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Home My WebLink About61667D - SzerszenbAMA / 7 DREDGE & FILL N ? 6166 GENERAL PERMIT M Previous permit # 7—New ❑Modification -'Complete Reissue OPartial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources 14 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC G J ❑ Rules Ittached. Applicant Name n (5 �� Project Location: County _ pe��A" Address Street Address/ State Roid/ Lo� #(s) City` State�zlP��" 1tj L� i `�`� i. Phone # )�Z�dh"�J�bF O Subdivisi n A 2 Authorized Agent i Y 1(it✓ + ,,x1LtQ City t� zip 14 f Affected ` CW i EW i PTA ❑ ES ❑ PTS Phone # ( ) River Basin cr- AEC(s): OEA HHF IH ❑ UBA N/A Adj. Wtr. Body _ (nat /man /unkn) PWS: FC: ORW: yes ! no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body • i Pier (clock) len�h Y �... INN Finger pier(s) Groin length number�.� Bulkhead/ .... length avg distance offshore max distance Basin, channel ■I. mom ...�.��.0 .I 1 I. �.NI .I ®...il�- �H.■EIIMM5 11= T- yards Boat ramp .w.:. I1__:11,Iri�1 Ncubic ..N�.1►.�7_�111.Era =11111MM �111 � _ i Beach :... • ..■.G=mom ■mil ;Z11i 11■ Tl ' SAV r Shoreline Len not sure es ' no Sandbags: not sure yes no — Moratorium: n/a yes no. Photos: yes no T Waiver Attached: yam' no L A building permit may be required by: Notes/ Special Conditions i -1 1 .f LON451TU9:13 0 0 1Si11ent or App)icant Print ame read compliance statement on bad of permit ** m, ✓"""' '/ ,ems Ca-Y7/i �`r (Scale: beet=e on Dacl rcf I v�ucyr a �nacure Issyigg Datej, Expiration Date 00- Application Fee(s) Check # Dennis Szerszen's Permit Application Request CAMA Ja�,� soD� 7a 7zz / County. Pender Water body: Horn Creek Address: 641 Hughes Road Hampstead NC 28443 Qy0s2 413 !RECEIVE -MAY 0 b^ 2013 DCM MMAINGTON, NC DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT] ONAVAINT-R FORM Name of individual applying for permit: Dennis S z e r s z en Address ofpropeM-:641 Hughes Road 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, 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 Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405 or call (910) 395-3900 within 10 days of receipt of this notice. No response is considered the same as no obiection if you have been notified by Certified Mail. WAIVER SECTION (Does not apply to bulkheads or rip rap) I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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. Signature Date Print Name qI() 2-7C, 2q-79 Telephone number with area code MAY 011 2013 DC�," W"LPAaNG. TON, MC DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAVAIVER FORM Name of individual applying for permit: O P rn n i s S z P r s z pn Address ofpropem.:641 Hughes Road I hereby certify that I uwn 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. should be provided with this letter.) ,514 1 have no obiections to this proposal. If you have objections to what is bcinp proposed, please x rite the Di:•isio cf Coasal Management 127 Cardinal Drive Extension, Wilmington, North Carolina 28405 or call (910) 395-3900 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 SEC"PION (Does not applY to bulkheads or rip rap) 1 understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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.) Xf7514 1 do wish to waive the 15' setback requirement I do not wish to waive the 15' setback requirement. Signature Date P4M16fA 5, H0()e Print Name 910 3 q 7 -7�z/-s Telephone number with area code § VD MAY 0 6 2013 ► I L r0t Ij,; O ICO M' Itd C Letter of agent I Oe " 15 J`Z er -5 Zell have retained Mark Clements DBA, Clements Marine Construction Inc, to make application for any and all permits needed to start construction on the work requested for our property or properties. By allowing Mr. Clements to make such applications I do understand that this will in no way relieve me of any obligations to perform all work according to the building codes of North Carolina, LAMA, DWQ or any other state and or county ordinances. T�?rrlis er'5Z—e Print e "J Si a f/ y date Contact information T 117 A, w , 7/19/ PE EW MAY 0 6 2013 D ti 5v1P�aif +r:. ,� �'.�N; N Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. DISTURB TYPE Habitat Name 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) Dredge ❑ Fill ❑ Both ❑ Other O Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ElFill ❑ 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 ❑