HomeMy WebLinkAbout38511D - Gideon I CAMA/ ❑;DREDGE & FILL
3ENERAL PERMIT Previous permit#
'Slew 'Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
;rized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC /fl• j 2.D C
❑Rules attached.
�T 'T' 0� ProjectCounty-Pe hnl e r-
It Name ��2 r r G I C Ol--+ Location:
170 13(b X Z g g 2- Street Address/State Road/Lot#(s)
'u '1 C'4' State ANC Z ZIP � �4s /OC Dr•Ake 1Z0aG{
6(9 I 1')32.,3 —42 ii 4 Fax#( ) Subdivision Ma I la r 14 &A 1
ted Agent City (I a ds 4 6n d ZIP
`%Cw v4t EW , PTA LIES ❑PTS Phone# ( ) River Basin(eye S
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body MG I IA r// QA (I ee 679
❑ PWS: ❑FC:
kiyes no' PNA yes / no Crit.Haab. yes / no Closest Maj.Wtr. Body A- w
f Project/Activity New n i e•' new( 1,141 f r.-01,1 '52.401/e.' /" L1
(Scaler+'
ck)length 120')e(p' .
n(s) r C' }C (0 / 1 �- l A r'�
LvATerCwg20 ,
)ier(s) t Fr6r nc 1-7111:c + 1 cri- l
mgth ' }
! ' '..\ ' I-----;
umber w x 16 , 1-
id/Riprap length q F mr
g distance offshore ay {
F
ax distance offshore !
hannel e-x.I le 1.c4 Tel �/
1 _ I ..._-..' ...
"r tfP-1-4-)4f/vimerf Iv
ibic yards ,
use/Boatlift ' � � � � �` L � C
i �� D
fulldozing Q 11114.'/ o,Sf { If/ H Q04(N
i -
. : :, e?,,,,44
—
4+c r 4 _ I +- —, 2_.__ _ ,.., _.._.
re Length v ,
not sure yes no
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L i +
�: not sure yes no ��
i prium: n/a yes f no 1 i
yes no }...... I I :O P� _...__ j . — . =
h i
Attached: t yes no i
r /Go r(
ing permit may be required by: I'n(-4 h-1 `') . See note on back regarding River Basin r
3$Sll d
GENERAL PERMIT CONFPUTER FORM
C.N 1 N-M : /T /C lr/d P ON
N= -S:
J rSIG: D7\•'7 OP=R =L:_1L_03 PROJ DESC: /- /Z.
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ACTION F.APERATiON
DGE&FILL L REQUIRED:
LA.MAJOR DEVEL REQUIRH):
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 4 G d e
Address of Property: 1 0 O r ke, ft o a oC
(Lot or Street#, Street or Road)
PA-,1,1125-jact_44 Pe
(City and County)
I hereby certify that I own property adjacent to the above-referenced-property. The individ
applying for this permit has described to me as shown on the attached drawing the development tt
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 Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
within 10 days of receipt of this notice. No response is considered the same as no objectioi
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to waive the setback,you must initial the appropriate blank below.)
Vi;yA1 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
5I I Di--
Sign Name Date
nnnrfl ;ne 1-I ( cz. Alt="A4 :
•
• ADJACENT PROPERTY OWNER STATEMENT
MENT
•
t hereby cortily that T own property adjacent to H . T. GJ 4o n3 -_—
(Name Of Proporty owner)
property located at
•
(Lot, Block, Road, etc.)
oil , 115 kJ 47 l'efFx , iii NampsteA,./ -----N.C,
• They have describod to me as shown below, the development they are proposing at that •
location, and , I have no objections to this proposal,
I
DESCRIPTION AND/OR DRAWING OF PROPOSED
DEVELOPMENT
(To be filled in by individual proposing clovelonn,���,�1
d
w �
•
•
Signature of Adjacent
J
2 nA A
Print or 'Typo Nunio
MEMORIAL CHAPEL 8047340189 P. 1
CH (LTC) & Mrs. Gary A. Pendrak
3001 Talleywood Lane
Chester, VA 23831
August 14, 2003
Pete Gideon
P.O. Box 2882
Surf City, NC 28445
Dear Mr. Gideon,
I am sorry this has taken so long to get back to you. I was out of town.
You most certainly have my permission to build a dock.
Hopefully, when 1 come to look at my property, you will let me fish from it.
Sincerely,
Gary A. Pendrak
7..-.0'-''-'!. . '.
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I 66-19/630 NC
r i DATE -____° *--- i i---0 U----1-_______ 8281 i
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