The URL can be used to link to this page

Home My WebLink About71157A_General Permit_20180831PnCAMA / DREDGE & FILL NO 71157 O B C ° GENERAL PERMIT Previous permit# C3�New Modification El Complete 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 G� H I 1 UCH [X Rules attached. Applicant Name t:. r AgArz ILMLjZT- Address Hot, U V LL4 VLA D City 5C401t 1"'(lllrj State_ AC ZIP 23974 Phone # (252 ) 771 • 514.& E-Mail Authorized Agent Affected ❑ CW A EW [XPTA JES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / ® PNA yes / Project Location: County GA ►-JI I` 30 Street Address/ State Road/ Lot #(s) Sj2 1149 I C 1 1sE' 4rXt-&q` Subdivision P4>iivT' City ZIP Phone # ( ) SAMG River Basin (J^ Se"L4ffrWUIG Adj. Wtr. Body fi642UyTAN K- &man /unkn) Closest Maj. Wtr. Body ICI A32 Type of Project/ Activity JFp4A n CY '5I4ZVLt:. C1 'U L (Scale: I '- (:Vol ) Pier ( Fixed Float Fing Groi Bulkl Basir Boat Boat Beac Oth( Shor SAV Mor Phoi Wain M. ■l�h`■■■■■�■■■■■■■■■■■■■■■■■■®■■■■■■■ EEO :�■■■■■■■■■■■■■■■■■■■■■■■l ■■■■■■■■■ MEN ■NEON ■■■■■■mom ■■■■ cubic yards ■■■■■■■■A■■■■■■■■�■■■■■■■■■■■■■■■■■ ramp ■�I■■■■■■■Ei■■■■■■■■Ew■■■■■■■■■®■■■■■■■ ■IN —'ta•/=.r: ''�7w - !gam is►'+ _ EMMEMEMEMEM MEN . �!.1iir� i Bulldozing ■■■®■■■■■■■■■■■■■■®w■■w■n■■■■■■■■■■ dine Length ■rep:!�m■■■■■■■■■■��r�:l:�■■�■�rra�nr��n■��rr��r�n�� not sure yes ,fF) yes no ■■ ■■■ ■■ ■■■■ ■S■ ■■■■■■■■■!r ■■■ ■■■ NINON is: no ■■■■■■■■�N■■■■ IMMEMEMMEN ■■■ v A building permit may be required by: C&o'i r7&;IU & VLL-4 ( Note Local Planning jurisdiction) Notes/ Special Conditions �_'- I� \t-\5`fZ7 Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check #■ ❑ See note on back regarding River Basin rules. Permit Officer's Printed Name Signature Aua.s112t- 1 j ,L, v�I lZylf� Issuing Date Expiration Date NBC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: i -)eL M r-VL Permit #: -7 t L S-7 [4 Date: Awl 3 l) zt, t 25 Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or tem im acts FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp im acts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other t� ` L V v ill Both ❑ Other ❑ Dredge ❑ Hit Dredge ❑ Fill ❑ Both ❑ Other I , Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 9-388-4RCO ST revised:02103!']0 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORD CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED b certify that I own property adjacent to t�nc�✓ �� \�-� -'s I hereby y p p / (Name of Property Owner) property located at / v S fn (Project Site: Address, Lot, (Block, Road; etc.) on 1' S �w �Z RtJ QV , in Cc w ct2o N.C. (Waterbody) (City/Town and/or County) Agent's Name #: Agent's phone #: Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. -------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) If you have objections to what is being proposed, you must notify the Division of coasts► rvranagemenr (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. (Property Owner Information) X XAaZ Signature Print or Type Name IJ /z Mailing Address S� �,- ✓ti �� s NG City/State/Zip J 2-52 79l _0 6 Telephone Number/Email Address J-/3 Date (Adjacen roperty Owner Information) Signature j-�'evei IS Print or Type Name IQ Mailing Address City/State/Zip J 27 6 Telephone Number / Email Address goI///y Date* n....:--A I-- 7r%17 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER. NOTIFICATION FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED I hereby certify that I own property adjacent to 1),\ c.xz- IAA -�C is ,� (Name of Property Owner) property located at d 1 S (Project Site: Address, Lot, Block, Road, etc.) on 1�f,� S qy,s�\,�u�.JV� 1�� t'iY , in l.Cvyv� c�,�h� , N.C. (Waterbody) (City/Town and/or County) Agent's Name #: Agent's phone #: Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. , ------------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (I ndividual.proposlng development must fill in description below or attach a site drawing) i If you have objections to what is being proposed, you must notify the Division or coasra► ivianagemena (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. (Property Owner Information) Signature I J2JYV-IEKf Print or Type Name 6 -j// Mailing Address City/State/Zip Telephone Number/Email-Address z Ste- 7: L 551tG6 (Adjacent Property Owner Information) Signature )YArc-TiP - Sp /2y-/ Print or Type Name //2 Ar� Mailing Address C, rz r 4t P c .09)j City/State/Zip zs )- 9.)-2 go 9 9 Telephone Number/Email Address nata*