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Home My WebLink About68045D - Bartlett� CAMA / DREDGE & FILL "ENERAL PERMIT M�ql\levv Modification Complete Reissue []Partial Reissue A B Previous permit # Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC I 1 . ❑ Vules attached. Applicant Name �, �l (� � J1,✓ n Project Location: County o_w) ► i yck Address `{ \1�x Street Address/ State Road/ Lot #(s) Cityt�kj State ZIP Phone #(�?�11 E-Mail ii Subdivision Authorized AgentY' City_ ZIP Affected ❑ CW *EW A ❑ PTS Phone # ( ) River Basin AEC(s): ElC OEA HHF ElIH ❑ UBA ❑ N/A Adj. Wtr. Body ' �L L J5 at unkn jll ORW: yes / no PNA yes)/ no Closest Maj. Wtr. Body Type of Project/ Activity 1JUs t yr U ii �_U �uk) YXA1U'WU(y a-k it`;V U (Scale: . •• ... R :, IN MEN MEME ■C■■■ i i N ?9r�9 19�iP�■i��..EMiu■C U ■■■■■■■■L'fi;/►�T��h!'�J,llla�t��,'�ii�if�iilJfii�wrn�rr■�'iir%��■■. �. ■■■�■w■i■■■■C■■ on ■...■■■..■■l.■ E ■■■■■ 1 rI ■FA■%■■T:■'.:■■■%■'.;:■■.!!■C:!■■■ iI/■■so Ir ■■i■■ '"WUM:r!■■■ \ice`■� a,'Z � 1��^/!■ 3i'�I�if!i�■ /�■■■■■�!!u1■7■■■■■■■ ■k:i� i11//�Ii1Lv�C■�t�►CJ!1li�l�■■■1�■■r%i�l•Y�1■■■■■■C Beach -Other Z-i r..• Shoreline Length Moratorium: n/a •SAV: not sure yes n _ e Attached: yer !!�■i7 !/%/�f�■■■■■�i�Hillii■lit�l��'J.!®■■■■`I�r■■■■■■■■� ■!ii�■'i I J■►��1■■■■��:.L'��Y'Zl<i�lii�ii■■■■■■' �1�■■■■■■t'�! ■:►■■1�t1�1■llr�t:1■■■■■i1■■■■■■w■�iwl■v■■A■■■■■►V =:i■1�■Ir�ll!:11��■■■■■■■■■■<��JiillilC3iM■�■■■�!c^+�■ ■w.w■:w��r..�o��■■■■��rr, n n n■■Y■■■■■■■■■■■�,■■ ■■w■w■��■■�■■■■■rr■►ate■■■■■■■■■■■■■■■■■ r-■�a�sw■■■■■■■■■■■■■�■n��n�rc:■■■■■■■■■■■ Cc i�11�l�R�i■■■■■■■ ■■■■■■9Y11ilYr■■■■■■■■■■■■ !'■■ N■■� ■ ■■■■ ■■ IGOWaiver ��■�C■■C■....■■..�CCCC■■....�■..0 .v A building permit may be required by: 1-1 ( Note Local Planning jurisdiction) l tomYY'�.� tj�om+' '" Notes/ Special Conditions NU , V) ❑ See note on back regarding River Basin rules. Printed -- -------- J-11 Expiration Date ' Application Fee(s) Check # DGE & FILL A B C D GE PERMIT Previous permit # 14 . Ne OM ification '—:Complete Reissue -.Partial Reissue Date previous permit issued As authoriz I by the 9 to of North Carolina, Department of Environment and Natural Resources and the CoAtal Rer urces Commission in an area of environmental concern pursuant to 15A NCAC -)V4 0 Kules 9tubichwil. Applicant Name N AkL AA Project Location: County_ I wial Address 9:� 11\1,O)"A 1!�iw .; —UL13(p City Statet-0 (.z ZIP Phone *4 ADW6—�1111-) E-Mail Authorized Agent El Cw g EW XW A 0 PTS Affected AEC(s): 0 OEA Q HHF El 1H El USA 0 N/A 11 Pws: or 0plicant Printed Name J �', Signature Please read compliance statement on back of permit rk—k a* Street Address/ State Road/ Lot #(s)___ �ilvlk Subdivision City- --- - - ZIP Phone# (—) — River Basin-( Adj. Wtr. Body AAAVv,)AituUy S Closest Mai. Wtr. Body— �,j V `-; Permit Officer's Printed Name Sign r I G le Issui Expiration Date Date Date Check From Name of Vendor Check Check Permit Receipt # Received Deposited (Name) Permit Holder Number amount Number/ Comments Kamenne or vvnnam 3/21/2017 Bartlett same BB&T 1207 $400.00 GP 68045D TM rct. 3472D ( /1i ' on Applicant: Date: Describe below the�B%2T/diltoances for the application. of Coastal Mgt. Habitat Impact Computer Sheet All values should match the name, and units of measurement found in your Habitat code sheet. (ri E'oY�-t� TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts) impact amoun4., temp impacts) amount L-1 -7 Dredge ❑ Fill ❑ Both ❑ Other a� Dredge ❑ Fill'i Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ I Name of Individual Applying For Perrait. ®��./ 4/►1 f L Z rr address of Property �tOl Z tLct or Street it, Stremt or Road) �S 'C►ry and Cot<irtty) .