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Home My WebLink About42898D - Pate ''LAMA/ DREDGE & FILL •_ . 3ENERAL PERMIT Previous permit# 4ew _ Modification `Complete Reissue Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources �j :oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC //' /2 00 ilAeres attached. t,Naame 7,1/I) s1 /�jp r� Project Location: County �JRuw1 L.✓/(k' (�': a. /OJT( /of"? Street Address/State Road/Lot#(s) 8 7 y C2C Pi '0 w Le,ail State/)/C ZIP 212 P3 E1 ✓a�, t t/cL) y22-8'2o, Fax#( ) Subdivision /9i941.p.t /9c/2 ej ed Agent NO'L City N e."' 844°9C`j ZIP 2 rt/4 ❑Cw i mesf ❑PTS Phone# (9/D ) 1741 Z • I2" 'River Basin L 4//,2, ❑OEA ❑HHF ❑IH ❑UBA ❑N/A �( �Q�� Adj.Wtr. Body CA.�/4 L d 15 (nat PWS: ❑FC: QQ ' / no yes PNA yes /� Crit.Hab. yes / no Closest Maj.Wtr. Body /// *r Project/Activity POI V/91c P/E/ ' J/a ck (Scale /•,= ck)length 3 J(/9 i(s) rf X ier(s) ngth nber i/Riprap length distance offshore x distance offshore cannel p, ,ic yards se/alp/0'X/2/1 illdozing 7, .'"y! Y!" __ c 1a4t Tx/2 ' Uf - -N 19mp 3 x lb. Length A �xeftt I felii4„it)➢�s' not sure yes fC� 4 ;. not sure yes 0 urn: n/a yes g y t 1 r PeA, %�4✓° 1) !Q 7 V ✓ �__ Yes o , p r r ttached: es no / O ig permit may be required by: / /s LCY'i',v �Pl9c A See note on back regarding River Basin ri ,/t , _ I I -/1 rs./ I - _ - / . . • / DIV MANAGEMENT ISION •� ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM . Name Of Individual Applying For Permit: 44011 @ d e_ . /at_, Address-Of Property: 22 / Q ,5 /10 f cLuv-) 8 koLcki (Lot or Street #, Street or load 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, shoul ' be provided with this letter. v/ I have no objections to this proposal . If you have objections to what is bei DivisionC' CGaStal nc DI"ODOScd . please write the Manacement, 127 Cardinal Drive Extension , Wilmincton North Carolina , 28405 or call 910 395-3900 within 10 days Of receint of this notice . No resconse is considered the same as no ob ecticr. if_ you have been notified by Certified Mail WAIVER SECTION C understand that a pier, dock, mooringbreakwater, lease liftP-lings, boat must be set back a minimum distance of 15 ' from my area of riparian access unless waived :c wai• the initial the appropriate blank by me. (If you wish setback, you must y - do wish to waive the 15 ' setback requirement . I do not wish to waive the 15 ' setback requirement. /� DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM . Name Of Individual Applying For Permit: y N rn e.5 Address-Of Property: • 92 1/ Q W /./o 12..a.� cy d,tArN'61.4.3 1 c C 0 N.N. . (Lot or Street #, Street or Road, City & County) I hereby certify that I own property ty adjacent to the above- referenced roper` 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 drawin rovided withgi with dimensions ,should be P this letter. =10 I have no objections to this proposal if you have cb Ecti L ons to what is beinc cr000sed , please write the Division of Coastal Manacement . 127 Cardinal wilminctcn . North Carolina . 28405 or call 9 l Drive 10 395-3900 within o1 days of r=_cEiot of this 0 notice . No resoonse ob; is considered the same as no ecticn if you have been notified by Certified Mail WAIVER SECTION C understand that a pier, deck mooring pilings, breakwater, boat louse, lift must be set back a minimum distance of 15 ' from my area of riparian access unless waived by :o waive the setback, me. (If you wish ;Glow. ) =`back~ you must initial the appropriate blank • )41) i do wish to waive the 15 'setback requirement. I do not wish to waive the 15 'setback requirement. :-. 1--- Is k..4 v 1.7; — >f- --1 / - 0 4_( ________,,. ....t. c,-- 0 0 1010—0 0 1+ 0-- c. 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. .CC ( L7 Agent (• Print your name and address on the reverse ' I- ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery • Attach this card to the back of the mailpiece, or on the front if space permits. (Y)l CVKLL E 16 r ee,, RG p D. Is delivery address different 1? s1 1. Article Addressed to: If YES,enter delivery addr low: 0 No Cft 1 A118110 3. Service Type O 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 7002 0510 0001 4382 0540 (Transfer from service h , PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 U.S. Postal Service -. Postal Service CERTIFIED MAIL RECEIPT RTIFIE MAIL RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) Only;Mail Only;No Insurance Coverage Provided) o • Ui o ' w Postage $ G M Postage $ 4 0 °�'L4 t - Certified Fee L 3a C �``_/ Certified Fee ?' a i Postr*S Post ra z a Return Receipt Fee r b eturn Receipt Fee r?, -Arg! D (Endorsement Required) >J c C rat!"61)(7 sement Required) t ' > f t.-.. l� �` U` Q icted DeliveryFee ,J. J, O Restricted Delivery Fee r;�,S / ^V .. .� (Endorsement Required) s� Q? sement Required) e`', co . �� ra Total Postage&Fees $ �C'6 I Postage&Fees $ If U '` Q f/J ry O Sent To _q Q ^ _ Q Street,Apt.No. wp fi y /S r q "i 'r'i S ` • BApo l No. /�/t r/j„/J t/,,A�1k O or PO Box No. tale,ZIP+4 (Jd`. ,/ Y. .. `/,(�!� KC.,02 5?(0 r- City,State,ZIP+ ` 141,6 ?A /73S J �•(��+ PS Form 3800,January 2001 See Reverse for Instruction• m 3800.January 2001 See Reverse for Instructions • 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. CI Agent • Print your name and address on the reverse X , i !rv,i.. _�•dddressee so that we can return the card to you. -ceived by Printed Na ,. ! ; �+�!!P`►•livery • Attach this card to the back of the mailpiece, iece, or on the front if space permits. 4 e- / D. Is delivery address diff rent from'_ 0 Ye' 0 JAMES C PATE 8641 NCDL 2389317 il ',�r�f;til.\r\ kV,,`,,, /,,\j: : PH.910-422-8709 • - '323 HWY 130, PO BOX 1059 • / r� `� 66 112/531 I� ROWLAND,NC 28383 DATE C D/D 7" `� 60901 PAY /"�� TO THE o'ti ORDER OF �� / / ill D/� ^C I T C.W\ � ��C J1�-C� / i an ctU DOLLARS 8 -_.,: A uil BB831 BRANCH BANKING AND TRUST COMPANY ROWLAND,NORTH CAROLINA c w s s i'l ®; FOR Ca..../ a ....... eip - _______ ,,, H.008 64 1116 1:0 5 3 10 1 1 2 11: 5 1 1 748 5 34 1H° 3.,:c_ u -