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HomeMy WebLinkAbout71298A_Donald T. Read_20190103LAMA / DREDGE & FILL GENERAL PERMIT New Modification [-]Complete Reissue ❑Partial Reissue - ..ram✓ No 71298 0 B C p Previous permit # 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 ^ / �- Ofiules attached. Applicant Name ya na U q Project Location: County � > Address , 'a , 6 ,, %� 6 / 2 '� Street Address/ State Road/ Lot #(s) aT CikQ State._ zip ,233,23 Phone # (-T51 32$-J"73 E-Mail d c 3 re"J 4 a�•ca„� Authorized Agent�a-- Affected ❑ CW O�ffA ills C*qS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ORW: yes /_no PNA yes / (oD ,3n S; r 9NUC'r4 QQSk- 'Dr, Subdivision C a , ns 4, 4,*r'�� City its zIP Z 7 Phone # ( ) _ River Basin A%5 u a irm Lc` Adj. Wtr. Body n A ( (not YMan nkn) Closest Maj. Wtr. Body / b it I" o- C <` S '^ ^ a / I Type of Project/ Activity C o n S -k- ( ���" S D r f" e, & / " C c /+yc ,' I / , r o't v.(cis -.ill(Scale: Pier Fixed Float Finge Groir (13ulkt Basin Boat Boat] Beacl Othe Shon SAV: Mor, Phot, Waiv ■■■■■■.�■■ ��L`���■■� V ■C'i�iil�li■I!■'��■■■■■■ice" EN■■q■EN■ENE ■o ■■■EMEN■■N■■E®■■■N■ME cubic yards ■■■■■■■■■■■■■s■■■■■■■■■■■■■■■■e�■el■■:-.■e ramp ■■■■■■■■■1�■�!■!■■■1■■■ ■r'■9�!■11�■i17,�Y�lrr■■■■ ■■■■■■■■■ ���f:�sr■'.xA3:�■■■ter■■■■■■■■■q■■■■■■■ G��'t'!■l�i�■!I!■■■■■■■1'iq■■■■■■■■■q�%■■■1i�4■ ' - • = �:��■■i`-�,�■�;�.■.��.■■■■■��■.��.�c�■■�■use■•!■�■ aces■■i■■■■■��■e■■e■re�nrewr,�:��=�?■s�■��■e■ ■■■■1■lA�liq■�l!�,il'iiri�ll■rl■illr4liiiliir Siir�■■�i:: =!fir.! dine Length ■■■■1■■■■■■■■■■■■■■■q■■■giiiiil�C%l�ll�!■ not sure m ■ei■i■■■■■■■■■■■■■■■■q■■■■■■■■■■■■■■c■■ yes ' [/�iiit■ii■■■■■■■G1JIS�:i7■■q■■■■■■■■■q■■■■It�i■ • .■■rye■■■■■■■■e■■■■■■■■■■■■■■■■■q■■■q■■ :nr_ ....Vpq...■■■11■■■■■■■■■■iii■ii■■q■�■■■■��0071 A building permit may be required by: uc /\ ( Note Local Planning jurisdiction) Notes/ Special Conditions Agent or Aolicant Printed Name Signature Please read compliance statement on back of permit ** $ L-f 31 Application Fee(s) Check # ❑ See note on back regarding River Basin rules. PermV Officer's Printed Name r Si ure 54 Issuing Date Expiration Datglp NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Donald T. Read Date: 01 /03/2019 Permit #: 71298A 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 temp impacts) 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 impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Shoreline Dredge ❑ Fill ® Both ❑ Other ❑ 50 50 Shallow bottom Dredge ❑ Fill ® Both ❑ Other ❑ 100 100 High ground Dredge ❑ Fill ® Both ❑ Other ❑ 1000 1000 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 :: 1-888-4RCOAST :: www.nccoasta[management.net revised:02/03/10 AiDJ ACENY R PAIROM PRCWBTM �R` l9Cw 0 ttf i hereby certify that I own property adjacent to C)(o d RStsmePterty Owner) tyylatt 13 a s,r R� G�-�� 0m ikyfTaawm atndloF County) 1lhe a�*lira d Ihm ttID ffe.. as shmm below, the idavelopmeait proposed at the above !!n�ct I have nb 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) WAIVER SE(C' nC k I understand that a pier, dock, mooring pilings, boat