HomeMy WebLinkAbout42026D - Verhelle gCAMA/ DREDGE & FILL J rQ
3/;E� N ERAL PERMIT Previous permit#
G.Jew --Modification .Complete Reissue Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural sources `,
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC —) q . 1 0
7Rules attached.
t Name RO(a>E Qom+( a,, V E VIE L- -L Project Location: County is�J'D//��tr ✓L..-
(z.to G o b v/T.1v A VE Street Address/State Road/Lot#(s)
P�4LL p L a StatelJ L Zip u' 10V C7 O D vd 1.4 to V I
(q 1 0)2'31-'2.S 3 Fax# ( ) Subdivision
ed Agent t 1\ ii,c t) 1\\a 0.j y 6 (�*�1_ City'r QS a L L 1 AL'\ ZIP 2- 4'
❑CWw A ❑ES ❑PTS Phone# ( ) River Basin ��Q E
❑ ❑OEA dHHF /IHH EUBA N/A �4
Adj.Wtr. Body CANAL rN••t n t�* (nat Q i
❑PWS: ❑FC: ,.r'
yes / no PNA yes / ® Crit.Hab. yes / no Closest Maj.Wtr. Body j BPS' 1 L- �J�•
Project/Activity j I\ L L j'J A 1 3 (TI +a j f i•.�!.- oL tL IJ
><c'1 (a 4 t,r S S ► ►� {� (Scale:
ck)length 3' X gill
0)4_0—* 1 S }1 Al F 4.
ier(s)
ngth
( I
tuber �V 1�f
d/Riprap length
distance offshore
ix distance offshore
cannel
bic yards
np Q r
Boatlift ` U A 1- L
• •:
ulldozing
1Z'
•
e Length (DC>
3: yes no
;s: not sure yes da,
-ium: n/a yes 020 L
yes dao
Attached: yes f p�
Ing permit may be required by: 'o Psp12[. 6 See note on back regarding River Basin r
D1v1IQ�' OF COASTAL MANAGEMENT
_�IJJ ACENT RIPER�AaN PROPERTY OW NER NOiW 1CAT(QNtW AIVER FC)RM
Name of Individual Applying For Permit: 3L/21 C. ✓k'KNELL(
Address of Property: / 2 6 601>6^I r9 A
(Lot or Street#, Street or Road)
10511! 1-- 3&4GN , [IC
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The individu:
applying for this permit has described tome as shown on the attached drawing the development the
arc proposing. A description or drawing,with dimensions, should be provided with this letter.
VI have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast,
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395..390
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WMVER StCi'IOP -
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
set bck a minimum distance of 15' from my arca 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.
Sign Name Date
iti-t/i vvv PZ/vritiv6
Print Name 4111
0�
f „1 n -„I
86
DIVISION OF COASTAL MANAGEMENTc- er o?4
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
ime of Individual Applying For Permit: a Ye./t e_i/e-,
idress of Property': 0606
(Lot or Street #, Street or Road)
&4(A h/C _`r� ' -
(City and County)
iereby certify that I own property adjacent to the above-referenced property. The individua
plying for this permit has described tome as shown on the attached drawing the development the:
proposing. A description or drawing, with dimensions, should be provided with this letter.
✓ I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coasta
anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3901
thin 10 days of receipt of this notice. No response is considered the same as no objection i
u have been notified by Certified Mail.
WAIVER SECTION
inderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bi
t bok a minimum distance of 15' from my area of riparian access - unless waived by me. (I
u wisb 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.
gn ame Date
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GUARDIAN 0 SAFETY Celarte Anrencon AH .
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