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Home My WebLink About41492D - Leesberg rCAMA I hl DREDGE & FILL N? 4 ;ENERAL PERMIT Previous permit# .New Modification Complete Reissue Partial Reissue Date previous permit issued -ized by the State of North Carolina,Department of Environment and Natural Resources -7 :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / H .,ZO , Rules attached. t Name R►>NAi>Ll. L&t s,3 r 2 L- _ Project Location: County Feat I (L t`cio 11'1 3p 23 (_,J Street Address/State Road/Lot#(s) IPSaSc 6s Ac y State k)L ZIP ZAH 1S' i i _ Iti1 ,..) (1.3e LAt._,t ( ) Fax#( ) Subdivision ;edAgent ANEa. .ITT AIAas►J G C.oasr_ City ! Ai-L. I�c'ALi4 ZIP 41-1' ❑Cw $ f EW !PTA ❑ES ❑PTS Phone# ( _ ) River Basin CAPE t ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body SA 1LS �Noka N&l,. nat /t ❑PWS: ❑FC: �+ yes PNA yes / ® Crit.Hab. yes / no Closest Maj.Wtr. Body (04L ��✓ 0 'Project/Activity ler, ',/6 &, it,,dc, ---7---/-/C AD d• i' I Dc 1 7 iL. I\0b I 0 S'r„ I LI' F 13�t(L 13' X 13, 12,.,,.,-i L?( (Scale: I 01 Ll ck)length e'`+` i(s) , ngth ''!] Tiber 1/Riprap length - + •• distance offshore • x distance offshore a cannel II /,!" — f tit , )ic yards I •V L.o4 r..rN& np 0OCk se/Boatlift . — — — ulldozing " / ,/'NN e Length b' not sure yes no . s: not sure yes c ium: n/a yes Q yes Q kttached: yes J � in permit may be required by: f OP$A7 L 1�C AC.1-j . See note on back regarding River Basin n 4Y-12-2005 09 :02 AM LAMPE 910 328 3214 P. 01 FAX Ni. : 9103284462 May. 11 2005 05:20PM NS '"0. 7_2'3361.760 P. i'2 q let42MagabLCIESJINLIAII :ru,nt • t ' • \Pa' ; , • OIL — Nome of individual /applying For Permit: • rr 0 Address of Propery:_„ -i(Lot or Stott#, Street or Road) &k. (C i`y County) that I own property adjacent m the above-referenced property. The individual I hereby �e�ifywin th a development they applyingfor this permit has described to me as shown on the attached drawing with op center. re pr with dimtnsions. should be Provided are proposing. A description or drawing. I have no objections to this proposal. 1f you have objections to what is Wag proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wllmiogton, NC 2S40S or call 910-395-3900 within 10 day of receipt of this notice. No response is considered the same as no objection d you have been notified by Certified Mail. I understand that a pter, dock, mooring pilings, breakwater, boat house or boat lift must bi set bck a mintmum distinct of 15' from my area of riparian blank below.)rtis-unless Yed by me. you wisb to waive the setback,you must casual the appropriate j 4o n 1 wish to waive the 15' setback regtilrarneot. - Sign Date v gl._, t .7-- q--- .t C - Li� r d-g \ --4 v <r- \ \ v lo 'f' 4 -:_- ) A • - . •=64 t o ) .--- -"_ a.- s: .) 5:5_ c...... 3-75 L4 -==./ ,r (a7", r .3 — t/+� N n� 1 C ' May 11 05 07: 43p Andy 'z 910-275-0090 p- i F FAX C. . 9103284462 May. 11 2095 03:50PM P2 r.1.JG-Ei-'20a4 16:4Z Frto : ?r.:.L+1v3281F.E0 P 1 3WJS1ON OF OASTAL MANAGEMENT nIAC��1T R�PARIAU ROPERTY OWWER pT ICAT[QLINJAIVI R FORM Name of individual Applying For Permit i(,1.Oda 4l 1�F- /(�Se,b e 6- Address of Property: ( ( p 1/'UOY\ a . le_ (Lot or Street#, Street or Road) tS6A BPACP4 gc ..., q,-ts (City andCounty) I hereby certify that 1 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 de ip n or drawing,with d.imcn.ions. should be provided with this letter. .% I have ao objections to this proposal. If you have objections to what Is being proposed, please write the Division of Coastal Management, 117 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395.390a within 10 days of receipt of this!notice. No response b considered the same as no objection if you have been notified by Certified Mall. WAIVER SECTIbN I understand that pier, dock, mooring pilings, breakwater, boat douse or boat lift trust be set bek a minimum distance of 15'from my area of riparian access-unless waived by me. (If you with to waive the setback, you must initial the appropriate black below.) I o t wish to waive ttte iU'setback requirement. 5- ri !! Sign Name Date 6-(A,/ 6-t-tf4,(iL All17,11:1:1rthAi Print Na (0 ,,/ 5 0 4 r 0-7 NCDEram Crams NR Teleehnre- Nin,.1,K with A r.4 n.:A_ _ - )poa 1►14.)Q J 1)N o U °4S vAO riMS$\/C9 030()/06 14. r NMIS VIOVZPDY11)\10.D YRAI MOM 0.)„ "S(X\ _)CI ,1 >4 ,)8- ---->ki,41 1 °,9 A,i7 6.17-wo • 49, Y P n }uc w 9S t 1 PAY TO THE \ 1 C VVI $ b '00ORDER OFKKJ! L 6241\9,.._ 6LX\Ck fl! 0 DOLLARS 8 v... � State Employees' Credit Union Wilmington,North Carolina 1111111 FORc904A, l'�.�1� ;dock 1: 253 L770491:086050 L40300 4 L 0