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HomeMy WebLinkAbout40415D - White ,fCAMA/ '7 DREDGE & FILL N 4 iENERAL PERMIT Previous permit# New 1Modification 'Complete Reissue Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural esources :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1 I-} , 7...4416 Rules attached. :Name 12•0i;E2T -r Project Location: County PE '0 a._ 21 1 Z .5#0LZ I._I&Z brk Street Address/State Road/Lot#(s) P5 ALL 13EA-H State NZ, ZIP Le''tNC'. Zi l 'L 5NO2E 1-Z ("1 ) 3 i.7-till Fax#( ) Subdivision edAgent 140. PvdrLEP, o..) City PSAIL bCpc14 ZIP 2-S'1L4 ❑CW EW >tPTA E ES OPTS Phone# �'1 i )'t ) Zi S, River BasinC4.1P ❑OEA ❑HHF ❑IH UBA ❑N/A Adj.Wtr. Body 1 p5 a L ay r ❑ PWS: ❑FC: AT w h� yes no PNA ye / no Crit. Hab. yes / no Closest Maj.Wtr. Body Project/Activity �' X I Z. 1> IL , 2 r X I l' STc':p Do w r./ / / ?) ' X /3' 80cm (Scale: (1lrs :k)length X 47 (s) X 1 Z,i er(s) Igth nber I/Riprap length distance offshore K distance offshore annel lic yards ip illdozing , 011N. i$ Doc lc.'i 17.` goal Len h /0. r- . •k. M N i not sure yes no ` r!' f f3/7C/ not sure yes no urn: n/a yes I L L yes CIO .ttached: yes 450 ig permit may be required by: I 0 P 5 C12L &R AL-i t See note on back regarding River Basin ri ±1IRMI T COMPUTER FORM. T V✓H Lf r ` C DECr. £w, PTA L SOP-_._-_ o o PROD C: Q - 1 tom ; z) WORT:. Q (Z l („ L ) 1S - toy .WI •"-- ) �E 9,•, r z_ et: L� OVv L/Z( TION DP PILL =7u C-:tya MA_ ��:.���� p— J • 1 ...%, y i f V \) i . e•V .7.1 .... till ill in - - _ 1 I I I. Ini.m...... 1 t 1 Z I It 0 1 ,„...: ..... . ! 1, it 4 , i , w4a60 1 1 1 . .... i ----.. — GO L, . 1 - , c t i 4 a i immi v.... .0 1 li, RfA ' V) 1 r----1 I\ 4 rt _ ____., , A ) ,r4( Aimtr7 -rt7 i .,fAt7 \ 4 — 1 \ I I ‘ i ill if 4 I, , k 1` 1 PWIS. ON QA.LIbL ANAUh 1, ADJACENT RIPARIAN e QPERTY OWNER NOTIFJCATION/WAIV_E t FORM Name of Individual Applying For Permit: Wootyer address of Property:,( I a 1Sh m 1Q 1, (Lot or Street#, Street or Road) (city and County) G hereby certify that I own property adjacent to the above-referenced property. The individu applying for this permit has described to me as shown on the attached drawing the development till are proposin+ . A description or drawing, with dimensions, should be provided with this letter. K. I have no objections to this proposal. :f you have objections to what is being proposed, please write the Division of Coast vIanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-391 vithin 10 days of receipt of this notice. No response is considered the same as no objection 'ou have been notified by Certified Mall. WAIVER SECTION 4 . understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must x et 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 dQ not ' h to waive the 15' setback requirement. .2J-4/tall /444-1, 64,thsA I/ s/a005 ign Name Date r-2oo4 16:42 From: To:9103281560 P. 1 prVMStON OF COASTAL MANAGEMENT AD ACi NT RIP AN PROPERTY OWNER NOTIP ICATIION/WA'VER FORM Name of Individual Applying For Permit: {WOO,Es i ?_ Address of Property: I ! . k ShcZe I, tve_ v{� (Lot or Street#, Street or Road) iG SEa-Lj, hrA(-/ (City and County) I hereby certify that I own property adjacent to the above-referenced property. The individi. applying for this permit has described to me as shown on the attached drawing the development th are 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 Coast Wanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-391 within 10 days of receipt of this notice. No response is considered the same as no objection ,ou have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must 1 et 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 ' h to waive the 15' setback requirement. Ai h4 3kidergi4 / /� iea� Name Date WILMINGTON,NC 28411-7130 p�j 00-IJ/D702L DATE_.. = =l . PAY • /� TO THE " sAr R. - $ 100 ORDER OF L o � - eZA. nip OLLARS 8 Bankof America ACH R/T 0530001961 1 FOR W 6 lizo L f S -j, w^""'?_ L/. . ,•E nr Poo 140 3II' 1:o 53000 L 961: 0006134 74 3 7 380 _ 141• • • • • • • • • • • •