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HomeMy WebLinkAbout37847D - Forcucci 1CAMA/ DREDGE & FILL ;EN ERAL PERMIT Previous permit# ' t ti ?- 1New __Modification ❑Complete Reissue CPartial 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 15A NCAC - El Rules attached. o t Namean" For('aCC+ `6- Project Location: County .5.574 4)ec c/U VCR i G1/G Street Address/State Road/Lot#(s) cif S hit v (c-I-/c. State N( ziP 8;i7f 6'ro veri 57cci ('9Ui)5S8 F5 22- Fax#( ) Subdivision ed Agent JaiC5 /05CC. City }ref i- /5/c, (3ccG4 ZIP .2,Y5'69 ❑CW KEW 14 PTA ❑ES ❑PTS Phone# ( ) River Basin £Itrr1 ❑OEA E HHF E IH UBA ❑N/A Adj.Wtr. Body icati1!cJ (nat /F ❑PWS: ❑FC: yes (no PNA yes /, no, Crit.Hab. yes / no Closest Maj.Wtr. Body ✓ /604._) n TT,, Project/Activity iv n5 �/C /�/C' (�0(/(r C'd [sec 1 7<t 1�GC1 li' L it f'S (Scale: /'. :k)length /'j 2' ier(s) C _,s) /6K/4 4._ i ,� N ngth ® I 1.11111 ■ - nber I 1 ; 1/Riprap length i distance offshore � o t 3 ;/ T . x distance offshore . __. 1 _.__... 1 i.. _. L cannel , : 1 ` >ic yards : C . se/Boatli /3 X/ /3XPk ; MIN illdozing - • i T _S � �L 4. 4/ t D Length jrti I NI. 4/ W ' ✓ �r.' : not sure yes nod I } not sure yes nol �t � urn: --t_ n/a yes no � i : : �1�+! i yes no 4(941. [v - _ -t-- i � -r. - - attached: yes no , ig permit may be required by: 7C BGr? c:A . ❑See note on back regarding River Basin rt. GENERAL PERMIT COMPUTER FORM APPLICANT NAME: 4e/jI/ jr�(,cCCi. ADDITIONAL NAMES: AEC DESIG: DEVELOP AREA: J PROJ DESC: P - (Will only take 6) (Will only take 1) WORK: IfQ (o In al_ /5 /1/ (Will only take 4) `r /(o, l(o — /3 /i MAINT: (Will only take 4) IMP: OGc.) /�2o (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: ,31W0y &igcAY • CAMA MAJOR DEVEL REQUIRED: 3( 5t/v y 4/3CAfv EDGE OF B0' SETBACK e — 5` V g;4 i 0 e ai iY f �6' INTRACOASTAL WATERWAY c z U _ N _ 0 t _ y b n N17:.1'09 E N5� T. 6 N ,, 7"02a£ N (1.313.t 3Y3E 9?. Sae MNW+_ ♦1.06' m • JJ/ JU/ LUUY C1 .Y! JI CAUL,L JJUU I I'-1tlL VflWA Mir 30 04 12:��p Beth Palmer �/"v� "1657 (704) 504=0 74 P. 1 DIVISION OF COASTAL MANACFIv<,MNT ADJACENT RIPARIAN PROPERTY OWNER NOTIFLCATION W. .VER FORM Name of Individual Applying For Permit: ,t Address of Property: Lc (Lot or Street#, Street or Road) CJn Tie (City and County) 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 arc proposing. A description or drawing,with dimensions,should be provided with this letter. -319C.- 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, NC 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 or boat lift must be set bck 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.) I do wish to waive the 15' setback requirement. I do fbi Wish to waive the 15'setback requirement. -- - 3-30 -v Sign Name Date Atra Print Name NCDFWD 2JV04 05: z:jp Beth Palmer [ 7oa; soy-ae':� p. • D1 VISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WA PNTER FORM Name of Individual Applying For Permit: (. v t-C,i%CU 3 Address of Property:p rty. Lot 5 ( YAK Sr .� (Lot or Street#, Street or Road) • dean e , .4 (City and County) 1 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 Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 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 1 understand that a pier,dock,mooring pilings,breakwater, boat house or boat lift must be set bck 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.) I do wish to waive the 15' setback requirement: I do not wish to waive the 15' setback requirement. - - ( -Y5,4 Sign Name Date Ag- Print game �r♦'1t'�1A • • - .a 9 d M I 1 7�1' f W b/n te 4 floc!.'nf S I I' Ir 4 f k o/�[1 '. . CARO ,INA PINE HOMES U.0 PH.704.-50&1308 i' 804 KENYON CT CHARLOTTE,NC 28211 � } /��� DATE', R of 6'tr►1C ,l �.$ 140 S 0 iluvq4 • . •••• BRANCH. JANIQf47 ANp>,'gUfTialt/e INN :: , • ,, PINEVILLE,NORTH CAROJJNA- - q 0001119611' 1:05310LL2 id: 54983733 ? 2►+ ,'r,+ ,� >r•' :�.