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HomeMy WebLinkAbout66643D - Bunnellrb" AMA / ❑ DREDGE & FILL lYl %V A B 'a NERAL PERMIT �L' Previous permit# 'New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources ;oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / �-/�1 T / ^ // ❑ Rules attached. Name_ LI /P /v:'`GfhM,(f Project Location: County ,�//�°� n Street Address/ State Road/ Lot #(s) / A ` State t��_- ZIP ���1/I ��JLi`'J-��r+7d� �+-��'h ✓ E-Maio Subdivision :dAgeent �M/"(/ 7 �/ - - - City �l ��t�` t ZIP �29., V6 �pW PTA ❑ ES ❑ PTS Phone # ( 1l(,) , ' 3 River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: --S. (es / no Project/ Activity gth fiber J / 'rap lengthngth distance offshore c distance offshore innel is yards P e/ Boatlift ,^v Length :cached: Adj. Wtr. Body nat n Closest Maj. Wtr. Body. (Scale: % "3 g permit may be required by: / V (7 ocal Planning jurisdiction) 1) / . . - .. . ) / / _ / f A -I W A i' L ABC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: /G'l�u (/� �Gdt'IPermit #: 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 Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) t . FINAL Feet (Anticipated final . (Anticipated final FINAL Sq. Ft. 7DIsturbnce disturbance. disturbance. Excludes any Excludes any restoration arestoration and/or and/or temp restoratin or temp impact impact amount) temp impacts.) I amount Dredge ❑ Fill ❑ Both ❑ Other �Q (� Dredge ❑ Fill ❑ Both ❑ Other 211, (� Dredge ❑ Fill Both ❑ Other ❑ Z Z' 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 171 Both ❑ Other ❑ I NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Braxton C. Davis Governor Director 0a 1 Sh,,%y Dee Freem Secreti 3506 lap Pm Ct AGENT AUTHORIZATION FORM VYt'*Y^Otai, NC 2M09 910 386-8883 Date: Gmtrud e'x35' —&way, 8'x12' *ffort . 8 4'x12' kayak auvc Name of Property Owner Applying for Permit Name of Authorized Agent for this project lbi>li �Lt�IC �uNNCRI—L :Ze, r'c�I �h [r le May 2, 2016 Owner's Mailing Address ;. s u� �• Phone Number (*o i Z2 - (p/571 Agent's Mailing Address: Phone Number I certify that I have authorized the agent listed above to act on my behalf for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity): red k/e-L7 in C6a /Z r 1�a Lfd a-t .e ef-o For my property located at this certification is valid thru (date) ��z% e 4s DCM WILMINGTON, NC SUN 0 6 2016 P erty Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to To"bb q 3q L-1 C % Lc N E �- t-- s �Name of Property Owner) property located at �jOp Sunni hr'ccnoh e. ' ` (Address, Lot, Block, Road, etc.) on i- 0 WC- Crcek in I L M I N 6 TO N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no 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) ►). Con s tr [.c, h o-n 0 c- -6,x e d p �i e r.� - -p LeaSt S e.c, G..Nz�C � � �r'(u,J 1 ►'1C{ �� �I � �S G�-!1 G� �DCD�-l�id� z;. Ins r�P wf" shore. Line— er+Au- s[�Q P�tec��` rod s�s� of 06-L gees . WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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 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 Ow er Information) (Adjacent Property Owner Information) Signatu e Sim/atu;~ Print or Type Name Print or Type Name 3ooq 9u.nna braAci, 1)f-. S" C 3 Srw.,., ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to -roDn q J-gLIC 6 uN N e�-L- s (Name of Property Owner) property located at �00 `� Sunni b(-anc-h '' `` (Address, Lot, Block, Road, etc.) on 1�1oWe Creek , in ►L�M IN 6 -ro N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill in description below or attach a site drawing) I). Co n S tr VC, fi'a o� C- o.�ic�c h erg d r6,(A) i y pier p C-6 tect rrC. P ckf IG -Fixed p-p(.eoSt se-C, �; r 6.1- zu is a-t) of IOCO-hdr shore [ i n e, on s l cu M; n.I►n 1 �c per'oSfay) S�Step--� at tre-es . 0-'-10� WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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 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) (Adjacent Property Owner Information) Signatu e Signature .Tithe A-- C—t1nnC-1) a ScN1 Print or Type Name Print or 7We Name 3009 &u nn u bra-n 6 LK. 3 o 6 S /— r r err -AI �0•(�, `� �' 1 [ c�T 6 y3 M 35.