HomeMy WebLinkAbout38970D - Evans !LAMA / _i DREDGE & FILL 05
;EN ERAL PERMIT Previous permit#
LNew JModification `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 I 5A NCAC 7H //00
f I Rules attached.
:Name 4.. i+ " / 4 V4 i 'S Project Location: County brLinSw/Gk-
/`:L. ,r ee 74 Street Address/State Road/Lot#(s) /7 Z r/
►JC ZIP -. y& / �'
State .rai1O .5�r"eGf
( ) Fax#( ) Subdivision _ Ai e r,✓C�c 6,cA..-
Bd Agent r' c`1"1 f‘,.•.c od S City 5 Aa.((a-17/'C @Off ZIP , ?/45`
E CW ❑EW ❑PTA (ES ❑PTS Phone# ( ) River Basin Li(r
❑OEA ❑HHF ❑IH 7 UBA ❑N/A Adj.Wtr. Body /9 1 GO L.-) (nat
❑PWS: ❑FC:
yes /) PNA yes / no) Crit.Hab. yes / no Closest Maj.Wtr. Body c`,[`->
Project/Activity Cc '5 7' -i C f bit e//c../7 CC.d
(Scale: / i_
:k)length _
s + 11�; i. f i
�i 'er(s) }
1
igth } ii i ! 0
nber 1 NJ { ‘../), V `' I
I/Riprap length /CO 1Tc
_...
distance offshore
— 'L
x distance offshore L.. . A}!-- 4,-- V !.__-., .._ •... ~. _L._._._1 ....... __
annel \-( i i t( *. illtiti r,
iic yards
471. t 4/ 44/ :1/4 f:":t %., ! ! t 6" 11"/ 11/4444 , 1
se/Boatlift
;
illdozing ,Illk1 _ ' �V v .,a- I 1 e', ..,-4?Y tip r A d.{i c-').ji�a O �/ '•,/
} \ 4i, "et.J,rfi-ikibe 4.,4,1j1,/.t ____40
p
a Length � ) {t'' { - i : .--
not sure yes C) ili.i '�� y i i
not sure yes ((ib I — ..... -- I -+
�a yes - ite t.
Yes I - - r 4 —kttached: yes n /�.
ig permit may be required by: 5Gc.)/G� Colic) / • See note on back regarding River Basin rt.J
GENERAL PERMIT COMPUTER FORM
r . e
APPLICANT NAME: et C -a td EV4 frt..5
•
ADDITIONAL NAMES:
AEC DESIG: C•S DEVELOP AREA: . O PROJ DESC: P
(Will only take 6) (Will only take 1)
•
WORK: H- (0
• (Will only take 4)
MAINT:
(Will only take 4)
IMP: •
(-}C
. 1000
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: (Q• 9 • 18 •O 4
•
CAMA MAJOR DEVEL REQUIRED: (q • 64 '1 ' 1 FS ' D t1-
YIU0900`000 =, tVANJ SAhtIT (UNSLI; X1
05/19/04 WED 14:04 FAX 9108466980 ORIGINAL MARINE CONST
/1"/ -Yalk hERC/ 69(-t 40peid,
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: , C/1 y/A J S
Address Of Property: 1 r] R (3 t Rfi fUC-7: 1Rfji)
C 7W sly 641241 Nc - OATS
(Lot or Street #, Street or Road, City & County) Cc
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
XI have no objections to this proposal.
If you have objections to what is being proposed , please write the
Divisions of Coastal Management, 127 Cardinal Drive Extension,
Wilmington, North Carolina, 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 been notified by Certified Mail.
WAIVER SECTION
I understand that a pier , dock , mooring pilings , breakwater , boat
}souse , lift or sandbags must be set back a minimum distance of 15'
from my area of riparian access unless waived by me. ( If you wish
to waive the setback, you must initial the appropriate blank below.)
n I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
_,r . n / /
05/19/04 WED 14:04 FAX 9108466980 ORIGINAL MARINE CONST
PLC"— /A Fb le hEL ow o u.4-
DIVISION OF COASTAL, MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIQN/AAIVER FORM
Name of Individual Applying For Permit:
--g/c44,4ed 2tmivs
Address Of Property: / ' , £' /9/1/C Q J
s/ - /2) CA Ne_a�szz9 -geza au
(Lot or Street #, Street or Road, City & County) Lce
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed , please write the
Divisions of Coastal Management, 127 Cardinal Drive Extension,
Wilmington, North Carolina, 26405, 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 been notified by Certified Mail.
WAIVER SECTION
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 riparian access unless waived by me. ( If you wish
to waive the setback, you must initial the appropriate blank below.)
XI do wish to waive the 15 ' setback requirement.
I do not wish to waive the 15 ' setback requirement.
7
THE BACK OF THIS DOCUMENT CONTAINS AN ARTIFICIAL WATER MARE-NOLO AT AN ANGLE TO VIEW
WESTERN'I I MONEY INTEGRATED PAYMENT SYSTEMS INC.•ISSUER
UNION ORDER' Greenwood Village,Colorado
08-146021363
AGENT 329183 DATE 061804 - az aa1oz1
TINE 1002 06 e' �+
081460213631 LOCATION 003487 1,-11 v'r") :#;:#O
(ISSUING AGENT)
1* Fa EXACTLY ONE HUNDRED DOLLARS AND NO CENTS ** ***:******
PAY EXACTLY
PAY TO THEL� / rj
4),
RDER OF � /V /�-- PAYMENT FOR/ACCT.N
f bPLti PS ADDRESS v J u ' PURCPASER.SIGNER FOR DRAW R
PU Y SWING You AGREE TO THE TERMS ON THE REVERSE SIDE
Western Union Money Order and Design is a service mark of Western Union Holdings,Inc/Payable at Wells Fargo Bank Grand Junction•Downtown,NA.,Grand Junction,Colorado
I: 102L004001: 400804602L363Lii'