HomeMy WebLinkAbout43332D - Parker 'LAMA/ .-''bREDGE & FILL (q _
3 EN E RAL PERMIT Previous permit#
Kew Modification Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources �j �/
:instal Resources Commission in an area of environmental concern pursuant to I 5A NCAC / //. 1J#d V",/2 490
p [v' Tes attached.
t Name:/god-e / 94 k...2 Project Location: County F,C4"J wi c k
3! L mix, ro h r c, SI. Street Address/State Road/Lot#(s)2,G,4y2�,.,
<7,d .S 1.� �og.h.State /IC ZIP 2 T y Y
(�),57f-(ps yd Fax#( ) Subdivision
:edAgent R,,,//.//e M„✓)Z. City'cvf/.. -ZS/e ''9c% ZIP 2 7 y6
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yes o PNA yes Grit. Hab. yes / no Closest Maj.Wtr. Body /! / w
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ier(s)
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distance offshore`-G----
uc distance offshore.49' /b
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not sure yes 7}' /<'f'CA� , L__
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ng permit may be required by: OE p1,_1_rs-1 e e/w c`j . See note on back regarding River Basin r
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: D'a-ry e pq ,
Address of Property:
(Lot or Street #, Street or Road)
'
(City and County)
I hereby certify that I own property adjacent to the above-referenced. ro e m.
The indivi(aPPl ing for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lettei
I have no objections to this proposal.
f you have objections to what is being proposed, please write the Division of Coa:
VIanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3!
vithin 10 days of receipt of this notice. No response is considered the same as no objectio
Toil have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat Iift must
et bck a minimum distance of 15' from my area of riparian access - unless waived by me.
ou wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
1� I do not wish to waive the 15' setback requirement.
eeaG2l- Oci—
Li2� r
gn Na e Date
C.Vet i,5 vI/ l 11 SD N A �
11/UL/LUDO Ub:lO rAA 2111100JOLIO I3U1VL riUlLUl_VU
-3-2025 10:10A F120f1: IIB PLANNING $ INSPE 910-579-2940 TO.19193636216 P.1
DNISION OF COASTAL MAN.4
A t TACENT 1?A IP.N PROPERTY ROP OWNER N,C ICATIQ2\l/WATI R FORM
Name of Individual For Permit: Oct
Address of Property'. _] 7 /ou�,^.`���i S�
(Lot or Street#, Street or Road)
(City and County)
I hereby certify that Z own property ad accnt to the about teferencetL.property. The indivi
applying for this pe has described to me as shown on the attached drawing the development
are proposing_ A description or drawing,with dimensions, should be provided with this lege
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coe
Management,. 127 Cardinal Drive Extension., Wikningtan, NC 28405 or call 910 395-3
within Zd days of receipt of this notice. No response is considered the same as no objettio
you have been notified by Certified Mail.
W R CT e
I understand that a pier, docker mooring pings, brew aver, boar house or boat lift must
set bck a minimum distance of 15' from my area of riparian access -unless waived by me.
you wish to waive the setback,you must initial the appropriate blank below.)
_ _ I do wish to waive the 15' setback requirement
I do riot wish to waive the 15' setback tequiremcnt
liffINFINFAT
_JAM •
;ign Name Date
�� � < < � � AAA
•
RONNIE WAYNE MINTZ 66-7143/2531 115 6
DBA MINTZ CONSTRUCTION 6C31003307
4739 FOUR SEASONS WAY f�' !£ GS •,
ASH, NC 28420 DAT • a
TO THE ' I I /I/
ORDER OF ` / I /C/®„ Cj�
0 1 J() 7�L�1.��� Jo, / DOLLARS IJ
SECURITY
SAVINGS BANK C"A-r-Lc-()
Shallotte,N 28459
2 5 3 1 7 14 301: 600 L00 330 ?II' 1 56
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