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Home My WebLink About68027D - Hardee? CAMA / i : DREDGE & FILL .`l ; , f � �' '' GR ENEAL PERMIT Previous permit#' A B New ❑Modification El Complete Reissue '-Partial Reissue Date previous permit issued ,rized by the State of North Carolina, Department of Environment and Natural Resources Zoastal Resources Commission in an area of environmental concern pursuant to 15A NCAC o J C t 1 J O Rules attached. rt Name � Y Project Location: County Street Address/ State Road/ Lot #(s) np,,nn ��. State ZIP (xAw� 1 cap D ��G�� • �C� t (IV 59" 30LLE-Mail �� h � � �S � n �-1`C Subdivision :ed Agent -._ ""_" City _S h h J 10 rtl, ZIP ❑ CW (SEW PTA Li ES ❑ PTS Phone # ( ) River Basin LL)K ❑ OEA /❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body < `g � t� 0 �� Fi`"G (IQ / ElPWS: ` , ) yes / no PNA s no Closest Maj. Wtr. Body w W f Project/ Activity O ( 0VI <A -NC � n G C 60 k ►k"1.. ) i1 a (Scale: J ck)length atform(s) 1 C V Platform(s) L o x Z G ngth tuber d/ Riprap length distance offshc uc distance offsJi iannel 1 bic yards np ise/ Boat � , e Lengt .- CID not sure yes o ium: n/a yes yes kttached: yes rig permit may be required by: V YVA! y,,- K ❑ See note on back regarding River Basin ri Local Planning jurisdiction) _ f- NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Date: 62-16 Permit* 6 �52-7- r 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) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet, (Applied for.. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other C 22 ' D2 2 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 ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both Other ❑ Dredge ❑ Fill ❑ Both 171 Other ❑ ime) Permit Holder idall Kendall Riegelwood ,dee Hardee FCU Number I amount I Number/ Comments GP 5611 $200.00 68027D Refund/Reallocated SF rct. 3553D ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ,Z�� 1/' 's (Name of Property Owner) property located at %�.7l� of IJA"'p i�i�v #''J S C'.J �/� (Address, Lot, Block, Road, etc.) on �,2,�,� �- ,le_ W) )j -2 in ,�Sr <44 Coc Div N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. fkm /11 1 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) 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.) Zn/kl I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Sign re u�.P ✓! b'Q�1C�-L Print or Type Name (Adjacent Property Owner Information) -za%l Signature * -7-?O UPi -?�' /% Al CC,/ x7— Print or Type dame ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at / 7-24) U, /) �'i►/dnit H4kjeee 's (Name of Property Owner) / (Address, Lot,)3lock, Road, etc.) on Pwi/P►2 in S r, .�a�k (') , 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) 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. X I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) /"�z°i✓d,4ll /7r4f2 c7� L� 'w- r SignSigjzature � e.v i9 Print or Type Name Print or Type Name 1 � 1 ig