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Home My WebLink About67260D - Tucker.LAMA / ❑ DREDGE & FILL 1612-611�A B IEN ERAL PERMIT Previous permit # New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources a7 oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC o-t jj n k'2 00 V ❑ Rules attached. Name C �T}\�q �1.� Project Location: County O�Wy(\- 1LA�c o Street Address/ State Road/ Lot #(s) S bG�V State NC ZIP "Z"7 41 C, ( C ►_� %�v- . ( 20-1 E-Mail _ j {,r Subdivision :d Agent tj C o t ✓r Yi S / �j 9r �- A vt City ( A 71 UQ iZIP ❑ CW EW PTA ❑ ES ❑ PTS Phone # ( ) �RiAver` Basin ❑ OEA r❑ HHF ❑ IH ❑ URA ❑ N/A Adj. Wtr. Body Vv v'✓ ElPWS: a n• tes / no i PNA yes / no' Closest Maj. Wtr. Body ` Project/ Activity '� (�, �`� �� lti' �� ,� ;", /xyl 6- ke� �RQ YA —�� "A c T '_ I �— (Scale: I ` k) length_ tform(s) 'latform(s) ar(s) gth fiber I Riprap lei distance o e/ Boatlift Ildozing -ckwk0 U YtIA n/a yes yes n ttached: ye no g permit may be required by: ocal Planning jurisdiction) Tow1� � I \" k& AC n_.x— „ I 1 1-1 , I i ._.. ❑ See note on back regarding River Basin ru MC Division of Coastal Mgt. Habitat I.MPaet Computer Sheet Applicant: �tlG�irr 6-6 lc,h LLC Permit #: Date: OltCtl (� 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 . FINAL Feet (App'iOcl for. (Anticipated final (Applied for.. (Anticipated final Habitat Name DISTURB TYPE. Disturbance total dlsturbance. I Disturbance . disturbance. I Choose One includes any Exdudesany total includes Excludes any anncipareo restoration or temp impacts) rNicranon any anrfcpatea restoration anoror andlor temp restoration ortemp impact impact amount temp impacts.) I amount) Dredge g ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge.❑ Fill ❑ Both ❑ Other [] Dredge ❑ Fill ❑ Both ❑ Other ❑ 29 16, 09:15a Tucker & Associates 3366320207 p.1 Rat MPCMry Govew AWWA NCDM North Caroba Departlnent of Environment and Natural Resour Divl�bn of Coasiei Managerraer►t Brown C. Cams Join E Skvwk nhctor secretay A EN! AU-ORIZAILON EQRM Date: Z "-2/ 4 Name of Profs Owner.Appiying for Permit Name of Audwimd-Agt for this project: O nr►ee--s AIaMkgAddress: Phone Number ON.) Z,vT ca 3 3 Z 1 cW* that ! have autthatwd ttre agert mated above to act on my Walf, for the purpose of apQiyirig for and obtaining as CAMA PWMft neceesary -to instatt or coral ud the M*oekg (aamty): -�J For W wapnty bc=Md at ZC 7 ZQtS 12 Sl P �/n c vex �� ,cr ^f �-- Z B 4- G rniS cert CMfiMJG mid ttwu (da%) / 2 :V - 1 1-,, Prorated OWIM its Deb WV IV:L 600i.Wt DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: LV1U-4,kA 7Z(g&CX! Address of Property: aD % %,Z3 _ & (Lot or Street ##, Street or Road) City and County)��` 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 drawin 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 call Debbie Wilson with th Division of Coastal Management,127 Cardinal Drive Ezteaslon, Wilmington, NC 28405 or call 910-796-7215 within 10 days of the receipt of this notice. No response considered the same as no objection if you have been noticed by Certified Mail. WAIVER SECTION I understand that a pier, dock, moorings pilings, breakwater, boat house or boat Ii must be set back a minimum distance of 15' from my area of riparian access- unle 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. WV It:L 600E/OZ/i DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: Address of Property: 2 Le*zz (Lot or Street #, Street or Road) 4ri:)!/U (City and County) vZ 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 drawin 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 yom have objections to what is being proposed, please call Debbie Wilson with th, Division of Coastal Management,127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-79&7215 within 10 days of the receipt of this notice, No response considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION 1 understand that a pier, dock, moorings pilings, breakwater, boat house or boat ul must be set back a minimum distance of 15' from my area of riparian access- unies 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. lunyV 41ALL- J Q �-4 7�M 1 1 aH_ ► SIX t'/ y oL • sin <. I,dm ?L3LvM 7 W 4M-2 w Ay -7 OMNI ��1