HomeMy WebLinkAbout78686A_Dunavant, William_202005264(NewCAMA / �YDREDGE & FILL N9 79696 e C a
ENERAL PERMIT Prevlompemtit#
-Modification _Complete Reissue `Par" Reissue Date or- permit issued---�
As authorized by the State of North Carolina. pepartr,xnt of Environmental Quality E', K 0tam —
and the Coastal Resources Commission in an area of ertvlronmental concern Pursuant to I SA NGC j �Q! 7�d
Applicant Name W ill tnl =
Address
City. C4. >t� Slim-N C ZIP 23-ICK
Phone # () b44 E-Mail
Authorized Agent _.
D cw X EW OWTA UM 0 M
Affected J OEA 1 W W 0 MI 0 USA 0 WA
AEC(s): ❑ P%VS
Project location: County__ .L2p ,�e*r4
Street Address! State Rood/ last *(t)_
II L.
Subdivision
Oty
, . V tr. eodr____._�
ckmw M4 Wtr. " j,rrt
oltW: rm r fy
s
Type of Pro*v ACthft /►Q ,, (,►ld Izle r Ili hr Z Wflri•rr tn{ c� tJ_ � -Cu f (gr,C . J Kt . o .
11 lJn 1-1 A>PAA . 414el n 12' jr (2 (Scale:
P- (d6ck)tetgeh --
Faced Ptadonn(s)
Floating Pladonn(s)
Finger Per(s)__._.._.... —
!;—n length _--
number _
Wool, _
avg distance ofhhore IS
max dstance oRahore �i
&usn. channel
cubit yards
ramp — _ _.'--
St+or L•nath UZAOL
SAV not sure ?'-
Moratorium: (ya ye5 �_•"_. Wa"!-"' PtWtos: des( no
Waver Auached:
See note on back in River Basin rules.
A !wilding permit may be required by: PA �_ _ �. regarding
( Note Local Planning jurisdiction)
Notes/ Special Conditions t) Z(22r l J M if c 'C"{ I F h2 e c-
x ,,.V, i i Du+na,la n f-
ApmorApplii�amNhw No
p •' Please read compliance statement on back of permk
qlqg
Chadc #
DIVISION OF COASTAL MANAGEMENT 5eceived
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOR
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED MAY 2 6 2020
Name of Property Owner: Vdh am C b wd) ¢ sA arn pl ixna ✓,1,14 DMEC
Address of Property:
Agent's Name #:
Agent's phone #:
vr(f l)✓,✓z '01,/0�
(Lot or Street #, Street or Road,
C C61171d?, (Z.
& County)
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 OiN
they are proposing. A description or drawing, with dimensions, must be provided with this letter.--7,,-,J-
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 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. 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, boat ramp, 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)
Signature
Print or Type Name
ill Shore /)r^,
Mailing Address
.5A;tvh NC ?-707
City/State/Zip w,(d W5 0
a5 -33-1- 117S h0-"Mef,/. a-,M
Telephone Number/Email Address
lW-Lo
Date
(Adjacent Property Owner Information)
Signature
Print or Tye
log S Av r-e— Z) r.
Mailing Address
S A,' rak fvlC a -74?
City/State/Zip
-�-5W y/C
Telephone Number/Email Address
S�/ 24 / Z a i0
Date*
*Valid for one calendar year after signature* Revised Jan. 2017
Received
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM `61 2 6 202-9
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
DCM-EC
Name of Property Owner: IV, Ill arh LDa✓id) a-SAarvh ,1 J u ri a ✓ont
Address of Property: l S h o r z 6t^. ,Sh ; hti NG (Ca rrdtti 60 7LN
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
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 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 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 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. 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, boat ramp, 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
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
\1 , i I) a m Da `ICI bLk nG
Print or Type Name
1 /l ,Sb o re Ar.
Mailing Address
S,'/04. W-
City/State ip U/�GIdW�
Telephone Number / Email Address
z
Date
(Adja ent Property Owner Information)
gnature * '
i)b t- / G
Print or Type Name
/oy �)/v,
Mailing Address
City/State/Zip
� r,a QG /Gail
9/c; - �" -
Telephone Number/Email A dress
Date
*Valid for one calendar year after signature* Revised Jan. 2017
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