The URL can be used to link to this page

Home My WebLink About70857D - HaleCAMA / I l DREDGE & FILL N2 70857 A B C �J GENERAL PERMIT Previous permit# ❑New Modification ❑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 Commi sion in an area of environmental concern pursuant to I SA NCAC �� u �( ` ❑ Rules attached. Applicant Name K6 ;�� Project Location: County ! F r')1—'+' /,.- Address A21 h i F✓ { 1 Street 'Address/ State Road/ Lot #(s) Ci J tateNL ZIP 2i S ! l U Lf f� / `• j y i/c Phone # ) - 2� �, t�G E-Mail Subdivision Authorized Agent Affected ❑ CW ),C EW /C3 PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ElN/A ❑ PWS: ORW: yes /itiq PNA yes /(is Type of Project/ Activity Pier ( Fixes Float Fing( Groi Bulkl Basir Boat Boat Beac Othi Shor SAV Mor Phoi Wai, CityaAA 1 I- r)fA6# ZIP �(Y� Phone # (----jam' 'ver Basin 4,1( Adj. Wtr. Body %I 6 f man unkn Closest Maj. Wtr. Body 4 G/ (Scale: / "Z o . ) length■■��■��■�■ ■■� 11111P r■ ■■mil■■■■ ■■■■■■■■■■■■■■■■■■■■��'��,n�■■■■■■■■ number ■■M■E��■ME■■■■■■■■■■■■■\\�■■■■■■■�■■■■■■■ max distance ME �offs chann `i 1 3 ■■■ ■ [LOOMMONE 011MEEME ,;nel cubic yards ramp ■EON■■■■/IF..I ■■■v ■■fy■tM!S'i■�11■■I P,r 0!;10■I■:�'��IIlIIIII�fl1■\!■■■■■■■■■■ ■<••••Iififrii�\�■■■®Rf■■■■■■ at ■OMWA, MM 1 1■■I = ! .3121JOSE 7ffli�Y■■■ ME 11111111I��lr■11■■li�■■■■■i■►\�ll ■■■■■■■LGlllfili■MI IMI ■■■■■■■■IE■\�■E■■■OEM i Bulldozing ■■■■■■■■f�/�r■■■■■■■■�■■/�■■/II■■E■■■■■■■ ■■■�■■■■■■■■�■■■■■■■■■■■tr■■■■�/IEEE■■■MEMO ■■E■■►�TiY,��'I■■Oil■■■E■N■■�i■�',9Y■■E■■E■■■E■ ■E■E■/II(1■11o7■E■■■0■■■��■Lil'Sii■E�1��■■■■■OEM■■ .• -line Length ■E■■■E■MflliE■E■■■■E■■E■■■/l■■Eil/�E■■EE■EEO ■■■■■■■■E■■■■■■■■■■■■■t■N/.�!►!�■■!1!■■■E■■ not sure yes �' E■■�■■■EE■■■■■■■■■E■■EM■■E■■M.��r�■EEO ils: yes ?9h,1M ME ME nr _ .... .. III I�ns�■■■■■■■■■■E■E■■■■■�■■■■E/l�l /�i/■■M A building permit maybe required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions Ant or Applicant Ph Aignare Please read compliance statement on back of permit Application Fee(s) Check # ❑ See note on back regarding River Basin rules. Pe 0(ficer's Printed Name Sign re 5--17-1g 1 17 —/`T Issuing Date Expiration Date CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNAIVER FORM Name of Property Owner: fi (313F-2 7- Address of Property: a p n X / A0 , //� C. �Rs Jvy^ Agent's Name #: Agent's phone #: (Lot or Street #, Street or road, 6ity & 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 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 127 Cardinal Drive Ed, 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 15' from my area of riparian access unless waived by me. (If you wish o w ive 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 0 ner Information) i Signature go �� ALr Print or Type Name /ailing Address P City/State ip Te p one —Number Date (Adjacent Property Owner Information) Signature 5 Print or Type Name 41ft) Q- Upmp ] Mailing Addr s mtbkt) GV N , a s CiWstate/2ip Telephone Number Date Revised 611812012 IV e ky M-1 it Date Recei ed Date Deposited Check From Name Name of Permit Holder Vendor Check Number amoCheck unt Permit NumbenComments Receipt or Refund/Reallocated Columnl Column2 Column3 Column) Column5 Column6 Column? Column8 Column9 5 1 Sandra and Robert Hale Robert Hale ID. 7917