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Home My WebLink About41445D - Relczuk .� (CAMA/. _ DREDGE & FILL 3ENERAL 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 .oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules attached. t Name SOH L \L, Project Location: County QE►JD F 2 I 2-1 C L E o V Street Address/State Road/Lot#(s) P I L L ?t i44,-►-) State L ZIP 2-8H� t Z1 (Yl c,l.[z37) fly t ell 0) 5`/5--D9a3 Fax#( ) Subdivision edAgent DM, L 11/lER>g.1T T City PS-IASL E4aI ZIP 28yy ❑CW ›IIEW A ❑ES ❑PTS Phone# ( ) River Basin CAP t ❑OEA ❑HHF IH ❑UBA ❑N/A L GAUAl Adj.Wtr. Body f of SAa I— ljp�-,✓D ?nat4 ❑ PWS: ❑FC: L_- yes / PNA yes / °® Crit.Hab. yes / no Closest Maj.Wtr. Body��05AS ."O C no Project/Activity 1 P5 i v L L �.� L.� F �b A'(i�JCr �) c,�- �- ^o is IN\ es 5(' �' (Scale: s ck)length 1(s) 6 x I 0 ier(s) ngth Tiber J/Riprap length distance offshore x distance offshore � 4 L- AC yards rip se/e ��)c t 3r 10 • 1 ulldozing GL°Pit' 1-1 e s • D. Lk. r � � e Length ( C) yes no p L s: not sure yes ( L ium: n/a yes (J yes ('_J >ttached: no ng permit may be required by'1 Q'SP f— 1 C A[..+4 See note on back regarding River Basin r f a Caren & John Pa1cauk eL ( ,e 4605 5fidden 3farbor Lane Rafeigh, .NC 27615 #fr"44 91g-846-968o 919-845-0418 (fax) a S' �__ 'Elate To: ELKP Alcie- -/\.) Fax: l iv 3 ?- 4 , a 72 Number of rages: q Message; /4 e--i' cc) 12-1---7 C/6.1.-\ -e \VI&I /0 C_;1 _.--Ai 1 7 ok,_ks _r___ _ , i . r 77) 13-- ___ Li ._�._ • 04/07/2005 12:49 9192312793 WOUSEOFLIGHTS PAGE 01 tap.LACE_ R EARtAN RDIE TY a�?v QT1F? AEI t��. tv r�FORM Name of Individual Applying For Permit: �p�'1/lf + Qfr 1( Address of Property: 1? / fllc heod Ake (Lot or Street is, Street or Road) IDArellZ ifeadh' r Ale (City and County) I hereby certify that I own property adjacent to the above-referenced property The individual applying for this permit has described tome as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910_395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mast. sazimiiiictirtainieemseqw WAIVER SECTION . I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be sex bcka minimum distance of 15'from my area of riparian access-unless waived by me. (Ifyou wish to waive the setback,you must initial the appropriate blank below.) I de wish to waive the 15'setback requirement. I d4giQS wish to waive the 15' setback requirement. lIQ McA eoi v • —100 Sign Name Date ___1Q,_01_44•14_0 IC/et* mmilmommaillramiersoum Print Name NCDENR Teiep one Number with Area Code DRJSION OF CcAS.TAL MANAGEMENT ,ADJACENT R1PARI6,N PROPERTY OWNER NOTIFiiCCATIONAVAIVER FORM Name of Individual Applying For Permit: `ithri. '�' Keireuv /12/C.21fik Address of Property: L/ it1Ccd (Lot or Street#, Street or Road) -fopScuk. ifeaeh /f/C Qfpc�, (City and County) a 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, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395.3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION OAT k y i) I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set bck a minimum distance of 15'from my area of riparian access-unless waived by me. (If you 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. l/YOltzt,t- atfyi Sign Name ate Alcip7rA Pi Name A l - c �O NC 'ENR N--CJI.MJ.r Q r �.MltrwOM Jima NiM1N IdOYALp 1 Mcleod Boat Lift/ Dock Floating Dock � � (2 --: Existing Existing Deck Dock Stairs ' PAY TO THE DATE t ORD OF I $ c940 • DO EC-Kris 6 ei- BANKFIRST FOR CITIZENS 457 Fs',;:iggrink 114`6't c°"'""Y - 4vww.firsteitizens.com 'e g 11600 54 59116 1:0 5 3 00 3004004 5 3 15 2 3 LH° - - - • • • • • • •