Ail ,,,_AI I_ c- c _1 _ .�)„ ..... _ s —7.,/ .A�i.

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on PP.0t`1 111/4IPUI

PLIC_ 2Cr N NE: !"'l 1 149 A-,7,1,0„..
DITIONALN_ S: Sl iily Pa/tile-evil
EC DESIG: DEVELOP AREA.: s 0._/- PROJ DESC:,_ // /Z
ill only take 6
(Wil3 only take I)
ORY /2R C , /73- Z. /2, /2 //Z /2 ,/i
DI only take 4)
AJXT:
01 only take 4)
EP: OW 640
n only take 6)
N6 : raoo
ACTION EXPIRATION
:EDGE&FILL REQUIRED:
J.4A MAJOR DEVEL REQUIRED:

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
me of Individual Applying For Permit: NLhgP,1 L . K e o tN e v
17
dress of Property: LOB Crane l
(Lot or Street 4, Street or Road)
Oc sle, 6 each G‘tuAsidthei Co-4J
/
(City and County)
iereby certify that I own property adjacent to the above-referenced.property. The individu
plying for this permit has described tome as shown on the attached drawing the development th,
proposing. A description or drawing, with dimensions, should be provided with this letter.
_ have no objections to this proposal.
tit
you have objections to what is being proposed, please write the Division of Coasi
anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
thin 10 days of receipt of this notice. No response is considered the same as no objection
u have been notified by Certified Mail.
WAIVER SECTION
inderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
t bck a minimum distance of 15' from my area of riparian access - unless waived by me.
lu 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.
//.6/ar
gn e Date
AIIICKNA

•
COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY .
to items 1,2,and 3.Also complete A. Signet
'Restricted Delivery Is desired. 0 Agent
ur name and address on the reverse X L�' �i�Li ❑Addressee
we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
his card to the back of the mailpiece, I�Zcl I ARO .
IAN S SAFETY ©Ca 4..,,,,co,,BA
a front if space permits. l �-L � �
D. Is delivery address different from item 1? 0 Yes T 0-i-o
(dressed to: If YES,enter delivery address below: 0 No 0 o 0
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lid 6/-Ow(); JTr-• r .m
QEoX /a 5 I� {�c
3. Service Type v = -
I / '�C �) C.
❑Certified Mail 0 Express Mail _ Z
1 9 q 26j ❑Registered ❑Return Receipt for Merchandise o z
cf J ig
❑ Insured Mail 0 C.O.D. j , o n
4. Restricted Delivery?(Extra Fee) 0 Yes ,� -, cI 0
_n o.
umber
x
from se.aceiabeg 7003 3110 0006 3677, 8068 - D ; 2
1811,February 2004 Domestic Return Receipt 102595-02-M-1540 : . E c
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COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY O n, r
e items 1,2,and 3.Also complete n re r �/
Restricted Delivery Is desired. X Y 0 Agent �'
it name and address on the reverse I 0 Addressee n'
✓e can return the card to you. oi-
B. Received by(Printed Name) C. Date of Delivery re
cis card to the back of the mailpiece,
a front if space permits. to
D. Is delivery address different from item 1? 0 Yes rti.i
dressed to: If YES,enter delivery address below: ;:i'No
Lfi _ r`�
LAy ro rc..tc c. -n
Y
4 Meadow ii lane
r ^1 3. Service Type n c
?!'/C*. , 1 L. r c g d 7c� Certified Mail CI Express Mail � m
❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
1
4. Restricted Delivery?(Ejt►s Fee) 0 Yes "7•••-., ,,.
mbar 7003 3110 0006 3671, 8358
l se label)
311,February 2004 Domestic Return Receipt 102595-02-M-1540
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