HomeMy WebLinkAbout42065D - Roberts L
rCAMA/ DREDGE & FILL Jelif-a"` N® 4
iENERAL PERMIT Previous permit#
Blew 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 I5A NCAC ) 14• / Z0 3
nMules attached.
:Name C ActRZE i 'LI-E� �3-L-�J - Project Location: County O0'5L.3i."-)
�Zc! W 44TE rt..ry Al bL Street Address/State Road/Lot#(s)
7 G IN'Il S i2 4.y State l L- ZIP 2.%4(0O ?2 °) V✓AT E oi- V 0.1 1,r`
( ) Fax#( ) Subdivision
ad Agent Al.r-rs'tJJ12 L 41441 ✓P Gpt1ST City St.) r✓A 17S Ct=212y _ ZIP 2,-S
Cw JW FA IIIES ❑PTS Phone# ( ) River Basin
OEA ❑HHF/❑IH ❑UBA ❑N/A
Adj.Wtr. Body PFZ V✓h/ (nat
❑ PWS: ❑FC:
es no PNA yes /Q� Crit.Hab. yes / no Closest Maj.Wtr. Body ►�..
Project/Activity 1.+JS A I-L. 5 p_pa- LT 1 T 4- 14 y U lDj N 1 a R+^^ Th
x 151-r .--d G- e G 1 i _ / (Scale. ) —
:k)length L �{" ...�
(s) Li X 6
er(s) y
igth g I .
nber
Filli/Riprap length •'
distance offshore
x distance offshore___ iiii X X
annel
EUTSTr,,,6 i
sic yards SO`)
`
ip
seaatit
(•ZX II
illdozing
Length 7 y
knot sur yes no ,/ N M
6
not sure yes cM p
ium: n/a yes ( ) P L.
yes rib
ktached: es no
-ig permit may be required by: OV 5(.3l.J y— U JT See note on back regarding River Basin ri
G T V T V / . V U C P.
DIVISION OF CQASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOAM -
une of Individual Applying For Permit to d- 6'Nz
[dress of Property_ Vi-c W Wit 0 61 >{�
(Lot or Street#, Street or Road)
er,t)4, FEN''-( /Gt-.5L c►
(City and County)
ereby certify that I own property adjacent to the above-referenced property. The individual
►lying forthis permithas described tome as shown onthe attached drawing the development they
PrOPosin;r A description or drawing,with dimensions,should be provided with this letter.
16.A.. 027
I have no objections to this proposaL
►on have objections to what is being proposed, please write the Division of Coastal
nagagement, 127 Cardinal Drive Extension, Wilmington,NC 28405 or call 910-395-3900
tin 10 days of receipt of this notice. No response is considered-the same as no objection if
have been notified by Certified MalL
WAIVER SECTION
de stand that a;pier,dock,mooring pWmgs,breakwater,boat house or boat lift must be
ick a minimum distance of 15'from my area of riparian access-unless waived by me. (If
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
2U't/t)A
A9-ffA)z?//Aed- 1(61;q7°
NameDate
•
u t1-E S . bocv / AVA
Namie ...
15 05 05: 48p Carrie Roberts 703-794-0713 p. 2
24 04 00:59a P• 3
DIVISION OF CQASIAL MANAGliMENT
ADJASE:NTRIPARIAN PROPERTY OWNERNOTIFIC,ATIONIWAIVER FORM
Name of Individual Appiyi For Permit MA - !2 a 6trt7 i
Address of Property: 329 a-rE+- 't y R-iof
(Lot or Street#,Street or Road)
(City and County)
I hereby certify that I own proopetyy adjacent to the above-referenced property_ The individual
applyine forthis permit has desaobed tome as shown onthe attached drawing the development they
arc proposing_ A description or drawing with dimensions,should be provided with this letter.
-11 Ihavtno objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127"Cardinal Drive.Ertensioo,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 bees notified by Certified Mail
WAIVER SECTION
[understand that a pier,dock,mooring pilings,breakwater; boat house or boat lift must be
;et beka minimum distance of 15'from my area of riparian access-unless waived by me.. (If
ron 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.
i n Name Date
ri;VC-P-- tV lie I CtIVS
rant Name
t a S- NCDENR
4. o.•��
eleuhonc Number with Area Code
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