HomeMy WebLinkAbout86657A - Thurlow Family Living TrustY
d �CAMA 50 DREDGE & FILL Na 86657 ® s C o
GENERAL PERMIT
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(A New ❑ Modiflcadon ❑ Complete Reissue ❑ Partial Reissue
As au woad by the State of North Carokm6 Depervnent of FsnrkorvnartW Qw ty and the Costal Rm unm Camdraion In an area o/ awWom"nd oonoarrt putrauant wr
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Address
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Shoreline L-;n h t/ — _V18"T I
Access Le� .,
Pier (Lock) tet>gth
Rxed Platforms)
Roaft Platforms)
Finger pier(s)
Total Platform area
Groin
Bul k prap Length
Aws distance offshore .Z i
Breakwater/SiH ^
Max distance/ Length 2 i
Basin, channel
Cubic yards
Boat ramp
t
Boathouse/ Boatdtft '
Beach Bulldodrtg t
Other
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SAV observed:
hlorator•tum: yes no
Sibe Photos. Gr
Riparian Waiver Attached: yes (`�J
A bulldIng perrtt coning Permit may be requited by:.
Permit Cond3dons
TAWPAPMJEU5EMIMFER (drde ate)
See name on back regarding River Basin rules
See additional nobWwndltions on back
I AM AWARE OF STATUTES`` CAC RULES AND CDNDRIOKS THAT APPLY TO THIS PROJECT AND REVIEWEO CDMPUANCp SUMMENL (Please initial)
��fr YAM �i,M s.,K-�►,o. �e,t... kti.•e
Agent. or
Sranature "Please read oompAance sure rit on beck of permle*
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ApplKxtion Fee(s) Check dd/Morwy order
Permit
S9 /2,/ z 11- Zi2
Issuing Date Expiration Dete
RECEIVED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM A U 6 2 2022
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent t
property located at
o
DC
J
(Name of Property Owner)
(Project Site: Address, t, Block, Road, etc.)
on IYl ►V r in , N.C.
(Waterb dy) (City/Town and/or County)
Agent's Name #:
Agent's phone #:
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
�tpjdeg. ,�z�st��1g
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. No response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Information)
Signature U
Tzu, T Pan t,Lni
Print or T#e^Namne Q
I ( � � 1 Ct
Mailing Address
► GY-9 AV q
City/State2ip
-aC/.ng
r
Telephone c tuber/Email Address
Date
(Adjacent Property Owner Information)
r
Signa ture *
Print or Type Name
Mailing Address
City/State2ip
-;7r--2 - ,?y< - 9
Telephone Number/Email Address
e11L L
Date *
*Valid for one calendar year after signature* Revised Jan.2017
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to
property located at
11� PY7-
RECEIVEE
AUG 2 2022
I �►,9 Live �EC
(Name of Property Owner)
(Project Site: Address ot, Block, Road, etc.)
on f'VA R j _,in , N.C.
(Wa erbody) (City/Town and/or County)
Agent's Name #:
Agent's phone #:
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. No response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Information)
Signature
Print or Type Name
I l g �Iy
Mailing Address
r , IVL r79 �
Date
*Valid for one calendar year after signature*
Signature*
Print or Type Name
/—; :-r
Mailing ress
1-1
i%I ;4 la
YffTZ)1 /L/p
c s.2 Old
lephone Num er/Email Address
Date*
Revised Jan. 2017
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