HomeMy WebLinkAboutKunnmann, Reinhart❑CAMA / ❑ DREDGE & FILL N9 78418 A B C D
(GENERAL PERMIT "' ~ Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date pre vioupermit issued
As autho 'zed by the State of North Carolina, Department of Environmental Quality Jl
and the Coastal Resources Com fission in n area of environmental concern pur uant to 15A NCAC
El Rules attached.
Applicant Name_! �1 �� T ` I 1 ) ' / Project Location: County _ _
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City State
Phone # 9 Mail
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EMEM�IM
MEESE 111MMINEEMEMEM
Agent or Applicant Printed Name
Permit Officer's Printed
Signature ** Please read compliance statement on backof permit**
e�ao
Application Fee(s) Check#
Signayyure _..,_.
►//yhoav 05//qbw
Issuing Date Expiration Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to(g,�._�� r _ 's
(Name of Property Owner)
property located at ot.:
(Address, Lot, Block, Road, etc.)
on C) iZtJ4. .�/�oM7 in a6,4iA>f� 4/L' � F'S�%�N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach fJgWV
JAN 0 S zu"O
®CM.MHD CITY
sew �
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
i2 �2y /S
Date
(Adjacent Property Owner
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number
Date
(Revised 611812012)
es
o-
„P
'ai�ai„iii t �h'' S t' t rt r
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
-- - ADJACENT -RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM -
Name of Property Owner: f � G I hw f7 0T K (A- el A rl d
Address of Property: �� V�T���� f r c r v i= '�i` w Po �T / �, L° 5 vl
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone #:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawin the development
they are proposing. Ads F sY'o�oretl'ra imd3i.hirnensar�tborjetluithh s ief e.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal M ent
(DCM) in writing within 10 days of receipt of this notice. Correspondence sh- I M 400
Commerce Ave., Morehead City, NC, 26557. DCM representatives can also be contacted at (252) 808-
2808. No response is considered the same as no objection if you have been notified by (;,ei(ifieq(VfIil.
WAIVER SECTION p�y_MI gO CITY
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or us beset
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.)
I do wish to waive the 15' setback, requirement.
1 do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number
12707,
Q9
_.. "Virlu CITY
(Adjacent Propert Owner Information)
r�
Signature
Print or Type Name
oi.� &- �
Nailing Address
A&DW621/4 VM Z��a
City/State/Zip 77
7
Te ee Number
obe)
Date
Revised 611812012
12121/2019
145 Waterfront Ave, Newport, NC 28570 - realtor.corn®
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https://w m.realtor.comtrealestateandhomes-detaiV145-Waterfront-Ave_Newport_NC_28570_M62246-11794 6/9