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Home My WebLink About39009D - Furr 'CAMA/ li DREDGE & FILL V 3EN ERAL PERMIT Previous permit# New —'Modification ❑Complete Reissue T 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 J.7 H•ii Or ❑Rules attached. t Name 7)Gi^ RtI( ' Project Location: County Pe vYl c'' 62 2.6 -R i chaiiA -R r a d j Q1 V f Street Address/State Road/Lot#(s) ,�/ /a i ivl,"1 4 n on State NC ZIP Z+YO 9 2_3 '-`f .SC6 4(r ,L ; I 1 j�-,G� Rd (I/11)3 'O 2C Fax#( ) Subdivision ed Agent E- r/y 01 r1 City 14, 14-r;'110'1 ZIP Z S 41 ❑CW ❑EW ❑PTA ,51S ❑PTS Phone# ( ) River Basin Cm pe ❑OEA ❑HHF ❑IH E UBA ❑N/A 4 T w ) Adj.Wtr. Body _! k nat i ❑PWS: ❑FC: 1 , yes / no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body /� W 'Project/Activity N e i f / /\ , `'i' (Scale:/ i/, ck)length ^^ i(s) .{-91 fe't:',4 k -ri''"�'e — ier(s) I n h J Tiber ___I__-__W I /Riprap length !Z 1� il S ��' � 1' t1000 t distance offshore — 1 ... T KA r .. — I_ Lc distance offshore r, - -� 1-_ — T iannel �S{; �c� le°-14e1 �n,nts �I�Jo�� I I - I Sic yards se/Boatlift "a,,,r�aai+.+'"w•"^"—" ire' ulldozing 1 '/ , T I { ' I f* . t A Ui/ V I kh 'q4 ` 1 j i I I e Length`, r r , --net. --__ , r_' v I k- av _ not sure yes I I 1) 1 L I I i s: not sure yes no i _ 77 J it.. > T1 - i n/a es no , ? d --, >r - wm: y yes not }' F{, 1 attached: try � no P h . �. OAR rf T� " ng permit may be required by: Pe i'►1C'- Cb(""e-i- I See note on back regarding River Basin r • GENERAL PERMIT COMPUTER FORM APPLICANT..NAME: P a,:\ F-v✓ ADDIfONAT NAMES: Ed ►, AWC DESIG: ES DEVELOP:^ i:_D.0 PROJ DESC: p - (I (W Sl only ta:e b) (Will only taia I) WORK: 1- I S - (Val only 4) MALNi: only ta::=4) • 7v2: I►c /5(7r) (,.:ii only 6) AL LION IP.AT'I ON --___-DREDGE& REQUIRED: ri I 2-3/011-1 /d i 2 3P�l • CAMk MAJOR DEN Z REQL=: /23/°/ /0/7 310? DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM /L. )✓ � Name of individual applying for permit /y ?,� Address of property a 3y7 ✓C0 `oiwoulo GV>1ra�j�i �Ub�, y j, 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 of notification. Please initial below if you have no objections> 5 46l) &k 1L A/i/p6 I 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, N. C. 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 house,lift or sandbags must beset back a minimum 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.) I DO wish to waive the 15' setback requirement. Ai•76 I DO NOT wish to waive the 15' setback requirement. 4--- l ; 4?4 y/eT Signature & Date ��7 , rAd Print Name DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM Name of individual applying for permit 0/2 U1Gi Address of property a'3 9V S003 Md La'p a Miyumf-bioJ 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 of notification. Please initial below if you have no objections I ,r ltv�4� C. �B a?, I have no objections to this proposal. "�P If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, N. C. 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 house,lift or sandbags must be set back a minimum 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.) ;, I DO wish to waive the 15' setback requirement. I DO NOT wish to waive the 15' setback requirement. 6:VdriviA•84/M-gnature & Date ‘/ Igr1- /7 J J149n £. Brio:Print Name Tio o Tv d op.&0S� .IL'J y Nr,. E y GA04\ • p',•O�,f I/3f��r,,,(�`% . ) >. } ) > Page g0 ,ors' `I , V • /X� oawf/31.0W/0.? (I X. 41 • !a: Ayi Q? r onwirog low'rl 0447 a , /0(\j )c-,\X. x )( Y YIKI,\ I › JO ate_ ono'3I/vow auutkierAt r.{ rir�'O'• J '•, /(\/ DATE"'" " _!- ' /PAY _-- fl ,r TO THE ORDER l'/ ' D I $ <�1)0 L - _- /" "OR.W A‘OaiiOD — DOLLARS Br I'. 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