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HomeMy WebLinkAbout39727D - Fitzgerald �CAltVIA/ '-' DREDGE & FILL GENERAL PERMIT Previous permit#_ *New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued prized by the State of North Carolina,Department of Environment and Natura Resources Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 li //' Ct- ules attached. nt Name k0 pe—/ ! ' 1_ a 7 Eeu a Project Location: County iJ, _,c-giii-X s 7 9/ ids (/4 .0- Orjv.Z Street Address/State Road/Lot#(s) 2,/t 1-14 n!t. State liC ZIP 2g yG r #( ) Fax#( ) Subdivision —5414 zed Agent 671,1 Pet yil tte City ZIP d E Cw gEW [ PTA CAS ❑PTS Phone# ( ) River Basin ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body ,4144. (flat ❑ PWS: ❑FC: yes / no PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body )f Project/Activity /1w p/d i"/ 7 E/./5 f,'Ai 2 ro 74-6 1A ;..r c -"I'll////_�v/A 444 ' (Scale: /Ar ock)length_ Ifli pier(s) ! a 1 1 length i — �f� //) i umber I 1 ( I I4I k �/`•� t ; { i STd"Riprap length I t vg distance offshore ' L ( i_ i lax distance offshore i I channel ` �_.. I 1 — t t i ubic yards I 1 imp )- i........ _ _ ' _ t i >use/Boatlift t f m t 1 joi 1 — j f t i I i -- Bulldozing i 1 I ine Length f Z . i ..Wt / / _..._4',. _ , V I not sure yes i Tv V ,illbl I igs: not sure yes _ i I - ,._ I- / f.........� I ,. — .........._ )num: n/a yes j • • I ,... • I i __ i• .._... i Yes •Attached: yes ling permit may be required by: OCT 41444fait/ 6. See note on back regarding River Basin i7 /i . / n GENERAL PERMIT COMPUTER FORM ?PT icAlvi"'KANE: .go Ler+- F, ev-4 ADDITIONALNAMES: (Tv C1 f•P ✓a.f e_ AEC DESIG: DENQ:LOP ors=t .� Z PROD DISC_L- /1 (Will only to .o) (Will criv;ai=]) WORK_ £3 H• 7(1 (an ciy4) Cw 11 criy=i==) G(,d • (u it cal• o) ACTION -PE AT1 ON • DR .&r r, .T.REQi ED: CAM A.MAJOR DEVEL REQULR D: 7 to -� �—_ 1 --$ Ye I..) V,n yL 6 Liad„462 EX;S�;hs V;n yL 6•0t°e) rl P b / /LL:.Fim ITZ,9i �°r �Lo� 404 7901 - Dr. 0(i vit(,)1 /V DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM game of Individual Applying For Permit: / edext Address of Property: 7 `( • (Lot or Street#, Street or Road) yt7A-//46-- c../ (City and County) I hereby certify that I own property adjacent to the above-referenced property. The individua Lpplying for this permit has described to me as shown on the attached drawing the development the) ire 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 Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 vithin 10 days of receipt of this notice. No response is considered,the same as no objection ii ou have been notified by Certified Mail. Y` WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If Du 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. ?Irik \14).—=—AL Doi Name Date 1� 1) A0 v AAA • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM P Name of Individual Applying For Permit: f-Z Address of Property: ` ' zi /���% ���G��� j7je/ (Lot or Street#, Street or Road) t. C,40,e;?-44-Gei/C- (City and County) hereby certify that I own property adjacent to the above-referenced property. The individua Lpplying for this permit has described to me as shown on the attached drawing the development the ire 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 Coasta ✓Ianagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390( vithin 10 days of receipt of this notice. No response is considered,the same as no objection ii ou have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be bck a minimum distance of 15' from my area of riparian access-unless waived by me. (Ii 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 wish to waive the 15' setback requirement. 1:;/.1 gn Name Date 9t /: n I AOt AAA t PAY TO THE / I s; i:..>MGA-..I C ` ORDER OF �J J/ • // r i „g one /7UYl dre az,L4,5 DOLLARS T H E FIRST FIFTY Y E A R S COASTAL FEDERAL BANK • 1 0 5 4' - 2 0 0 4 SOUTHPORT,NC 28461 • MEMO U/ I /S / J 1: 253 2 ? 2355I: 3 2580008 ? 211 2590