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.