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76530D - Waltz
dCAMA / }DREDGE & FILL W 76530 A B GENERAL PERMIT Previous permit # -?I V51 b --n XNew ❑Modification ❑Complete Reissue ` 'Partial Reissue Date previous permit issued -7/5 wized by the State of North Carolina, Department of Environmental Quality i Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0.7 I , j IOU 0Rules attached. it Name Tine $ L I 94 31 Fosei-d-on Irinivla4m State_ ZIP ( vp 6' 12Q E-Mail zed Agent NIA DCw ®EW UPTA DES ❑PCS ❑ OEA D HHF D IH ❑ UBA D N/A D PWS: yes / ©o PNA ® /no f Project/ Activity "LA 1e--k Ll` CA /ef', Project Location: County____ Street Address/ State Road/ Lot #(s) 23 _ _S c *w- --r--- `-- — Subdivision f 1 &?, City k1116vappl ZIP Phone # River Basin Adj. Wtr. Body Closest Maj. Wtr. Body__ (Scale: ,/VtS wnber %distance offshore ?-x distance offshore hannel ;r�i ■■■ �itI I ■� �i■■■�i■r ■■■■�!■i�i■ ■■■/ O . liir■■■�I■■ bic yards -np■ ! ■■ ■�■■2W ■�r+ I T ■■■ ■■■■���� ■ P alit - :1IF '' '" I ��r»�■ ■ y ! 1 Ff ' �' �■ ■■Es■■■■■ I■ ■i■ ! ,, . : , / �■■■ ��i■ ■IMF i IIIi1sInl�lll�� _■ not sure yes u► yes Attached: yes ■� ■�r i ■! Iwo 'ram" "'°^" ■■■■■■� ■■i ■ ■! i y'wr°wI� ing permit may be required by: Local Planning Jurisdiction) n 9 V` : , Ll.1l�l I ❑ See note on back regarding River Basin r CAMA / ❑ DREDGE & FILL iENERAL PERMIT Vew ❑Modification []Complete Reissue ❑Partial Reissue N9 76530 A B Previous permit # -71 V59 D —nee Date previous permit issued 5 r zed by the State of North Carolina, Department of Environmental Quality >astal Resources Commission in an area of environmental concern pursuant to 15A NCAC 03 H . 12ou ❑ Rules attached. Name T AI L i ✓o �-4.31 Pose, c'vn A .,Y)t- i rrl I V1 Vfrn State W_., zip ^1ff4-1� (9!0) b l6 A 124 E-Mail :d Agent /d /A ❑ CW MEW W PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: Project Location: County Street Address/ State Road/ Lot #(s) 93 Subdivision CitywohniZgdm ZIP AY4/1 Phone # River Basin �f Adj. Wtr. Body P17APA alye/C nat rr ,es / 6PNA (@ / no Closest Maj. vvtr. Body I��'[/ ( fN Project/ Activity 7/OPOSA 1laL bur Aed 2in-, �-e I Dpe/? khDy,7P7 a tzi) kwwdi A ff *2 into (Scale: nnS k) length 6 50' iorm(s) 16 'x 16' 'latform(s) ,r(s) gth fiber I Riprap length distance offshore :distance offshore innel — is yards --- P e/ Boatlift -- Ildozing !va�stepdoWn �� A 4'ki' P4'x AO' Length not sure yes —r um: n/a yes yes ,ttached: yes no ig permit may be required by: _ocal Planning Jurisdiction) 1 n ❑ See note on back regarding River Basin rt n _ A i . _ ,t , -� t PAGES GR&EK 70 Posy �Do�"• W' 1w IA34avj, Nt, 2V411 qIo-&t&-zrz q stALC: 'A 5. CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner: i Address of Property: Agent's Name #: Agent's phone #: (Lot or Street #, Street or Road, City & Mailing Address: 'AiL �Z�// 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 or 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 whatis 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 objection if you have been noted by Certified Mail. WAIVER SECTION 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. Jon �Z Print or Type Name (Adjacent Property Owner Information) Signature Print or Type Name Mailing Address !,,t,��s„n,-4.,1 All' 2W// Mailing Address m N m .A co N ral 0 0 c G O G r- O I' a O ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to (Na no of Pro ertv Owner)/ property located at 7 3 0 - (Address, Lot Block Ro , etc.) �l( in �NI `,,, �., ec� �y��r limn , N.C. on (Waterbody) (City(T wn andlor County) The applicant has described to me, as shown below, the development proposed at the above location. _ I have no objection to this proposal. _ I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) A#""-CC4d WAIVER SECTION thouse, lift, I understand that a pier, dock, mooring pilings, re access unless waived byrme.�(If you wish ton must be set bwaiv n minimum distance of 15' from my area 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. (A ' cent Property Own�Iinfrmationy S ZZLA&�� Print or Type Name` Mailina Address I I Information) Print or Typ Ne - CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner: Jir i i Address of Property: 7 (Lot or Street #, Street or Road, City & 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 drawing_the development p they areproosing. A description or drawing with dimensions must be provided with this letter. '6 \/1J 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 objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15from 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. on) �Ji tw 1 fy Print or Type Name N z 6 P Ls, ider PoiV-1 Mailing Address G /, I dd„A, �,. i A //t C41 ! 1 (Adjace operty Owner Information) a S-iig-n�ature �-- --�-1 Nl`�4!/ Print or Type Name �23v Gam. Are-,.+.41 �e J.,le/9-3,- Mailing Address I w-/ I.r _ 'f I l j _`i o i.a ? CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: i i l i Address of Property: Agent's Name #: Agent's phone #: (Lot or Street #, Street or Road, City & Mailing Address-. 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 p oposing. A description or drawing with dimensions must be provided with this letter. etJ 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 objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15from 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. IQ 'Jim tw' Print or Type Name n) (Adjace operty Owner Information) .Signature Print or Type Name Waiting Address Gt�t tI�ItRc 7zlt/1 /U�_ % �I l Mailing Address LV,, /.„# n y port , AIK �) gl,40 3 �000' c E E m r � r 9pp LL3LLmIu tY ti�m tSLL� RR�RR2�R HHH