HomeMy WebLinkAbout76114D - Nix�5& 2C)2 J (—*f Y-�
Ilk CAMA / ❑ DREDGE & FILL NO. 76114 A B c
-. GENERAL PERMIT Previous permit#
�(Ndw -Modification LIComplete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC O 1Z0 0
ElRules attached.
Applicant Name Au M Project Location: County
1
Address % 02 (o �iy c e n c (,.I-w Street Address/ State Road/ Lot #(s)
city ^ 1 ° y StateL�-C'L ZIP
Phone # ('� i�) ';(,;Al
'It(
' E-Mail
Subdivision
Authorized Agent
City ` c'- ,,. ( S , {u�'
F1 ZIP
ElCW
NEW
[7!F"A ❑ ES
❑ PTS
Phone # ( )
River Basin
Affected
AEC(s): ❑ oEA
ElHHF
❑ IH ElUBA
El N/A
Adj. Wtr. Bod
(nat nkn)
El PWS:
VJ
ORW: yes /C�o1-
PNA
yes / �-
Closest Maj. Wtr. Body
Type of Project/ Activity
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(y g x2U C'— (o n�G'
(Scale: / TS )
Pier (dock) length
Fixed Platform(s) �1
Floating Platform(s) CJ k 2 01
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distancq offshc
max distance offsh
Basin, channel
cubic yards iMEN iiiEMI-w Olillh01i
Boat ramp ■■■■■■ ■MEM M O NIL21l
Boathouse/ oatlift ■i■■EWaiii®■i■■■ii
BulldozingBeach AEI +"'M ■■■
tther—
■■�■loom !■MEMO �■��!■ ■ ■E■EMEM!lgME
MURREE
. M . 011!11.■
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All
Agent or t Printed Name
Signatur arse read compliance statement on back of permit
z 10
Applicat Fee(s) Check #
Permit er s rinted Name
Signature
�� 2`II2UZU
Issuing Date
E?/Zz /ZGzC)
US MAIL
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner: /, �tM Zt/ "A
Address of Property:
(Lot or Street ii, Street or Road, City & County)
Applicant's phone #: 8 - 369-7 S Mailing Address: 1 ��3 Seep � L✓g\/
Vc _�—
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 drawing the development they are proposing. A description of drawing,
with dimensions, must be provided with this letter.
vA8 1 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 Management (DCM)
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
considered the same as no obieclion if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.)
TMB— I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Information)
Signature
Print or Type Name
I -A 3 y Sce4: c W"V
Mailing Address
V c 276/�l
City / StaTe / Zip r
Telephone Number M - 3 4 1p- % y�
Date 117 2a
(Riparian Property Owner Information)
ignature
_�M `s 11C,1� �► (�R �t`� C1f
Print or Type Name
% p 6ozLL R-a�3 -
Mailing Address
(_wntayve N-C.. 2A3s&
City / State / Zip r'
Telephone Number 9 "� 4 0 ` Zg V.
Date _—— - 2-0 Z. 0
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: 910-796.72151 FAX: 910-395-39641 Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper
US MAIL
CERTIFIED MAIL, — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner: 41., N%X
Address of Property: .� 7 64fuJ s . 0 / 3.8YL 9
(I.ot or Street #, Street or Road, City & County)
Applicant's phone #: - 3 (9�' Mailing Address: 3 Ste n; ,.✓___
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 drawing the development they are proposing. A description of drawing,
with dimensions, must be provided with this letter.
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 Management (DCM)
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
considered the same as no obiection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property r Information)
Signature
44" /V�x_
Print or Type Name
Mailing Address
City / State / Zip
Telephone Number-9/9- 3I9 7Y R
Date /
(Riparian Property Owner Information)
Sig atur
Print or Type Name
31 60(ord Sf l
Mailing Address
nc4n 1 SSic 1V L y
City / State / Zip
Telephone Number
Date V 1171,20
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: 910-796-72151 FAX: 910-395-39641 Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper
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