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Home My WebLink About39047D - Harden 4CAMA / ❑DREDGE & FILL 3EN ERAL PERMIT Previous permit# ANew ❑Modification _Complete Reissue ❑Partial Reissue Date previous permit issued irized by the State of North Carolina,Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7/1/2CO # ❑Rules attached. t Name e✓C '4 v c/ci) 6'L,!/o%r_s Project Location: County Brt r, ;5uJ/C 4 f'G' ,,tic,c .-_/'/7 Street Address/State Road/Lot#(s) i.3 3 )et /(vtfe. State AIL. ZIP.?Y'-/5'-/ CGei1 I bCi LCt i)(.-/ tree, /) )57 q 7.2 -. Fax#( ) Subdivision Eed Agent "Tra(16r,1 Se,rift cc -7/clee y -thrC LCity Ci--e- '- ///c �°6 e1,-1 ZIP Z81/47 f cw yEW TA ❑ES ❑PTS Phone# ( ) River Basin G ..�!/YJ I ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body Ca-•,-i -i (nat ) ❑ PWS: ❑FC: yes / no PNA yes / no; Crit.Hab. yes / no Closest Maj.Wtr. Bodyilyi-t.) f Project/Activity , s 72,c.74 A/C c y 6 is-k. I (Scale: / '�; )ck)length AC) K 4 n(s) - /X$ j r — Dier(s) 4'.x4 c4,-iL...'Y 1 I 1 sngth i 4 1 l I amber } i ,........ I I--.r __....- �_T__.._ ad/Riprap length __... 1 ._..... __ !..- L i rg distance offshore ._. lax distance offshore — ,.......' _ .r... _ G :hannel I ! f{� ! I r i I ..-..- 1 _. ;_ .........r — - - --_ ......-.. Ij i ibic yards 1 I f T-4 if i 4 I mp use/Boatlift II I l� I I. f t i 3ulldozing j I 1I i I I i 1.i t I µ , 1 j . I ;I I , 1- 1- L , L I le Length .i O 1 _ - ....1 -_ d (_' _ ... _ i n(t not sure yes �io J I I. j .. i_.... f gs: not sure yes t n L t" ---- ✓" �rium: n/a yes ® ' j i Ue yes ar......� I �_ 1 � j � i i "- s Attached: /yes , /no/ I I ' ling permit may be required by: (k,ric) /Ste. &etc lt,, . ❑See note on back regarding River Basin i i i -of — n ' GENERAL PERMIT COMPUTER FORM LICANT NAME: e kic G1 r d e r� )ITIONAL NAMES: DESIG: E 7.I DEVELOP AREA: . PROJ U i PROJ DESC: P -1 only take 6) (Will only take 1) RK: Q only take 4) T MI et INT: only take 4) only take 6) ACTION EXPIRATION EDGE&FILL REQUIRED: � 1 Er/0`i- it/ i8 (pc( MA MAJOR DEVEL REQUIRED: S. I l /U`f /l ($l oq" IRA-COM SERVICES � S'e C U'" Pk I--n ►n c1 C�oG P.O. Box 1365 t ups �,,�Q � � (),1 Shailotte, NC 28459cn�v'-, C M UPS►/ 12Q ^es 1. 9 02f/, 4. l / ih �„ j 1 SerOfic se C-0)1/41 CJZCI • ' - i �L1L- Pi VA /II z!' • Z-or --1 ,,,0/9/rCd c2Z-4/0E0c)-41 Lore -�1 3 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: $mVr / 41De-,4/ — _e Address of Property: 3 CD_ _4 S 5r (Lot or Street #, Street or Road) D( -E-i /0' ?e4e& N� -- ��ki (City and County) I hereby certify that I own property adjacent to the above-referenced.property. The indivi applying for this permit has described to me as shown on the attached drawing the development are proposing. A description or drawing, with dimensions, should be provided with this lette I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coa Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3 within 10 days of receipt of this notice. No response is considered the same as no objectic you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus 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.) I do wish to waive the 15' setback requirement.jfr7,........„: I do not wish to waive the 15' setback requirement. ��li )NC A` 7) 4 s /r-i' Sign Name ;5-7-11..,,,,,.' -1 ate -- , � � DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: 5TEv Dt` -704 Address of Property: 3 (' l.Lt„vt\-j.pAr Th S T (Lot or Street#, Street or Road) (City and County) I hereby certify that I own property adjacent to the above-referenced.property. The indivic applying for this permit has described to me as shown on the attached drawing the development t are proposing. A description or drawing, with dimensions, should be provided with this lette] I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coa Management, 127 Cardinal Drive.Extension, Wilmington, NC 28405 or call 910-395-3 within 10 days of receipt of this notice. No response is considered the same as no objectic you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus 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.) V I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Sign Nam& Date ARIA R: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY )lete items 1,2,and 3.Also complete A. Signature if Restricted Delivery is desired. XfNJ. / / 7/ 0 Agent your name and address on the reverse .. I/ ❑Addressee 3t we can return the card to you. B R cev-•�' .y(Printed Name) CA Date of Delive h this card to the back of the mailpiece, j. ) ' y�,J the front if space permits. l�( /1 /i�l ziz ( D. I delivery address different from item 1? 0 Yes Addressed to: I YES,enter delivery address below: 0 No )11 K 2,YU1C>10' 3 13 5e ~elcf PiAce = .- ti The � L 3. Service Type V,vS i \ ❑Certified Mail 0 Express Mail L-' ti (1) s 0 Registered 0 Return Receipt for Merchandise s-'; a ? �� El Insured Mail 0 C.O.D. 0 2 r�'. O 4. Restricted Delivery?(Extra Fee) 0 Yes a-7 ^\m -1J . rt.i$ l.-' z " ,..... r Number 7003 0500 0000 8894 2491 ° p., 1C1....1k1 ter from setvict , — ] ' _ 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 ' Lf1 y y . O ; r L. Z 9 (`J IP r., COMPLETE THIS SECTION ON DELIVERY ❑ CC.. COMPLETE THIS SECTION r Mete items 1,2,and 3.Also complete A. S' ature , Irr \ 1 if Restricted Delivery is desired. X/) �ti 1/ 1 0 Addressee 0❑Agent ;`� c� your name and address on the reverse / 3t we can return the card to you. �F ceived y Prnted e) C. Date of Delivery ^-' h this card to the back of the mailpiece, K `� p /, ) 1 G oN .2the front if space permits. � ) ' N'I D. Is delivery address different from item 1? ❑Yes Addressed to: If YES,enter delivery address below: 0 No 'f A•14/x '-6p-e CI Ar CA-w•pbe11 —'-t .s T ee '1\''s7.4.51--H 1 � � 3°X L7 3-7 3. Service Type ; - :7 64 ❑Certified Mall 0 Express Mail 1 '-.42A' e_4 vl riC-- 0 Registered 0 Return Receipt for Merchandise r I I ❑ Insured Mail 0 C.O.D. ( 1 �� 5 7 4. Restricted Delivery?(Extra Fee) 0 Yes D ' r e Number 8894 2507 = � sfer from service label) 7003 0500 0 0�, I 3811,August 2001 -- __ Domestic Return Receipt 102595-02-M-1540 $ I