The URL can be used to link to this page

Home My WebLink About66312D - GillardICAMA / ❑ DREDGE & FILL -5/ �Cp 1(p x V A B 3ENERAL PERMIT Previous permit # New ❑Modification El Complete Reissue El 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 15A NCAC �~ } A ✓ ❑Rules attachgd. t Name (_ ��\ Project Location: County- '• 1Aj 15-i 57 C w/.414- S'�Xf*-" IA--1i S -�fcj StaterC ZIP 1pn 330 - Sd E-Mail ed Agent ❑ CW A ❑ ES ❑ PTS ❑ OEA ❑ HHF 151H ❑ UBA ❑ N/A ❑ PWS: yes PNA yes no Street Address/ State Road/ Lot #(s) Subdivision ✓4AAOIW Ck CAJ,<j City ,iV + . s 4 ZIP Z Phone # ( River Basin Adj. Wtr. Body / .-' i < ,A, ! / at Closest Maj. Wtr. Body V k A d w! %44 Project/ Activity I I �!' + Vtl U'e ,. (Scale: I( :k) length : itform(s) - Platform(s) ier(s) j y _..--- - - - igth f - nber _- i/ Riprap length distance offshore x distance offshore cannel )ic yards ip �oatlift IL M WINE' _ocal Planning jurisdiction) ❑ See note on back regarding River Basin n NC Division of coastal :l 9C Habitat impact- computer 31teet ` •1 C�-J Applicant: l l Date: 15 62 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. FINAL Sq. Ft. TOTAL Feet FIP (Applied for. (Anticipated final (Applied for. Disturbance (Ar dis� DISTURB TYPE Disturbance.total includes any disturbance. Excludes any total includes . Ex Habitat Name Choose One anticipated restoration any anticipated res restoration or ternimpacts) and/or temp impact amount restoration or ternirri acts ten am ODredge ❑ Fill El Both ❑ Other f^%0 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑. Fill ❑ Both ❑ other, ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management viichael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Authorized Agent Consent Agreement RN+ N 012 is hereby authorized to act on my be (Printed Name of Agent) order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited ecific activities described in the attached sketch. )CATION OF PROJECT: S1,5 61 J, C�j ), J�-' � L . � 2 Sing&�s feu N, L' 'IS LAlow �OPERTY OWNER MAILING ADDRESS: JTHORIZED AGENT MAILING ADDRESS: ?-k Z�q -1awl s Ceeck-- L4 C) 21, xis' 0va e� ;s ZJ,- I j I bx; st-;tu l lt7 Xlb* C A+ PHONE NO. PHONE NO. q1D - 35D - S50cD gnature of Property Owner: gnature of Authorized Aqent: C� Ln DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM flame of Individual Applying For Permit: �.a G 111 aK_L( kddress of Property: (Lot or Street #, Street or Road) (OrActj ) suol �MV_C4 N.0 (City and County) hereby certify that I own property adjacent to the above -referenced property. The individua ipplying for this permit has described to me as shown on the attached drawing the development the, ire proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. f you have objections to what is being proposed, please write the Division of Coasta Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-72t vithin 10 days of receipt of this notice. No response is considered the same as no objection i ,on have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be se ick a minimum distance of 15' from my area of riparian access - unless waived by me. (If yoi vish 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. t�') AJ9 D 1� (I 4gn Name Date . l �, Tint Name � � � _ DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER dame of Individual Applying For Permit: C , lam-, 61 PO4 id kddress of Property: Cj'�L , i T 1C_ (Lot or Street #, Street or Road) (0 N S1 o 0 � S a_j a L (City and County) del hereby certify that I own property adjacent to the above -referenced property. The individua ipplying for this permit has described to me as shown on the attached drawing the development the, ire proposing?bjections escription or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. f you have to what is being proposed, please write the Division of Coasta Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-72L vithin 10 days of receipt of this notice. No response is considered the same as no objection i ,ou have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be se rck a minimum distance of 15' from my area of riparian access - unless waived by me. (If yoi n Name 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. Date 'rint Names AT, uM ❑A