HomeMy WebLinkAbout77618D - Cain ride 13 Z6264) \-IUtrrt f�W`R--
CA / -�DREDGE&FILL't
AID) 77618 A B C
ENERAL PERMIT o,`°`S Pr�vit�is permrt#�
New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorised by the State of North Carolina,Department of Environmental Qualm/ --7 e g$o cv
and the Coastal Resources Compassion mart area of caw onmentai concern pursuant to I SA NCAC /! Mules azncfxfi
Applicant Nance SUSa+,‘ l rrA 1 rt Protect Location: County brK in f LAIICK-
Address .1'3 3 4 Z 1.0 L f o f Av D p r Or, Street Address/State Road/Lot#(s)
CitY_ _ceeAt_CAN State SC.ZIP 70'6 t tir
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Phone#t(. ./! _._ E-Mail _ _ Subdivision J r".-
Authorized /_ �/
Agent '�( jMd ey' City rtDiele. 1 l�t ' -` zip PS'/rG Z
Cw t l 'ETA ES ITS Phone it ( ---'f'---I River Basin 1.-1-0- ,e,('
Affected
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allifClosest Mat.Wtr.Body OM: yes/0 PNA yesW
Typed Project/Activity jZ g E w c e raw, a- f t tag t !lc>ck--
(Scale: i't=Z01
Pier(dock)length
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FlemingPlatf«m(s) .ells
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Grom length
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number
rig distance offshore .\kji \\TICIAlf\L
max distance aff .._ D
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4.4
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Photos Attached 'es 0 11 • N 1���stnt0�7•`'r Ma )ai C'sd ( •
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A bu ni permit may be required by: /C � je ad See note on back retarchng River Basin rWes.
(Note Local Planning Conditions
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Notesi Gatdieinns m t{�uIC.�
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].CAMA/ ❑DREDGE & FILL` ` 4ilf r I C - N�1�1 77618 A B
3ENERAL PERMIT S°`' °`S Previous permit#
iNew Modification ,_Complete Reissue ❑Partial Reissue Date previous permit issued /
rized by the State of North Carolina,Department of Environmental Quality 711 54C1v
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC G'
,, 'n ID Rules attach.
t Name US-OY' C Project Location: County rK r rWK�.I/�/—
- 3 L. z w t,►a-e N4 AV 6d r D r, Street Address/State Road/Lot#(s
e9'y6o t ►g c�( I St,
)a�e State �-ZIP
( 3 E-Mai Subdivision,ed Agent 6re9
I1D/ eA"\ City ISOid� /��{Q� ZIP g� /
I
❑CW w PTA ❑ES ❑PTS Phone# ( --1---- - River Basin LGIM
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body Comet / (nati
❑PWS:no ' . /
yes / PNA yes / no Closest Maj.Wtr. Body 1.A
r Project/Activity r 'ei I a c e rq"''D a T //Ga 9 Dotk_
(Scale: : ;
ck)length
I
atform(s) RRI 1 I
Platform(s) b k ` CA
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ier(s)
ngth
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ix distance offsho "���"' ('� � ! ,
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ise/Boatlift — {
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ull ing / „` (rV'
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e Length SO I } i
not sure yes no _ I 'v`�/ic' -T. 4414,
:ium: n/a yes
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4ttached: y no vG _ _ CV.aJVIPX,
z �f� fe /�
ng permit may be required by: a � Q`-"� ' See note on back regarding River Basin r
I nral PIannina I,,ricrlirtinnYV , 1 n 1, , i r' / I I
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CERI'IYIED MAIL-RETURN RECED'T REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner: , 3()SC{!�-- Lc r V
Address of Property: \\ y c Ls-4-
(Lot or Street#, Street or Road, City &County)
Applicant's phone#: Mailing Address: (23�{')..,(j,j L,-\Q-4i Lab S--
SP1/-,eco-, 5. C c22%yi/
I hereby certify that I own property adjacent to the above referenced property. The individual applying for thi:
has described to me as shown on the attached drawing the development they are proposing. A description of'
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
i
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Di
Wilmington,NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No respor
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, or lift must be set back a minimum di.
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initia
approprrte blank below.)
L/' I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(P perty Owner Information) arian . ope ner Informatio
Signature gnature ��
6-',I e_ LA:=6 4--- rii6vAie) a kve
Print or Type Name Print or Type Name
33`fc 4.AI/e l/or-v D.---
Mailing Address Mailing Address
_ e?v' r . C(_ a9 is,yb
t'
CERTIFIED MAIL—RETURN RECEIPT REQUES
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner:'. /-") (qi h
Address of Property: //f,
(Lot or treet Street or Road,City County)
&
Applicant's phone#: Mailing Address: 33ea_ttJhile 44it, 0 s-
oci
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this p
has described to me as shown on the attached drawing the development they are proposing. A description of dra
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(D
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Driv
Wilmington,NC 28405-3845. DCM representatives can also be contacted at(910)796-7215. No response
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,or lift must be set back a minimum dista
15' from my area of riparian access unless waived by me. (If you wish to waive the setback,you must initial ti
appropriate blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(P perty Owner Information) 'pari Property Owner Information)
ignature Signature
Print or Type Name Print or Type Name
/
Mailing Address Mailing Address
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
CC �-
Name of Property Owner Requesting Permit: S`/S a r 0_01.
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized - Y'E? Ir-4o
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: C'P\ace_ VIA'y ' _\_vut�.i--
/tz�,' -►� a fray cL
at my property located at //I 7 ✓el S
in U i'N5, County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Cam'►-�� � �.�t, ��
Signature
5LMn Cr
Print or Type Name
Title
s