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HomeMy WebLinkAbout42035D - Reaves (LAMA/ •J DREbGE & FILL N' 4 1ENERAL PERMIT Previous permit# ,(flew 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')//s/1 0 �� LSRules attached. t Name LA-c.y AleAVE S Project Location: County 3 St-e 1/g4 Nc S! Street Address/State Road/Lot#(s) 3 y 5 I,f/4 ae4N ]�h � State (VC ZIP ie y C 5 (WU) L/O- Fax#( ) Subdivision ed Agent L4f. /ek.,a!t City OOF. 4 v 1P 3(// ZIP J.y1 L�cw vriw 'PTA ❑ES ❑PTS Phone# ( ) River Basin L(, $44 OEA ❑HHF ❑IH ❑UBA 7 N/A Adj.Wtr. Body (4A44 L o'C"r ,4 Ji'/ (nate/f ❑ PWS: ❑FC: L yes / n� PNA yes /� Crit.Hab. yes / no Closest Maj.Wtr. Body /r�w� Project/Activity Lci9Mtomeg 0 r F/Cettli boCK 4 A tfZ (Scale: / :k)length �/ !)( � r N/ y x /� ' ,(pint (s) .�^fA^ " er(s). ,gth /6 nber a, 1/Riprap length distance offshore x distance offshore annel sic yards p (U ti(K.vt[ (AA i se/Boatlih illdozing 1 5 ei Length rtj te- not sure yes t not sure yes no urn: n/a yes yes 6)attached: yes ig permit may be required by: (IC-MA/ /Y 3,e.A-t,i4 - I]See note on back regarding River Basin rt r 6 7-Loperio) 1.acc, -6"-f, i s QQT 3 9 SccrrtAt\L I DIVISION OF COASTAL MANAGEMENT ADJACENT RIP.ARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: RC �' ' 1 LAVES Address of Property: "� (Lot or Street #, Street or Road) iscE. gGkc.PErgleuNsu:Ack) (City and County) hereby certify that I own property adjacent to the above-referenced.property. The indivi( ipplying for this permit has described to me as shown on the attached drawing the development ire proposing. A description or drawing, with dimensions, should be provided with this letter I have no objections to this proposal. f you have objections to what is being proposed, please write the Division of Coa 4anagement,. 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 ou have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must A 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. I do not wish to waive the 15' setback requirement. ,oke- kje-17/L"..' a e ate nn llhers AlA DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: C AC_Y' (\ e-4W Es Address of Property: 3ci COT cAN,� (Lot or Street #, Street or Road) C rs c)-1 e u 1•(,sJ i c.)( (City and County) I hereby certify that I own property adjacent to the above-referenced_.property. The indivi applying 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 lette I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coa Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3 within 10 days of receipt of this notice. No response is considered the same as no objectic you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus 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 not wish to waive the 15' setback requirement. Si N. Date ISSUING BRANCH Ne' 0 14,, DATE 9 PAY TO THE /1/(7 DE-(vi ORDER OF $ 1 ry 13& 1 $ 1—&Gficii's0 DO LARS BY SAIGDNINI9HYEORUTEALR:E0Tr: DRAWER:TRAVELERS EXPRESS COMPANY,INC. P.O.BOX 9476,MINNEAPOLIS.MN 55480 DRAWEE:FIRST INTERSTATE BANK,HELENA,MT A \I• c,....A.°P.Esq • - V2_0 3S -0 ,,TY 11 STATE 06 2813914 2130 1:09 200 54 L LI:0 L 70 7 LO 4 5 LO 9 2116 • THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE BACK I TIE EKON t OFT/1E DOCUMENT IIAS A MICRO-PRINT SICNATURE LINE AND BORDER.ABSENCE OF 11IESE FEATURES WI . :.::;:'-• ...•. •. • • • . . . . • • • • . ..• • • • • .• • • • •• • • . • • ,. • •... •:.: • • • • • •,•,... .• :•• :