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Home My WebLink About66641D - Bilheimer�ICAMA / ❑ DREDGE & FILL `1 -tNERAL PERMIT Previous permit # New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued •ized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resoirces Commission in an area of environmental concern pursuant to 15A NCAC r } ` ❑ Rules attached. t Name 1�ij(��✓ �l }'�Q j f yj� t/ Project Location: County pf i i k Ve State ZIP :NLA k j 3 lam) E-Mail ed Agent's. Vj 1t tt i� j t`�11't/l i1 d1.. ❑ CW 6EW L: PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UIBA ❑ N/A ❑ PWS: yes / fno PNA yes /,no; Project/ Activity Street Address/ State Road/ Lot #(s) 1. '(6 (1UUF_ Ave i,iUL Subdivision N r t,� '� LL City !` I(( ZIP . rr��44-_e Phone # ( t) 5q b st &S River Basin Adj. Wtr. Body nat Ir Closest Maj. Wtr. Body ti r (Scale. :k) length tform(s) 'latform(s) er(s) igth nber I/ Riprap length distance offshore c distance offshore annel is yards P :e/ Boatlift .0 k �� Ildozing ��w��a��a��a� .r�w�■� Length not sure yes -no, ■■■C■■G�■■■■f'■■■■■ ■■■■■■■■■■■■■■■■I■■ yes MM ttached: yes no g permit may be required by: If) d ll L� ❑ See note on back regarding River Basin ocal Planning Jurisdictio NC Division of Coastal MO. Habitat impact Computer Sheet Applicant: Date: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FIMAL Sq. Ft. TOTAL Feet Flte (Applied for. Disturbance.total (Anticipated final (Applied for. disturbance. Disturbance (An dist DISTURB TYPE Habitat (dame Choose One includes any anticipated Excludes any total includes . restoration any anticipated Exc resi restoration or temp impacts)_impact and/or temp restoration or amount ternim acts) ten' arri Dredge ❑ Fill ❑ Both ❑ Other 1n( 2 l Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge. ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ElBoth ❑ Other ❑ t=J010ef04,0JZ91L3D9V081hS L/Xaluq#W m=geai,/oinll!ew/woo•altiooti' lie CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: T�L2 <2 37ti_ Address of Property: Al r �J—� 1!5� prcLw. L C1 Agent's Name #: Agent's phone #: (Lot or Street #, Street or Road, City & 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. Contact information for DCM offices is available at http'//www nccoastalmanagement.net/web/cm/staff-listing orby calling 1-888-4RCOAST. 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, boat ramp, breakwater, boathouse, or lift 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.) t I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (1 operty er Information) Sig tur '� o e. IA— S I Print or Type Name 2- Mailing Address �L* i SE'ct �Gitkt�+4— City/State/Zip (Riparian Property Owner Information) Signature Print or Type Name a C; Mailing Address le" I -i, G-/y . - 1 7� City/Statelzip CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner: Address of Property: �,S/o C", Atz--, ; (Lot or Street #, Street or Road, City & County) Agent's Name #: Mailing Address: Agent's phone #: 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. Contact information for DCM offices is available at http://www.nccoastalmana_qement.netlweb/cm/staff-listing orby calling 1-888-4RCOAST. 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, boat ramp, breakwater, boathouse, or lift 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. (Property Owner information) Signature tie", r-� Print Type Name (Riparian Property Owner Information) — Signature Print or Type Name P,D. Sil) u�5 �5 ll