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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 _ _ Aaa.e.... St t Add / St t Road/ Lot #(s) City State Phone # 9 Mail Authorized Agent { _ --- Affected T'CW XEW LXPTA kIEs AEC(s): El DEA ❑ HHF ❑ IH ❑ UBA q PWS: % ORW: s no PNA yes / jno f ❑ PTS L] N/A ree ress e f Subdivision City ./''. ZIP Phone # (-) - River Basin-( j Adj. Wtr. Body_ __-__,. (nat /man /unkin Closest Maj. Wtr. Body {; .■■■■■■■11u�■■■1■■u■1■■■■l�7lei■■■■��.I m1■■r�■■■■■■1�11�■■■1■■■■■■n■a��■■w1<I■■1{►N� EMEMEREMEM EM■■■■■■■■ :ME: E®M�1CU::M ..■.��..■■■■■■.■■■■■�;M■■■■■■■ ■■■■■■MI■■■R1�■IIA■1 ■1■■■■ N■■■MMEN■ M1E1�1■t N■\lam■R lt��MMEEMv®�iWENEEMEM tin ■■G'a!■N�■��/ �t(lii■■III■./,II■■�■�i'%!'�NI■■1!■■n►�► :r&5MiWVNW�_ MEN MENEM iIG ' i►..a.M. fir�_\'■�■■�.�iI""�Il.�r'.rrrl -ONENA■ME O►m■®!� *1■Gi��q��.H■■■ ®11111■ G.1■■►q�■■■fie■�■��le■1. //■■C't-:.mot.\iF.7!"�i. fii►�■■■■■inlil■QI ■■N■.;■■■ai■■■rrl>�u��r.�T��;■■.e■11■■■■■�■■■ �Eil�®■�IriCir�r� ■■■■■■■■■■■■■il■11■1■111�1■1f;[iiftQ! rlii■il►\711■R1■■■■■1H MEMUNIII■■E■■■■■010 Ht9■/�1l�lE�■■■■■ilt��IlIS�1�r;�1119■■■■■HNiYlia■■■■■■■■■ - ■■■�!9■1\Ili■■I�■WI■fri71�■■■■■■�■■�I■■■■■■■■■ ■IYhiiitill■■n11911■■■■■■i 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® L .M CITY https://w m.realtor.comtrealestateandhomes-detaiV145-Waterfront-Ave_Newport_NC_28570_M62246-11794 6/9