HomeMy WebLinkAbout35120D - Keesee CAMA/ Li DREDGE & FILL
3ENERAL PERMIT Previous permit#
New Modification Complete Reissue -Parti I Re' ue Date previous permit issued
ized by the State of North Carolina,Department of Environm nd Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC '7# /ZDt
�/ ❑Rules attached.
:Name bit /�art ee5,a Project Location: County i`t�c
Z 70S iv, 1/4 di, �f y, Street Address/State Road/Lot#(s)
5144 State d. ZIP 24V6, 5
,5,c e
(WO) z'c--MY Fax#( ) Subdivision_
ad Agent (Ve1 Pje✓!fjrG City ZIP
❑CW YEW lePTA LES ❑PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (hat 6
❑PWS: ❑FC: A� ��
(es /� PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body
Project/Activity do lee /s-z1 p E✓ Y' fl/4 14/Zn
(Scale: /
:k)length./ 3 Orey
(s) /Z x I Ale too)
er(s)
igth
iber
Riprap length2.
distance offshore x
c distance offshore J�a I Z
annel
is yards
p
e/Boatlift
Ildozing
-711
fr
Length �D ►r
not sure yes tit
not sure yes
cm: n/a yes 2 704 .
yes
:[ached: yes
g permit may be required by: .2 ` L 5 IG et At See note on back regarding River Basin rul
.GE.N R-4J: PERM 1I CONEPTITER FORM 35/2
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DD i O'AL NAMES:
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ACTION P x?LRATIoN
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C.k.NL4 Zvi-JOR DE v= REQUZR D:
PO Box 1
Southport NI
910-845-
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DIVISION OF CO&STAI.M 4N A1..EMEN"t
AI)JACF.NT RIPARIAN PROPERTY O!W'NER NOTTFIrATION/WAIV FORM
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Name Of Individual Applying For Permit A'r. '�h /1/� C t�
Address Of Property: 2 O g
(Lot or Street At, Street or Road, City &County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
V I have no objections to this proposal.
If you have nhjertions to what is being prnpnsM p
Management_ 127 North_Cardinal Drive Rrilmin least write the 405_o call of Coastal395-
1900 within 10 days of receipt _,ton,North Carolina 2I 4Uior 910�t of this notice NaN response is considertd the same as no ni;jertinn
if you have been notified by('ertifieil Mail
WAIVER SECTJON
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distaste of 15' from my area of riparian ass 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 diutni wish to waive the 15' setback requirement.
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit K 3 r;017 k G_r s-.<e
Address Of Property: 1 7 0 s G/.
(Lot or Street#, Street or Road, City &County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tome 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 nhjrrtinns to what is bring pmprisPri, plea'e write the Division of Cnactal
Management 127 North Cardinal Dive. V ilmin,nn Norte Carolina, 24O5 nr
1900 within 10 days of receipt of this Hirer No call T9S
'Pt response is rnncicie�_tl�e same as no objection
if vnu have heron notified by('errifieri Mail
WAIVER SECTION
I understand that a pier,dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back 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.)
1 do wish to waive the 15' setback requirement-
I dnswt wish to waive the 15' setback requirement.
_�L
/ 1111:,' '
Signature A /
I I'�` Dart
`,.ram.._ ^` •+` - .•.. .- ,'',,,.•.\
PAY TO THE chtnn
�'r � .��. _• O r
V e 7�o v 4 *" `!(�(j G`�} - S DOLLARS L'1"
THE FIRSTFIFTYYEARS 0-11
COASTAL FEDERAL BANK / •
1 1 h
I 9 5 r4 - 2 0 0 4 ,•� "�,
SOUTHPORT,NC 28461,11 MEMO - `^ • "'
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I. 2S3 723551. 325 000817211 fG50 •
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