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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 ._"Dpi Tc,A N- L an keeSe-- DD i O'AL NAMES: EC DES1G: DzV OP=��. i:_/. b PROJ DESC: / - /Z (Will cni.•23i-?) WORK: /UfQ /6 3 X ct (nil 7& I2x./2 (.Tii cciy -)41:2: aid Itgk (v.1 ca13•-„--6) ACTION P x?LRATIoN rs+Z REQT.Ta : C.k.NL4 Zvi-JOR DE v= REQUZR D: PO Box 1 Southport NI 910-845- it 6j 1.A-1 /2 x,2 T'- -. 12x/2 o ti Ai r I 1/4 ly l /� S e7'hin k ?5 1 V Se 744,9c k 13 i . . 1 • p I .0. fro Pepr/ oG a r;&.l Kee sec a��� s e � (1�ra I -1, ,t4 ectre 27 /o GJ, W3cht- Dr, I27og� wK, ��+ch�' ar. :- Ag► DIVISION OF CO&STAI.M 4N A1..EMEN"t AI)JACF.NT RIPARIAN PROPERTY O!W'NER NOTTFIrATION/WAIV FORM ' • 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 - `^ • "' ... //-I ...,. • .,fir•• hP- I. 2S3 723551. 325 000817211 fG50 • • • • • • • • • • • •