HomeMy WebLinkAbout43209D - Sasser J
rCAMA/ DREDGE & FILL ,rr
;ENERAL 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 ^�A�./
.oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC / , 12 60
r_1-Itares attached.
t Name R V IJI' .S19JJ Left Project Location: County R4 ki,✓S U✓1 t1.
3 231 $,�A C2 P,j71 _- Street Address/State Road/Lot#(s) '323 / ,SP.,
ef 11 State A/C ZIP 2 T yG Z
(Cf'/O)Z ti
2-fc 996 Fax#( ) Subdivision -7,9.,y1 Q wood
ed Agent L of Cl /�J,r?1Z City.,stgg(/ ZIP 2 T V4
❑CW C3'EW L A - ES ❑PTS Phone# (941 ) d'Y Z)5 96 River Basin tiv iv is
❑OEA =HHF -IH -UBA CN/A
Adj.Wtr. Body gi I. ✓i✓
AP
❑ PWS: ❑FC: /� ./
yes /tL PNA !7 no Crit. Hab. yes / no Closest Maj.Wtr. Body ikvk
Project/Activity rk, V A 14, Il o,9)- Li At - 6 f/C e /2 'X Ili ' /C-L o AL
'x s /„ (Scale: 1/
ik)length •'y
r ! 1
(s)p),s}.•i /4�(lb
er(s)
,gth e
1), ,.f.
-1 f loA 1".
nber 1 .A
i/Riprap length / !G�" 1' 1 , )2e , e C el
distance offshore
x distance offshore
annel 60c},,-i,Xlb cr.!irt
lic yards i C t'5-�,. ,
ip n/t w � I• t- a f's r
/bA /2f
illdozing c-a t L a f '
!A'S///1 /=4 t __
Length SS
not sure yes no '_ -
not sure yes no , 5 0/
urn: n/a yes �,,u 1'
yes r�i f l- 3 '3 1 S P ,r C ��
ttached: yes f
,g permit may be required by: B/L ,..1 S Pv i c ,� See note on back regarding River Basin rt
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11-L8-' LOb 11O:41 t•HUM-5A55EH UUNSTH .33b44y1151 1-33y FLO i/Id i U-13L
nnvtt)' )F rn) STA! M_LkAc:FAIT kZ
SI)JM'FNT itrP4 R AN PROPERTY OWNER NOTEUCAMMUWATIFTXFORM
•Name Of Individual Applying For Permit tIjrj/ jMg'
Address Of Property: 313 / .S-4 C4e'6r—
. kFPL l►IC Z 46,.cs
(Lot or Sweet f, Street or Road, Ciry&County)
I hereby certify that I own property adjacent to the above-referenced ply. me individual
applying for this permit has described to the as shown on the atracbed drawing the dcvciopmern
they arc proposing. A description or drawing, with dlmcnsiotss, should be provided with this
letter.
I have no objections to this proposal.
1f ynu have tibia:tiring in what is bring per xwk p f r_tiactit
10 195-
if ynu ha ri ._ir er :. 1°n
•
W .WER SECTION
I und.estand thrt a pier,docks mooring pilings, breakwater,boar house, lift or sandbags must be
set bade a minimum dim=of 15'from my em of riparian accrue unless waived by me. (If you
wish to waive the setback, you mast initial the appropriate blank below.)
I do wish to waive the 15'set
back requirement
1&iiot wish to waive the 15' crrhark requirement.
P4. - • FA 1p • •
S ascot C42. �/ Date
V. laN I _
Print N
9l0 - 69s - /off Na•ENR
Telephone Number With Area Code «own.—_- ,,,R„d„q ,, rar
ermwen roa.ym w.a.w.' --
iit-Z 105 11:' 1 i•KUM-5A55ht{ (UN51 tS isb49y115"1 1-i iy Yt7L/Id i U-1 SL
DzusiaNsciam r
•
•
Name Of Individual Applying For Permit �/�,�/ SASS
Addrrss Of Property: 3,Z,3 t SA C,e(Lot or
S ,street or Road, city&County)
I hereby certify that I own property adjacent to the above-referenced property. no individual
applying for this permit has described to the as shown on the attached drawing
, they are proposing- A description or dra
- loner. v wing, with dimensions, should be provided with this
I have no objections to this proposal.
`+ zrOts
I���a""'e Ines pia.dock,mooring plugs;emu,boat souse.lift or
maace a[u'from my sea s by me
oust be
set back a minimum dis a unless waived by . (If you
wish to waive the
you moss initial the appropriate blank below.)
I do wish to waive the 15'setback re
quinettscat
I dam wish to waive the 15' setback requirement.
alcz
s,gnan,r*Print Name
Te/ephane Number Arab Area Code •�...;o..,.,.o..e.
•
li
COASTAL DOCKS AND BULKHEADS 08-04 1092
z 2490 WHJTEVILLE RD NW 910-754-8364 ///�. v/',"( //�1
ASH,NC 28420 Date/ / � 66-30/531
865 -
ti Pay to the/D .4.-
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Order of I $ a eg2-6
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G�C' .,O-at.A--T.' C>-° /2945; Dollars 8 d
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FIRST CITIZENS 865
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BANK 9mllop ru.t CoRK„Ry I'a,N.C.28459
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