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Home My WebLink About39720D - Filer J(s`A1VIA i ❑DREDGE & FILL 3EN EBAL PERMIT Previous permit# New -1Modification ❑Complete Reissue Partial Reiss Date previous permit issued rized by the State of North Carolina,Department of Environment and tural Resources 2oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7/4}, /2.40 les attached. it Name ,Orq/e ,i_-i 7 �j'Nri P �t✓ Project Location: County � , P/ (d Z03 d;/ ichtt�t ae (/�C.- Street Address/State Road/Lot#(s) Fir1 4ni,67LeAt State we ZIP Zg 44413 ,,s,r.-A e- 1(9/D) 321-m7ii Fax#( ) Subdivision i:ed Agent /)lile At'/j City ZIP 1 ❑CW 5ftw .z.PTA 'C.ES ❑PTS Phone# ( ) River Basin ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body l Gc-) ) (nat / ❑PWS: ❑FC: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body F Project/Activity C 1 1 s'Ar U c 4 ,t i' r -A4I 7r i A -+7 #)id"4„, i 7— A04 71- L.'7 (Scale: / ck)length 7 n(s) -�I°4-:k.1 �-X ZO . ;_ j_ i i i iier(s) N X 3 d'Z�X Z , V'r v �j t a 1- air ,H7I ;ngth � t yy tuber i 1 1 .t e✓_. ..._,,..,� L_ j d/Riprap length { f g distance offshore , . �A:ZY i3)C 3 r ax distance offshore I ........ + . _, , _ ____. , __ 0 hannel I 1 1 } } bic yards . Boatlift /3e/j (�Il f X,,,} CAA, 'lulldozing i i 1 >Pf , V i t .. _ L_ I _.. __, ii ..-- rei Length 53,3 tL__Ii_y� I , not sure Yes I I 1v s: not sure yes _ _ , 0/ i t- yes i r. � � -- �----- Attached: yes • I 41li/�i/ /f'1,0—1/ Ww7(J� i Pro: \ `. - I j ing permit may be required by: /4W 1E3' Ccr, H See note on back regarding River Basin r - - - - -- - .4.4 1 /I . 1 1. A _. . GE PER1VITT CO ITJ TE.R FORM +— ►1 ri effil ADDITIONAL.N_MES: 44- / 1 err tf AEC DES1G: DE\�;4 OP=-�=-i_ �� PROJ DESC: H - IZ (Will oni}•,_-o) (Will only zak:!) WORK: 13 L l3 x i 3 x Z�f . r5 ZD (tN�irsly Pi< 75—x' re 3 n (9 • CND ui 6 �1)q (x�onn•ai=s) ACTION DLTIERATION - DR✓�DG✓'&FILL REQUIRED: CA.M MAJOR DEVEL.REQUIRED- IL:ER s FAX NO. :9103291094 Nov. 18 2004 07:40AM P1 /1-l ? a� 7;) Cict\e 3—t-e yr\ rare \ e \r- C.V\cone_�' � c� 1 e4)-/5- dit.611-r 73/2- 4'7 I , _le/414- 21.<-1617 / F • ' • . - ' ' • . • ot ct.pprt 1 . . _ ;, ‘,. • . • /• _ gioNi i i I . /5‘ .____ : - . . urr---', i 5-rckte , , 3._ _, ...: ..., e c Peer-tic , 1 , y , 1 i I , - i i 1 : --,-----7-- - I , . __ _ . i 1 1 . • -t- ----f- :-----A 0 t i • t I WaltAis:N..1: --i. _ aoi_a.1.-- - , ..! sTek:ke: , ... __.4 _ ...a. 1 I ...3. 1 , , i - \,,__. :___;_____,___, .f .i>prx.4- ill • 1_.... . i c) • , 1 , F ) lo gt i it D j< i . Ail 1 I 4 4 a x S ; . .:- ' Q a -.0-i• (Li „ , . ... . _ .., ., al RAY•Nf . , rlicoilii..qt IA C , eli OW ,.. .__;....._ _____.;______,................_t__ Net____:- +____ ___ 404 • -1- , .._. _-; . - ; ---.-- --,-- , : -4--- --r ---i- " 4------1--H--i- ; - . : i 4- - • '/ ti- I --T; i . ! . • --i i -, !- 4-- 4- , _:._ , - 1 ......_______.... ., ----------i -,- -t - ,' i , , 1 , - ! ' 1 , ; ! : _,.. _ ... - - i- : • _ I I . I : 1 ! I ' , . ea r(A Ce.! i\e ".- - . -- --!. ---- 1- - ! I i ! ..... , --I---,.- -. A. , p. s 117):p54.1_k_ _(.4f=1,,tc\;\_._.1.1 _ . i 1 . Nel i i ! cg R. elk/ ; i i ...i, ..... .1._ .. _ .,.. .i . : , _L_. ... vi- • PIVISION Q7'COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of individual applying for permit: 8 Ct.ke e r- e n f l et Q i 'e Address of property: cP 03 o p ; I kk` a • G (4 gm?,steAC n 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.) _' 4 have no objections to this proposal. If you have objections to what is being proposed, please write the Division 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 vpu have been notified by Certified Mail, WAIVER SECTION (Does not apply to bulkheads or rip rap) 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.) .7 Ali, I do wish to waive the 15' setback requirement I do not wish to waive the 15' setback requirement. Io f j 5/O4- Signature Date rred G. W Print Name Ito ;2c dam¢ Telephone number with area code DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of individual applying for permit: B t'G j c e '- FT e Yt f 1 el& F I e y-- Address of property: 03 /o 5a.t I � �C A ,`V C; / C 1 U ) �?ct m est d N 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.) /Ihave no objections to this proposal. If you have objections to what is being proposed, please write the Division 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 (Does not apply to bulkheads or rip rap) 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.) r(/1-do wish to waive the 1,5' setback requirement I do not wish to waive the 15' setback requirement. ✓ L . (11 -'----4 t If L -tom - i� , Sig t&re / `Date i Print\lame ci(0 2--3 1-ia0 Telephone number with area code • hi `k4- iii vi' j \� y 1 69 . v s J. Lfl Cr \ rn Ea 4\to• Ilif 0.1 v R` 1 a R o o� off : z o O rrl ao R O yOO a