HomeMy WebLinkAbout39707D - Allen GvA/`KR S`i4 Ai t� �-
CAMA/ DREDGE & FILL )15?) (/ p 4,Ropv,1) i( A,ENERAL PERMIT s-ef , ,vc )757� p viouspermit#
ew '❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 N l)U
I
nt Name i J r tct Al'P/`'/hM )+e r S M"l / Project Location: County ()N S I OG3R"u/les attached.v
s j '' )‘ .. Pam''-:Q R -Tv ,,,n., j2.c , Street Address/State Road/Lot#(s) 70,)5/70..;
"Dk4 & 6A-x 5 State /VC ZIP 775,)Li /A 57,
#(9/0) 9i, ,_,pfit, Fax#(9/v) 9t,3. 3`!k5- Subdivision Q//j SF'Tnie, S �c,4?11
ized Agent 5-7'_ 44 4.44 f. City _ ,4.P&--- ((7Et! ZIP &4
d ❑Cw q.elv 1,11TA LiEte ❑PTS Phone# ( ) River Basin ( PI
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body t/f w4 / (nat
❑PWS: ❑FC:
yes / PNA yes /0 Grit.Hab. yes / no Closest Maj.Wtr. Body ?V"$' / S L H^ n
Df Project/Activity 13 v.\t1L¢.4 i2L. P ACC meAl r
i•(Scale: 1
lock)length
•m(s) { j j
t
I I I J
pier(s) 4 I I
t : ; 1 `c ��
length ; I !
7iber i I } f ` I
'prap length /D�' 1tance offshore 5 t i j 1 1 + �,
nax distance offshore / ( I —' t_7I i
' ��
channel I ; OpA S , i F {
�1"
—
r _- . 1 _ , _..-_ ._i
ubic yards 1
amp u' -':r,—+' yam"�'" �.r ---.__',
ed
'use/Boatlift � I --
i
Bulldozing I ,
1
1
i _
ine Length `ip 1 _7
___d_ _ }p--1.2-_
,---6-4-3-27 ..- __I
not sure yes no 0� ` I
Q �igs: not sure yes no � i -- — � f --*
'Hum n/a es no 4- + i _ { — - 1 f i —
yes no I -I 1 , I-..i — I I ( .--_ i ._.. !— 1--
•Attached: yes no I . 1
ling permit may be required by: 78 WA/ 0 F 4 Wie F C I it/ . I I See note on back regarding River Basin
/F7 -2I - A/0
DIVISION ov COASTAL MANAOEMZNT
,_wJ_. _.4.0 ;_ ' P l • ' - _ •1.ius, i I _ ...TIO WAIVXR FORM
Name Of Individ 1 Applying For Permit : tv, 411-i- ' C 5'7`,9 v1 e
Address Of Props ty: 70 ) J Wt./ SrYuF677-
5(m4F C
(Lot or Street #, Street or Road, City & County
y
I hereby certif that I own property adjacent to the above
referenced prope ty. The individual applying for this permit ha
described to me s shown on the attached drawing the development
they are proposi g. A description or drawing, with dimensions
should be providld with this letter.
y ,. f C I ha\Fe no objections to this proposal .
e e
• s'
0 - within lJ
e . d Mail
r r-
•
•
wAxviatER f ECTION
t
I understand that a
pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of 15'
from my area of zl'parian access unless waived by me. (If you wisi
to waive the setback, you 'Bust initial the appropriate blan)
below. )
, i
•
`j
Y t. t' I Oo wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement .
(91
_ Jot•P . r _
s gn,iture / ; ._ Date _
) 6 v44-0( h. AIL-tit
0 574/ C
GENERAL PERMIT COMPUTER FORM
NAME: /✓t��?G/�/f 1���, /,,:-/4-
,L NAMES: fc'f' '14(rtOri
•
DEVELOP AREA:,,_O. '' PROJ DESC: p- /1
(Will only take I)
I/'/ %'2
58 5O0
/6 % 520
ACTION EXPIRATION
IZ 3L
FILL REQUIRED:
OR DEVEL REQUIRED:
/ Z
LLY RIDGE, NC 28445 66-19/530 II��_U Y
0)327-3475 //
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gig `-dl-c • U /( \ _- - - -------- , D•LLARS
8
Y..7 707 -/1 / 1ALJSIGNATURE M.
II'004 Ill 611' . 1:053000 L961: 0006505 2 L99011'
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