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Home My WebLink About39781D - Roush /- AMA/ ❑DREDGE & FILL 'aN ERAL PERMIT Previous permit# - ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ized by the State of North Carolina,Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 # . /a 0 v I -Rules attached. :Name ThA c K 'k.r1 LA S L Project Location: County i/QI4JI/SW r C/s /DO /3/?4S&e// �Nl .. Street Address/State Road/Lot#(s) 6y C✓��f'//rl. /l Pf ;l l / state NC ZIP ) 7,�/!�O f,ti1 ( ) Li) 3-- /7O 6 Fax#( ) Subdivision Ajii- ed Agent CA ip J 6,51- City 0 c rot, ZtL P ?aft i ZIP ,a ❑Cw LAW 41.1(A ❑ES ❑PTS Phone# ( ) l�River Basin C ts-rk d, ElOEA ❑HHF ❑IH ❑URA El N/A Adj.Wtr. Body C/11-( I,J J (A/ (nat 6' ❑ PWS: ❑FC: A� yes no PNA yes /0 Crit.Hab. yes / no Closest Maj.Wtr. Body fi Kr Project/Activity /4'dc/i -fi/t 6 /z' /✓P,4A/ /041 ' 1)c1i- 1u EiA'�f71)'f-) p‘YR 57(ei (Scale: / •r . :k)length 1 \I, (s) - A,�� — er(s) "/ r w t t li igth C T /�N`Gi0✓ nber h 1/Riprap length distance offshore — .. _-. x distance offshore 4--.__—_ cannel i ; j 1 i__.. iic yards 1.1 Jr 1p 1 C i se/Boatlift i I _ I IIldozing { ! I I 57` . a Length '• —... • { I not sure yes O f I 1 t �_ is not sure yes ...�... -... ---. .�._.• ,h_ —4 __. cum: n/a yes2 rt i }_... I 1 F attached: (Pino i ig permit may be required by: pCG,ft I., 'I-t 3. -k See note on back regarding River Basin ri \ AThenL\ _ 11� cc .w»Dr7 .�' . . - DIVISION OF COASTAL MANAGEMENT ' ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIOM/WAlvE:: Name of Individual Applying For Permit : Address of �-operty: . . , . . (Lot or Street # S - - ------� --�- . , i,.ee=t or Road , City I hereby certify that I own property adjacent t5 . referenced property. The individual applying for this �* d6scribed to me as shown on the attached drawing the oe,� —. are proposing , A description or drawing, with dimensioos , pro Id with this letter . I have no objectives to this proposal . If you have objections to what is being propo��ed , pl s` Di vision of Coastal Management, 127 � ar'din'al Drive �`!� e. . Wilmington, NC 28405 or call 910-395-3900 within 10 oays this notice. No response is considered the same as nn oc you have been notified by certified mail . . , --------------------------------------------------------- ___________________ _ _ - -__________________- 6 -WAIVER ECTION I understand that a pier , dock, mooring pilings, breakwac, house, lift or sandbags must be sat back a minimum distan` from my area of riparian access unless waived by me. ( Ir waive the setback, you must initial the appropriate bla,'r I do wish to waive the 15' setback requirement ' ________ I do not wish to waive the 15' setback requiremp/ _________________ ---------------------- � � ~ - ` DIVISION OF COASTAL MANAGEMENT ' ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAMr: Name of Individual Applying For Permit : \/ ' � \� Address of P t o roper y: _` \_ . --_-__ _______�_____ �~\y io{. --��__�=�� v, (Lot or Street #, Street or Road , City � ' I hereby certify that I own property adjacent L`` ' referenced property. The individual applying for Ms described to me as shown on the attached drawing the deve . . are proAosing. A description or drawing, with dimensions Oroyided with this letter . have no objectives to this proposal . u If you have objections to what is being proposed , pl se � Division of Coastal Management, 127 Cardinal Drive Elton .. Wilmington, NC 28405 or call 910-395-3900 within 10 days this notice. No response is considered the same as no sc you have been notified by certified mail , _________________________________________________________ -_-________________ ----------A--------------------- --- ' 6 �' WAIVER ECTION . I understand that a pier , dock, mooring pilings, brea;N-c, house, lift or sandbags must be sat back a minimum discar� from my area of riparian access unless waived by mu' ( I - i t'he setback, you must initial the appropriate bl ar., do wish to waive the 15' setback requirement . . ________ I do not wish to waive the 15' setback require'ne: . ________________� ------------------------------- �� R: CC..,. i_tTE THIS SECTION COMPLETE THIS SECTION ON DELIVERY plete items 1,2,and 3.Also complete A. Signature 4.0....4.,..4 if Restricted Delivery is desired. X • n ❑Agent your name and address on the reverse /�/, ❑Addressee at we can return the card to you. B. R!eived by(Printed Name) . I,ate of Delivery :h this card to the back of the mailpiece, / 3 _ 1 the front if space permits. D. Is delivery .dWdifferent from item 1? ❑ Yes Addressed to: If YES, to ivory address below: 0 No lQ1 vh MO.0 1081 2,9 ye) \ C LAr\\eN r•0 hJg1 Lc\` ' lam\C D.- ere13 3. S e Type . yl 111 ��M' Certified Mail 0 Express Mail ❑ Registered 11 R urn Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes Number ferfromservicek 7003 1680 0004 9790 6901 1 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 ...1 P r ''5 c., 9 - s c 63 / . T °o J �J DER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY complete items 1,2,and 3.Also complete A. Si.nature tern 4 if Restricted Delivery is desired. / ❑/Agent print your name and address on the reverse X / (��L. ti 0 Addressee to that we can return the card to you. B. •eceived b (Printed r e) Pr D:te of Delivery \ttach this card to the back of the mailpiece, >r on the front if space permits. _4 • ' i.(/C ''-d. D. Is delivery addres•different fr.m item 1? ❑Yes krticle Addressed to: If YES,enter delivery address below: 0 No 1 �CAc \ N Ou cN_ 7, r ,-� 1—", _ Z\ - �. 14 enhanced. Ao -_. n r Sc _D r� 4 f„r A. Intl>. � ffiffiPn ;RICE CONSTRUCTION OF 2071 1BRUNSWICK COUNTY INC PH.910-579-9095 6618 BEACH DRIVE SW + 66-112/531 I 9 OCEAN ISLE BEACH, NC 28469 DATE v 1`i_O5 62201 CIiN ")) I06' C3Y1 I11- DCYCLARS n oE IBS NG AND TRUST COMPANY alNORTH CAftOLINA 1%1? \ CAlicift h _ ��fi� ' Le 1:053LOLL2L1: 5L999 26 5 291i'