� hereby certify that I own property adjacent to the above- refe►enced props:':-°. The individutA applying for this permit has described tome as shown on the attached drawing the developnxatthey are ptoP+osing. A descrintion or drawing, with dimensions, should be provided with this lamer << I have no objections to this proaosa; If you have objections to what is being proposed, please wrtre the Dl%i:ii-,n of Cofis-3i- Management, 121 Cardinal Drivo Extension, Wilming.Ton, NC 28405 or _:ttl $1079i-TD5 within to days of recaipt of this notice. No response is considered the some as no obkCtionif you have been noriiied by Certified Moil. WAIVER SECTION - I uadersmnd that a pier, dock, tttooring pilings, breakwater, bout house or boat lift mestbeset bcka minimum distance of 15' from my area of riparian access - unless %vaived b% me. (Ifyou Wisb to waive the setback, you must initial the appropriate blank, below ; I do wise to waive the 1 setback reatire^-A-- i do n2c wish to waive tnc 13' sctback ��drs�ld / cro 7 r Print Name Telephone Number with Area Code NCDENR DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOT IFICATION/WAIVER FOIM Name of Individual Applying For Permit: Address of Property: (Lot or Street #, Street or Road) (City and County) - hereby certi that own propertya�c j'acent to the above-reI`erenced 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, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Manaaement, 127 'eardinal Drive Extension, Wilmington, INC 28405 or call 910-796-7215 within 10 days -of receipt of this notice. 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, brealnvzter, boat house or boat lift must be set bek 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 1 5' setback requirement. I do not wish to waive the 1 5' setback requirement. `,1 r� _'-02 7- l 7 ��l n S4 e ^ / Date yal--0-4 5 - 27 - ( 7 l Print Name qIO-S7�-669 Telephone Number with Area Code NCDENR r"grn..CM H.O NOUXA, ReSCURCU V� Name of Individual Applying For Perrait: e-+ Address of Property b`fC k, - - dr, !-Let or Street #. Sweet OrJto_ad) lb� K V-SIC"A - __:� (Ciry and County) hereby certify that I own property adjacent to the above•refererced propt:l The individvsl applying for this permit has described to me as shown onthe amched drawing the deveiopMatt" are proposing. A description or drawing, with dimensions. shoWd be crovided with this kt4er have no objections to this propose; If you have objections to What is being proposed, please wrtte the Di• i;ia.,n of Cossim- Msnagemeat, 121 Cardinal Drive Extension, Wilmington, tiC 28403 or ::t►i 410-796-711S wirbin 14 days of receipt of this notice. No response is considered the some as no obimtbni f you have been noriried by Certitiod Mail, WAIVER Sr- CTIO N I understand that a pier, dock, Mooring pilings, breakwater, boathouse or boar rift mist beset bcka minimum distance of iwq' from my area of riparian access - uniess waived b. eta. (Ifyou wisb to ♦voive the setback, you must initial the appropriate blunk below ; do wish to waive the 1,' setback reovire^-t— ',Sc i do not wish to waive the 13' sctback Print dame F(v - Zu Telephone Number with Arta Code NCDEN R .of - At �. .1. Wtv" B-Aftfm ._._.__ SON 33KM tllpN vadono6 PAW mom P10009E N014'11�11�q{'q iMh111 Nr.M�11I ([\F 17f`% pre