ramp; breakwateu. Wm9ttmme, liflt, or fir, must be set back a minimum distance of 15' from my are a=of'ripa:im aeuew anlLvwwsi4eWt4, me. (If you wish to waive the setback, you must initial the appropriate blank below.) .I do wish'to waive the 15' setback requirement: it do a+aitvo sh tkm vowe Se 15'safflmCk imquxemeM. ipffiapery Daer it S�xu�dtiar� Print orType Name Mailing Address 7i®+ M iAitpe►&WIl ll a Msw Date Si rrrrtrt:e � "Prim -or Type'P0a i '� Z c r l ai;►�Adt ss� k �� �72 ye � CC2 +c1o1C111 hm.f4� •cdAt TvWinine iNumb ere / email address Date "�lodtfmr�a��t[uaryys� a�fter�t,�atu�' (Revised Aug. 2014) ( adl � �+�►i) ,prcapert� ,bated ,at % 3 D � � R � � r �t �clbcp abm 4M tl � A+or, VIA4 dr R.,11 y� /dam andlOF County) The apoli art has dtlescbed f m me as Shmm betaxa t'm IeummPRIMOft WUPOSed aft t toe abMVE 'b�:✓ ( I have nb objection to this proposal. Y• p#iH t:;(1Flt Il ANWOR lli�VWW GF-RROPCISIMMEWELCIVINEW (Individual proposing development must fill in description-beidw ar a21lhais;r dmirawrriia�; Cc 10 -OF p e-fak-li w%Rtm SEETM 11 wmkrjtmffd 16htielt a per., dark irm►narrii s p iimp mOIR bmak=91mr, bne&awoe�„ lit, or gmiim naws t be sd a irmihinumm dtiWlatmm a>tf 11�' iTir�nm ntrttc a �:m�iaam , wmiiew wiaiinxii bI me. (Off Vow wish lb =a ae the seftark, yaw must a , m 3iftiamik beilo w..)) ,11 d b vWish'tim w aiimae: tm 15'seduck ffe gpii n+t. I do not wish to waive the 15' setback requirem,ent. pl,n� O� h*orn=dion) tnmrrrre PnOd on- Irmo I&ARM Mailing Address 7(d� ltalwmdlm�r//mrm>a;�ll Uwe €VNIPOW Oowrer )( D L) J Le C L/D Ct,-/'► L) ^) v . 3 nss 1-4 EAJ c,/ Nf13iling A'ddiess-ZZW �.;76' Y3( 1- o,6' Dale" "Vafd faff am cmimmds,TawafiEfs#wdwm* 0fWM9 1A1u'gl- N") ------------- AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: � 2Q Iol % �e-r_z Mailing Address: L Phone Number: 7S-7- 3 2-Z0 7 Email Address: di c 3 read I certify that I have authorized Agent / Contractor :o act on my behalt', for the purpose of applying for and obtaining all CAMA permits 1 necessary for the fallowing proposed development: at my property IocEited at in _County. 1 furthermore certify that 1 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 Infonmation: 17 Sic7nature Print or Type Name T -itle /0 u� This certification is valid through ! / i ryy � li n '^ y e /1r 4 P ery ar _ a " W , a ^ 11 i f n C W „ a „ k x M-1 r ,y -. This map is prepared 130 Sir Richard West DR Owners: Read, Donald T Tax District: Colington .� .� • ` from data used for the inventory of the real Colington NC, 27948 Subdivision: Colington Harbor Sec R property for tax Parcel: 020347000 Building Value: $0 Lot BLK-Sec: Lot: 81 Blk: Sec: R • /r purposes. Primary Pin: 987305183146 Land Value: $104,100 Property Use: Vacant Land (Private) j information sources such as recorded deeds, plats, Misc Value: $0 Building Type: wills, and other primary Total Value: $104,100 Year Built: public records should be consulted for verification PjC" 3,� z ,,,a,'w.. of the information C'k4L a�lC.i ✓Jt a$3Z7 3 �� �'Y contained in this map. 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