HomeMy WebLinkAbout37911D - Kivett I.CAMA/ ili DREDGE & FILL
1EN ERAL PERMIT Previous permit#
JNew Modification ❑Complete Reissue uPartial 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 7f" ' 'zee
10420
� l�� ' 1 t � El Rules attached.
t Name NJ t7' (� i 1�e At . Project Location: County 5Qo/V51ci,G LG.-
I/ ( .5A) ,2 / Street Address/State Road/Lot#(s)
)AI l 5 (1/0 State ZIP %j // Sw ,2 t s-t
( ) Fax#( ) Subdivision
ed : City 0ilk, 75- 44"_0 ZIP_f 4
Ls. N9 f RIIPTA L ES ❑PTS Phone# GG��,�
(I1Q) /2,78 —70T.River Basin GUM
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body L)4(/(5 1i '- -/ (na(
❑PWS: ❑FCCo.2
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4
yes o� P,I� p4yes / Crit. Hab. yes / no Closest Maj.Wtr. Body (�u�
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Project/Activity /v 3 )( ((/ 'ti frau , .4/& �I? /Z. 204 7 (".
0 ,,�(s-r - i%e- ‘//g(�2 �� (Scale: Air
length tar'Ia�i , I r+�,
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ier(s) 3 )( � 1 // •� I Mil ••�
ngth ••u�� , / ', ������111110
nber
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x distance offshore ',[.Nif ll t -1- _
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kttached: no i I i
ig permit may berequiredd by: �A Alt, �SLf,�'(/0 See note on back regarding River Basin ri
1
DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•
Name of Individual Applying For Permit: LCc/u .J' f /,l7ye s K
Address of Property: // sw z/ S 4 �- -
(Lot or Street#, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The indi'
applying for this permit has described to me as shown on the attached drawing the developmer
are proposing. A description or drawing,with dimensions, should be provided with this let
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of CI
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mi.
set bck a minimum distance of 15' from my area of riparian access- unless waived by m
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.
y y
Sign Namef Date
CAA Atide
DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 4:afwt /./ f 4 q A es K,114 (t'
Address of Property: // f S AJ r / 1 f
(Lot or Street#, Street or Road)
A/crs /4.c, c, z84,z6
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The indi
applying for this permit has described to me as shown on the attached drawing the developmei
are proposing. A description or drawing, with dimensions, should be provided with this let
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of CI
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mi
set bck a minimum distance of 15' from my area of riparian access-unless waived by m
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.
J4 z 2Zloy
Sign Name ate
Tim n --bacA!EA
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�jt43/2531
E.H. S E NA KI �.
AGNES ERNA KN� �{ " DATE v
114 SW 21ST ST PH 278-7082
�I OAK ISlANO,NC P8485
ORDER
HE S f` IV DOLLARS ' r..
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ORDEROF / /J d '( J( SENIOR CITIZENS CLUB
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SAv; Long i�NC�4L III 2 30 L
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FOR �53L7L430�: L27000p0 .